HomeMy WebLinkAboutMorrow, Douglas - 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 1110 REPORT FILED 110 CANDIDATE I •
ACOMMITTEE 2 LOBBYIST , 3 f
NUMBER ON BEHALF OF
NAME F FILING COMMITTEE,CANDIDATE OR LOBBYIST
Qc,31a5 L_. tAno-Nc.AJ •
STREET ADDRESS ,
5( 3 :--
CITYSTATE ZIP LODE
(,ewCL ((w4 -14°A- 1'20 7O OS t9
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PA DATE OF ELECTION
(CHECK ONE) MO. 'DAY 1 YEAR
1. Narit_ Ne.L.) -cp,
6m TUESDAY
PRE-PRIMARY �v FOR OFFICE USE ONLY
... .`00.. DAY` -YEAR MO. DAY YEAR
2ND FRIDAY. 2. DATES OF
PRE-PRIMARY REPORTING S I i ., TO to I
PERIOD
3O DAY .3.
POST•PRIMARY. n C
CASH BALANCE AT END
6T, TUESDAY-. : 4 OF REPORTING PERIOD: $ -..i
PRE-ELECTION' CO
TOTAL AMOUNT OF FILER'S m C
.. $. OUTSTANDING DEBTS OR LIABILITIES rsc 1
2ND FRiCTI �r ) �--
PRE-ELECTION:... AT THE END OF REPORTING PERIOD: $ �l! n —
Crl
•
AMENDMENT /.
POSY-ELECTION REPORTS •
YES No v `,
ANNUAL -TERMINATION - .•
REPORT: REPORT? YES NO v/./ I
.
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•I.IABILITIE' NCU•RED DU' % THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED ANO FIFTY DOLLARS($250,00)AND THIS REPORT IS,TO THE SE,T OF . KNOT' .0 0E AN/' ':F RUE.CORRECT AND COMPLETE.
SWORtI TO AND SUBSCRIBED BEFORE ME THIS + I
1 Li DAY OFk'k II' _20 4.NATURE OF P •SON SUBM NG REPORT�
'�5 x-52-• tA(t)®c�,v�Y- :I) L L. ,� as�-��.ki
PRINTED NAME
SIG ATURE g
MY COMMISSION EXPIRES P'2 a o 9 21 7 • c,",==11 —,�`1 ?j
MO. DAY YR. AREA CODEA TELEPHONE NUMBER
COMMONWEALTH OF PENNSYLVAT�IIA
NOTARIAL SEAL
PART It- Elizabeth McCormack,Notary Public
If statement is filed on behalf of a Candidate's Authori2ed Cam ComititteeT4aliadidatOntfiust sign here.
My Commission Expires April 13.2019
I SWEAR(OR AFFIRM)THAT TO THE REST OF MY KNOWLEDGE AND I:WM(1410Ft 1345e eNt.VS IAL*140VoOrD.i6?k#_Rl'.tNY 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 02-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280