HomeMy WebLinkAboutArmold, Shirley - 2017 2nd Friday Pre-Election 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 , ON B AL RT FILED OF Op, CANDIDATE. I �/I COMMITTEE. 2. LOBBYIST ;.
NUMBER
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
SV 1 t r A A-0'1d /II
STREET ADDRESS
5a In' obcaw K -PEI
CITY STATE ZIP CODE
I Ve.•LJ 0 I ( Ie c_ / 2.2-1-1 6 —
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) - MO. DAY YEAR
6TH TUESDAY 1 I�X �� (�e��� Y '7 ']
PRE=PRIMARY _ FOR OFFICE USE.ONLY
MO.- DAY. YEAR. . MO. DAY YEAR..
O
•
ZDATES OF C
2ND FRIDAY --
PRE-PRIMARY PERIOD NG Co yI TO D �� 1 0:7 p.
` IY y
MC
30.DAY 3. G7
POST-PRIMARY . P� N
CASH BALANCE AT END �" cj1
4. OF REPORTING PERIOD:
6TH TUESDAY:'' :. $ CD
PRE-ELECTION . C")
nr
TOTAL AMOUNT OF FILER'S
5• OUTSTANDING DEBTS OR LIABILITIES C
2NDFRIDAY
---4RronY 1 AT THE END OF REPORTING PERIOD: $ se ..
P
R
6. -<
30
.
POST-ELECTION AMENDMENT YES NO ,
REPORT?
7.
7 y.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($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
SWORN TO AND SU='CRIBED BEFO E ME THIS n
—›4-41&)-&....SIGNANATU F PERSON SUBMITTING REPORT
0•Y OF Al( 4,It . _ 204.
IlliU a twEE J 6 II_ . e '
J SIGNATNT RI SEA PRINTED NAME
MY COMMISSION EXPIRES LORIE GEIPublicTE 717 7 74 _ 50 6 S--
CARLISLE Milo,CUM LAND pviNTY AREA CODE DAYTIME TELEPHONE NUMBER
My CUTnnllbSiun EApILc Foil 14,2021
PART II-
If statement is filed on behalf of a Candidate'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
PRINTEDNAME
SIGNATURE
MY COMMISSION EXPIRES - AREA CODE DAYTIME TELEPHONE NUMBER
MO. DAY YR. /
V
DSEB-503(12-99)