HomeMy WebLinkAboutCitizens for Border - 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 110. REPORT FILED 110, CANDIDATE I. COMMITTEE 7V/ LOBBYIST 3
NUMBER ON BEHALF OF I
NAME OF FILINA COMMITTEE,CANDIDATE OR LO BY �
LI tl& U ,hTlln�\`/
/ LCITSTREET ADDRESS 2.5 PilexAve-
CITY
Y L --- 1 STATE P� ZIP DE-/7l v
TYPE OF REPORT 3 -
NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
O. DAY YEAR.
(CHECK ONE) 1. tOrtji/t0 COV-0 CI ( .2 al° M5 I(p OHO 1 7--'
6TH TUESDAY -
PRE-PRIMARY FOR OFFICE USE ONLY
MO. j DAY YEAR MO. DAY 1 YEAR
VDATES OF
2ND FRIDAY • REPORTING 1I,7 TO 5 /7
PRE-PRIMARY PERIOD I
1 I c-)
30 DAY C
POST-PRIMARY S~. '•".1
CASH BALANCE AT END $ C7`lY COrri :
6TH TUESDAY 4. OF REPORTING PERIOD: �� m
PRE-ELECTION r--
TOTAL AMOUNT OF FILER'S3'' I
2ND FRIDAY s. OUTSTANDING DEBTS OR LIABILITIES p
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ 3
c-,
B. 0 _...
30 DAY • AMENDMENT C _...
POST-ELECTION REPORT? 111111ND SI
w .
I7 ! -< 00.`NIIDAL { + ';ENMIT4 AT/0 YES NO
REPORT f ( .REPORT?
i i AFFIDAVIT SECTION . -
PARTI-
If statement is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here. < i
if statement is filed on behalf of a Candidate,the Candidate must sign here. z z.2
If statement is filed on behalf of a Contributing Lobbyist, the Lobbyist must sign here. 1 a o 04
I SWEAR(OR AFFIRM)THAT THE.AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE,�R�••P`.TING PERIOD INDICATED ABOVE DID NOT S'i3 a-0
a
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOW GE •-0,....0.4.--
4,,CORRECT Ah! t'OMPLETE. Z �,!'Q R
SWORN TO AND SUBSCRIBED BEFORE ME THIS /�� r/ a?
^-� ��i� ,�� alk?°
f .. 5 DAY OF �c 20 1 / SLGNAT Ta���� •. I''7.' f IN REPORT 4.�C' E 4}..
• 'OW/ -1 E-.Z.irFc
SIGNATURE (`//''�"/ PRINTED NAME +''0 I- n
- .MY COMMISSION CONrMISSION EXPIRES M I D G YR. AREA CODED460 DAYTIME TELEPHONE NUMBER 0 E
. PARTIi - V
(*statement is filed on behalf of a Candidate's Authorized Committee,Candidate must sign here. 0100
{ 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; 't
JUNE 3, 1937(P.L. 1333,No.320)AS AMENDED. �._ o M
Ut :
SWORN TO AND SUBSCRIBED BEFORE ME THIS Z • c
SIGNATURE OF CANDIDATE
' ._
DAY OF Y Y l 2O 1 ' ~
'C lfd�i „^'� clew � .� .
k--)44‘1114V41
/(J ,,, �J A'/i��r)�n /!' PRINTED NAME ,
•,RSI+t,/lf/(�rif SIGNATURE URE ^/� a(' [ c �00 O
l ` �'Q' O
MY COMMISSION EXPIRES L 3 c 3 ! AREA CODE DAYTIME TELEPHONE NUMBER I F.N
MO. DAY YR. d
Department of State • Bureau of Commissions,Elections and Legislation 0)E U
DSEI3-503(12-99)
210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280 : -2_�