HomeMy WebLinkAboutMakam, Asha - 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 ' REPORT FILED1/°' I - 2. .. ..
.NUMBER ON BEHALF OF CANDIDATE: COMMITTEE;:' ::LOBBYIST•
NAME OF RUNG COMMITTEE,CANDIDATE OR LOBBYIST
Asko FYI ak a n(
S,Ktrl ADDRESS
3 6 t c I.u.r\ Co LAX-1-
CITY STATE ZIP CODE
L1/1a vk.(
l� c s to LAY-9 P A nose, --
TYPE OF REPORT NAME OF OFFICECSOUGHT BY CANDIDATE c DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) CI ex-YL_ ac W ur A- `� :: :-...:.... .:
M0: DA7: REAR'
1.
s` N sitIESDAY'''•..:
•'PRE=PRIMARY..>..'`.:. FOR,OF .FFICE:.
;USE<ONLY' ::::
.. .. .MO.":. .DAY: :YEAR:... ;MO: .DAY:' 'YEAR':
ZHO''FRIDA1/::i;::; `. : •2. DATES OF
<PRE RIMARY::'.::: PERIOD REPORTING 5 1''] TO /„ 5 (-1 O
11 V/ 11 C
30:DAY
POST.=PRIMARY:
CASH BALANCE AT END Z
a. OF REPORTING PERIOD: $ r—
:BTM.TUESDAY:
PRErELECTION . COw
TOTAL AMOUNT OF FILER'S /1 p
OUTSTANDING DEBTS OR LIABIUTIES / ) x"
2ND;Fitroiw V C.) 3:
;PRE Et ECTION :; AT THE END OF REPORTING PERIOD: $ 0
C
ciI
POSTfCECTPOSTELECTION AMENDMENT'
YES NO X
REPORT?:
ANNUAL TERMINATION YES NO X
REPORT, REPORT?< : /`
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 MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
/� 1 DAY OF 20.i.7 SIGNATURE OF PERSON SUBMITTING REPORT
q4/4 e./.�-�X NATuSIG !!Dia-At- -ASka" PiMD�E?.
9 OF PENNSYLVANIA -1 O Q
MY IN�'�'l�� `1 �� — C,�
NOOTTAN#ORRIS
1 YR. AREA CODE DAYTIME TELEPHONE NUMBER
MEG-Notary Public
PART Ii., CARLISLE BORO,CUMBERLAND COUNTY
If statenrnt iUtfileairnbnibleholfeoaaa da?RH fate's Authorized Committee,Candidate must sign here.
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.
DSEB-503(12-99)