HomeMy WebLinkAboutSilcox, Nathan - 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 FILED , CANDIDATE I->( COMMITTEE 2 LOBBYIST
NUMBER ON BEHALF OF
NAME OF FILING COMMITTEE,CANDIDATE 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) {.i-AftY p C:3 4N r ^,E i4 `9 R MO. DAY YEAR
C,q M ti3-c
1• IY1 I S S i O ' -C Co
I ,..201-7
6TH TUESDAY - - - - ---
PRE-PRIMARY FOR OFFICE USE ONLY
MO. l DAY YEAR MO. DAY YEAR - - - -
2ND FRIDAY 2. DATES OF n fV
REPOR
PRE-PRIMARY PERIODnNG Cj I I--'1 TO / S 1-7 -'
30 DAY 3. - LO _ Co c_
POST-PRIMARY
CASH BALANCE AT END X7
6TH TUESDAY a. OF REPORTING PERIOD: ›
t y, IV
PRE-ELECTION 44--
TOTAL AMOUNT OF FILER'S t7
2ND FRIDAY 5. OUTSTANDING DEBTS OR LIABILITIES C) nr
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ U 0
N
B. 2.
30 AY NI
POST-ELECTION AMENDMENT YES NO -'G LO
REPORT?
7.
ANNUAL TERMINATION
REPORT 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(5250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BE , E,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS '
I L DAY Of
/3 OtA'2 20 1 4' SIGNATURE OF PERSON SUBMITTING REPORT
PRINTED NAME
SIGNATUR
Cp I /LIx tL F PE t4JI 1 LVANI61 I Z l Cerus. 2 g-
Notaria Seal hi;.. DA YR. AREA CODE DAYTIME TELEPHONE NUMBER
Adam C. Wagner, Notary Public
CIty of Harrisburg, Dauphin County
PART I My Commission Expires Dec. 2, 2017
If state-, let .I mkt e,....4 sv aFrm-C,x.te'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.1...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
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