HomeMy WebLinkAboutScott, Timothy - 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 IDENTIFICATION 100, REPORT FILED CANDIDATE COMMITTEE LOBBYIST
NUMBER ON BEHALF OF , I.(^' Z 3.
NAME OF FILING COMMITTEE,j C�DIDATE OR LOBBYIST
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STREET ADDRESS
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CITY STATE
ZIP CODE
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TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) IQ/ ' EA ` MO. ppy �YEA►t
6TH TUESDAY 1. '\1�) i'
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
2. DATES OF
2ND.FRIDAY: PERIOD NG TO _
PRE-PRIMARY I /(J 5—C 1 -7
30 DAY 3' �
POST-PRIMARY •�/
A CASH BALANCE AT END
6TH TUESDAY 4. OF REPORTING PERIOD: $—___0.._ M
PRE-ELECTION OD
c—
TOTAL AMOUNT OF FILER'S 31 2C
5. OUTSTANDING DEBTS OR LIABILITIES r-~
2ND ELECTI
PON
AT THE END OF REPORTING PERIOD: $ N)
e ED
30 DAY - AMENDMENT n =
POST-ELECTION YES NO { Q
REPORT? � 13
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7.
2.7
ANNUAL TERMINATION N
REPORT REPORT? YES NO (.0
AFFIDAVIT SECTION
PART I-
If statement is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here. N
If statement is filed on behalf of a Candidate, the Candidate must sign here. a W
If statement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here. a
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I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPO TING PERIOD INDICATED ABOVE OID NO1 Z mi.t6-
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY K.•.. • - - F,TRUE,CORRECT AND COMPLETE, eems_
SWO N TO AND SUBSCRIBED BEFORE ME THIS / rnW W
j a N a o
DAY OF ...A. 20 it SIGNATURE ��i -7—ON SUBMITTING REPORT ti J Z V
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/ —� A-. 5,.. 1 T'. . fY t WC
Or ill
' (PRINTED NAME J H • O <
SI• A RE �7 O N •y
MY COMMISSION EXPIRES 5 50CCT) 1(p ( '- O 13 `-- z Z N..1.E. z
MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER 2 C XI G .
m V
PART II- o 2 w
If statement is filed on behalf of a Candidate's Authorized Committee, Candidate must sign here. z
I SWEAR(OR AFFIRM)THAT TO THE BEST OF MY KNOWLEDGE AND BEUEF 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 1