HomeMy WebLinkAboutBirbeck, Jonathan - 2017 30-Day Post-Primary COMMONWEALTH OF PENNSYLVANIA
CAMPAIGN FINANCE STATEMENT
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File this in lieu of a full:report only if aggregate receipts, expenditures,or
liabilities incurred each did not exceed$250,0.6.,duringthe reporting period.
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FiLEI;elotwiFicATioN 10. REP°,."R.r.PILECI
i4UMBER •ON:14,•;,,. CIF 3-.:,•,!--.1Fili:,!:-...•-•., ,:.- t.',1.,,f,::;,,..-;.-,.:: ',.:;,,;.•;=:;;01;
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NANE'oF'FILIGNO_cOMmirrrg.tAmdmAtt on LoRaYIST_ __. -
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CIT.?. STAtt- liP'Cabe
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Ty,,,eb5.11Eportr. : NAME OF_bPFICE so0Gsr BY c.ANDIDATE otsTRICT NO, PARTY • - DATE OF ELECTION- . .
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iiNgrAWSR 4 : ;DATES OF '
***PlikiliXO-Y gli . REPORTING
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• t8AW:tA:;ff.--Pg X ' 'CASH.BALANCE AT END
4 . OF REPORTING PERi0b: .$ —56, OC). .
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TOTAL AMOUNT t.)0 FILER'S
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... •"*.-,'"$`15.,.7.:-.5:F1,41.C4*F,'5:
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OUTSTANDING DEBTS OR LIABILITIES , • -.
gegilrecilii*Nii — AT THE END OF REPORTING PERIOD ',$. .--,.._ __--- ‘, 0
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AFFIDAVIT SECTION
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4--- ..._•,,' .ifstatementis filed on-behalf TyraliditicatcOdnurlitteircir Candidate-Sis-Corn-rnittesc.th-e-trea-i.arer-rnat-SigTi ile-rg:.------ -----.
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If statement isfiled on behalfof a Candidate,the Candidate must sign here.
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ca A u! -If statenteritisfired WI behalf of 8 Contributing.LobbVist,The Lobbyist must Sign here.
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t'e ,i.tv4F:Airt(OFt AFSIRM)THAT THE AdGIFiGATE'RECEIPTS oR DISBURSEMENTS OR.LiA131LITIES'INCURRED.DU;1., i RF_PORTRIG'• -I00-i‘• ,,ATED'ABOVEOID.NOT
XCEE TWO vitikoiREb AND FY DOLLARS($250..000,ND THIS:REPORT 4S,TO BE 'z..- :...-• . ED-G;.' P•MUM.77•E-•o• ,, 7 • b' oMPLEtE,
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1 i CS 1' SWORN- :AND SUBSCRIBED:SEFOREME THIS fli /, •
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z oi,..1....1 ,•_13_1-1•1)Ay JUfl e, • •• • 2017 7s rATURE OF P,-'7:ON: BNI1171Nr. REPORT
SIGNATURE _ 61111, 1A. 1
:PRINTED NAM
E
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..- MYCOMM :60iiits,, .1 0 lb 1-7 .11-7
Mb, DAY YR; AREA CODE ,..aa.,koLt 3o.33
—' DAYTIME TELEPHONE NUMBER .•
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PART'11
If statement Is filed oh behalf of a Caridicfatel.s.Authorized:Committee,t:andidate must sign here.
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4 SWEAR'ORAFFIRN4)-11-1AT TO THE,BEST'oF MY.'KNOWLEDGE AND BELIEF'THIS rsetineivit04Antrfe*§r4r:srviorideri A*'PROVISIONS'OP THE ACT OF
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JUNE 319"37(1,1,4383-,Nb.320)A AMENDED. ..
SWORN TO AND S11456RI8E6.BEFORE-PE TVs ..
. SIGNATURE OF CANDIDATE
154YOF 20
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PRINTED-NAME .:
.SIGNATURE
MY COMMISSION'EXPIRES. AREA .:CODE DAYTIME-TELEPHONE NUMBER
O. DAY YR.
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:Mpartinent of State Or Bureau'a tomrassiong,Elections and Legitlation
• DSEB-503(12-99) 2111'North:office Building • HartiSburg,PA 171200029' le U17)781-5280
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