HomeMy WebLinkAboutHartman, Ryan - 2017 2nd Friday Pre-Primary COMMONWEALTH OF PENNSYLVANIA
CAMPAIGN FINANCE STATEMENT
File this in lieu of a full report only if aggregate receipts, expenditures, or
liabilities incurred each did not exceed $250.00 during the reporting period.
'
FILER IDENTIFICATION REPORT FILED CANDIDATE I. COMMITTEE2 LOBBYIST }
NUMBER 00, ON BEHALF OF 10,
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
riA+•, irtlab 4444-T,1W.)
STREET ADDRESS
216Ci CAAM4111.4 V 1to
CITY STATE ZIP CODE
t lE.t4 scs4(4a PA I-1-oS1- — S169
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) (� E. MO. OAY YEAR
. -�C
, Heot_ . Y1ag TY�• S 16 Lori-
6TH
TUESDAY -
PRE-PRIMARY FOR OFFICE USE ONLY
M.O. DAY YEAR M0. I DAY YEAR
•
2ND FRIDAY 2. DATES OF
PRE-PRIMARY X PERIOD REPORTINC 1 I 14- TO 3 ( I I
30 DAY 3.
C) N
POST-PRIMARYV"
CASH BALANCE AT END •q8 --a
6TH TUESDAY 4. OF REPORTING PERIOD: $ 16 pp 3
PRE-ELECTION rn
TOTAL AMOUNT OF FILER'S r -I
2ND FRIDAY 5. OUTSTANDING DEBTS OR LIABILITIES >
PRE-ELECTION AT THE END OF REPORTING PERIOD: $
CDA
B. C) 3
30 DAY AMENDMENT C)
POST-ELECTION REPORT? YES NO �/ LQ
7. /� Z.: al
ANNUAL TERMINATION
YES NO Y
REPORT REPORT? /�
AFFID•, IT SECTION
PARTI-
If statement is filed on behalf of a Political Committee or Candidates's Committee, the Treasurer must sign here.
If statement is filed on behalf of a Candidate, the Candidate must sign here.
If statement is filed on behalf of a Contributing Lobbyist;the Lobbyist must sign here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE�'' AND,BE/LIE,F,TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS l . fes'
e iii«cfff""" / (� _
3rd DAY OF 20 /7 SIGNATURE OF PERSONf44,4%,-"
� SUBMITTING REPORT
.1I_/i . . .. .ill; ,',I, I*• .tfASj/uCw1_ kg: ./ (C.� �y a� J• I'1C{w.'�.
'' ._ AM L SEAL i
PRINTED NAME
MY COMMISSION EXI.IRES MEGAN E ORRIS R-I� rJ OZ'Z1-1.O
MO. •110IIKyePubllC YR. AREA CODE DAYTIME TELEPHONE NUMBER
CARLISLE$010,CUIIstJ�1 COUNTY —
PART II t My Commitrloe u um 14,p19
If statement is filed on behalf of a mate's Authorized Committee, Candidate must sign here.
I SWEAR(OR AFFIRM)THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THIS POLITICAL COMMITTEE HAS NOT VIOLATED ANY PROVISIONS OF THE ACT OF
JUNE 3, 1937(P.L. 1333,No. 320)AS AMENDED.
SWORN TO AND SUBSCRIBED BEFORE ME THIS _ __
SIGNATURE OF CANDIDATE
DAY OF 20
PRINTED NAME
SIGNATURE
MY COMMISSION EXPIRES AREA CODE DAYTIME TELEPHONE NUMBER
MO. DAY YR.
Department of State • Bureau of Commissions,Elections and Legislation
DSEB-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280
r (6)