HomeMy WebLinkAboutSilcox, Nathan - 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 IDENTIFICATIONREPORT FILED CANDIDATE Y COMMITTEE LOBBYIST
NUMBER , I 2. 3.
ON BEHALF OF 111/1' /�
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
I.7 Pal-t #- P . S i t_C-
STREETADDRESS
14 of") I ,J c'i-X-Ns.C S T)Q-,V
CITY STATE ZIP CODE
MecA,4-/>.^J IGS.-G•,29-6 T'.A. 1—2 OS, —
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) 1...4-.A.r"p,xo,, -y-V , 4 141 MO. DAY YEAR '
6TH TUESDAY 1. G O f`-1 Mi TS i p t- f_ Q_ i 5 16p 2.O r7
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR -- _
2ND FRIDAY 2. DATES OF -- -
PRE-PRIMARY 'C REPORTING TO
PERIOD \ 1 1—) 5 I I.1
30 DAY 3. -- O
POST-PRIMARY
CASH BALANCE AT'END O W "r ,
6TH TUESDAY 4. OF REPORTING PERIOD: $ M A
PRE-ELECTION 33 —<
TOTAL AMOUNT OF FILER'S I
2ND FRIDAY 5. OUTSTANDING DEBTS OR LIABILITIES D. W `
•
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ t3
a
6. - C) 3
30 DAY AMENDMENT
POST-ELECTION REPORT? YES NO CD
ANNUAL TERMINATION YES NO C
REPORT REPORT?
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AFFIDAVIT SECTION
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 TILE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS(S250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND TRUC, ND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS t�
/ DAY OF fr t. 2017---�1-- SIGNATURE OF PEkSuN SUB TTING REPORT
-•"(4124--- PRINTED NAME
SIGNATURE
MY COMMISSIONEXPI NWE� fNIKYLVA�I 7 L t'n G ? - 2,, ,'-
((..IIJSMM N aria1F! SEW YR. AREA CODE DAYTIME TELEPHONE NUMBER
PART II- City of Harrisburg, Dauphin County
•e 017
If statement is fil-dt�lxn49 "., - a,_:4;_,_,R,- ,, _,_,,;.> ized Committee, Candidate must sign here.
"'.NSti
EER LNSY_�aN]a •
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
DSEI3-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280