HomeMy WebLinkAboutFreed, David - 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 �repJJ�rorting period.
FILER IDENTIFICATION REPORT FILED CANDIDATE y 'COMMITTEE2. LOBBYIST 7
NUMBER 110, ON BEHALF OF , �\
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST ��- f
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STREET ADDRESS J \ l
3-"1-4-1 i, • 2G Si .
CITY STATE ZIP CODE
ColPftN Q Ik‘L ON 11C4 1 ®rt
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) �� MO. DAY YEAR
1. b I S'c(a 1't '-'`"6_--\ VV6i) 1) 03 Zein
6TH TUESDAY -PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
2Nb FRIDAY, , DATES OF n C
PRE-PRIMARY REPORTING TO C
PERIOD ' 2017 , ��' .ti/
30 DAY 3' M
POST-PRIMARY 33 -<
CASH BALANCE AT END r-
6TH TUESDAY 4. OF REPORTING PERIOD: $ z CJl
PRE-ELECTION C:7
TOTAL AMOUNT OF FILER'S C) 3
2ND FRIDAY OUTSTANDING DEBTS OR LIABILITIES
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ Com-
7
6. •^-I CD
POSTELECTION AMENDMENT YES NO
REPORT?
X
ANNUAL TERMINATION YES NO
REPORT REPORT?
AFFIDAVIT SECTION
PART 1-
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 UABIUTIES 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 BELIEF,
�TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS `\ +�
hham' fff�):3n
V DAY OF20 I 1 SIGNATURE OF PERSON SUBMITTING REPORT
i 4,,, t --7)tel/(A/41--) DPN N.n J • 6‘1)
SIGNATURE PRINTED NAME
MY 40,1,Ali 1.....b.•F PENN V' j / ii . d "1.\1 Z.2 L- WI-)
NOTARI' ''',. FAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
Sonia E.-Myers,NntR y Public _
PART II Carlisle Boro,Cumberland County
If state - 'Y WIIIII449N14461 i#i}iyada4 date'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
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