HomeMy WebLinkAboutAlosi, 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 IDENTIFICATION 01, REPORT FILED .. 2. ... 3.
CANDIDATE: CONMfREE. ;'LOBBYIST:;.
NUMBER ON BEHALF OF 0°. : -
NAME OF RUNG COMMITTEE,CANDIDATE OR LOBBYIST
STREET ADDRESS
i 6 g S1 Pr(�.1 C e St,
CITY STATE ZIP CODE
Stelj ifipo %13b,vrz., P./4 . 17257 —
TYPE OF REPORT NAME OF OF7 _SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) l///- ) MO '' DAY YEAR
6TH TUESDAY I�E i,S l�e r 0� �.) `S &), 5i s Z t>l 1
•':PREPRIMARY::. FOR'OFPICE:.USE:ONLY;:.
. .. MO. :: ,GAY.. ;.YEAR:.. '.MO: DAY ���:YEAR :
DATES OF
2ND'fRIDAY;?':;'':•2' RE ORIODRTING c 2, 1 7 TO 5 1.7
PRE%ARtMARY. ,::: PE /
30 DAY'.:::.: 3. C7 ry
:•.POST.-PRIMARY::: '.: Y C C,
`) CASH BALANCE AT END M -a
a. OF REPORTING PERIOD: $ 0 Co C
:
:STA;TUESDAY
:.'PRE-ELECTION X
TOTAL AMOUNT OF FILER'S r-
ZNp PFRroAY.; —
D.
OUTSTANDING DEBTS OR LIABILITIES f� C.tt
RE-ELECTION''• `!
AT THE END OF REPORTING PERIOD: $ Q
B mr
3O OAT AMENDMENT (��
POST-ELECTION REPORT?... YES NO
'NU AL .. :7. ..TERMINATION:': iCID
ANNUAL
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 MY KNOWLEDGE AND BELIEF,LI 'TUE,CORRECT AND COMPLETE.
S O I r0 AND SUBSCRIBED BEFORE ME THIS n.P elA'1 :
Sr
DAY OF Li 2011 SIGNATURE OF PERSON SUBMITTING REPORT
IOP 7 J f7 r) �,Q` (o s'
-ft.' 1 I a. *.��t's ', '•+, I ie\ PRINTED NAME
;. L
MY COMMISSION IW SEAL. , 1 I l alp 0•^ 1 7 6 b
BETHANY SAL'1ARINAL DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
-Motuv:PubIIc
CARLISLE BORO:.CUMBERL•ANO OTT
PART II- My CAMMIAsion EiMMA,Ort 7.:2017
If sta e'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.
DSEB-503(12-99) . J