HomeMy WebLinkAboutSchin, Richard - 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 loo REPORT FILED :. IX .., 2. .8.. 7.
':CANOR)ATE: COMMITTEE_:; <:LOBBYIST. `::.
NUMBER ON BEHALF OF ' ��. ... .: ... _
NAMR OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
• iR[Chard F ah --)
STREET ADDRESS
9 6carsciak Dr.
CITY STATE ZIP CODE
(j,,:-gyp i/,11 P /70/i -
TYPE OF REPORT NAME OF OFFICE SOUGHTU� BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) TO LQ)V1 S 171 p �yYt!'V1! ')'f.V 7,_p ;MO: .. .:.:bio:, ...YEAR';' !:
to-Tax 0c,ilejvy— '\� 6 /G a,oI7
Tou,c�IShi
::.,..6.4,,:.,.. ..„.::::::,i.SD -
PREiPRIMARY.:',.. '. FOR'OFFlCE::USE:;ONLY
.. .... .MO."> ':DAY :YEAR:.• ;MO: 'DAY.:'%::'YEAR:.:,
:::2ND''FRIDAY;i:::.'.;:2 / DATES OFCZ
':PRE4IFDMARYr. :,:i. PE OREPOD NG f / !7 TO 6 ( 17 W +J
=
;3ODAY•:, 3. (T7
77 -<
::.POST-PRIMARY..: ::: F--
CASH BALANCE AT END -Q
a. OF REPORTING PERIOD: $
:6TH:TUESDAY;" ,; CII
i 'PRE-ELECTION -0
TOTAL AMOUNT OF FILER'S n =
OUTSTANDING DEBTS OR LIABIUTIES -, C.) Q
:.':PRE-ELECTION; AT THE END OF REPORTING PERIOD: $ _ 2f:
CPI
s.
-Cr")
:3O TELE AMENDMENT'';
: .., .
PO$T-ECEC7/ON.':: YES NO v�
7
::REPORT:..:: .
ANNUALTERMINATION<' YES NO
:.REPORT;
REPORTT::.:.':.
AFFIDAVITSECTION
PART I-
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 KNOWLEDGE-A(5:17,TRUE,CORRECT AND COMPLETE.
SWQ�N TO AND SUBSCRIBED BEFORE ME THIS /
DAY OF I 20aSIGN7 ORE/OF PERSON SUBMITTING REPORT
&jo(No f 1 I lb %
t ,,( /R 1C4-(M 1) ./_ �C t-0 A/
��KM. PRINTED NAME
° I ;'I;OF:ti 'I. , uA7 Il 51f?- 6 S 6 S`
,BEtHANY SALl:UIULr DA YR. AREA CODE DAYTIME TELEPHONE NUMBER
;Mu►ary PupnC
PAR-11 CARLISL:F BOR0;,GUMBERLAND CNTY
If stEtemWe14S b •Jtbndidrate'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. `
V
DSEB-503(12-99) • j.41.