HomeMy WebLinkAboutGaspich Jr, John - 2017 30-Day Post-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 I. Z ].
NUMBER
0, ON BEHALF OF CANDIDATE COMMITTEE. LOB8YI5T
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
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STREET ADDRESS
2Lk3i3 Legs e--A-b
CITY STATE ZIP CODE
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PLA 1n 02, — itZ7
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) j /� ,D -y-� p p MO. DAY YEAR.'-=`
tri.,7UESbAY'... .. 1. f'Ff'fy"�f�4..,J 1,^'1 iM 1�i5 1 C�5�:G✓!.- g e�o 5 I/ i 7
PRE=PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR •
. 2• DATES OF
2ND FRIDAY, REPORTING TO
PRE=PRIMARY PERIOD s 4) 1 11 t 0 c ( /''�7
30 DAY 3.
POST-PRIMARY Y O
'\ CASH BALANCE AT END {�
4• OF REPORTING PERIOD: $
6TH TUESDAY.
PRE-ELECTION
=` TOTAL AMOUNT OF FILER'S
OUTSTANDING DEBTS OR LIABILITIES i—
OUTSTANDING
• 2ND_FRIDAY- _- '�
PREELECTION AT THE END OF REPORTING PERIOD: $
CD
30 DAV;:.: Br n 3C
AMENDMENT a
POST-ELECTION REPORT I YES NO X „."
Z ..
•
ANNUAL. TERMINATION •"-I C17
REPORT.';' REPORT? YES NO -•.(
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 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 OWL. E •ND BELIEFRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS 4IM,, Ar / - ,,, ,.---
J DAY OF tA.Yi A __ S • ONWEAL - • a'-iIIV.Niq:4, T-•• if-MrrTIN= -EPO-T
NOTARIA-3�:, •.
URTNEY I.3"__
dieNATURE Derry�Twp.,Dauphin County PPRINTED NAME
MY COMMISSION EXPI' l) / 2 GommI8slon Exp�rr{e i'Mil18,20YQ ,- O_ (y r•19
//
MO: DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
PART II-
If statement is filed on behalf of a Candidate'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(92-99) 210 North Office Building • Harrisburg,PA 17120=0029 e (717)787-5280