HomeMy WebLinkAboutGreenbaum, John - 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 1110. REPORT FILEDI. 2. 3.
NUMBER ON BEHALF OF 10. CANDIDATE. COMMITTEE. LOBBYIST
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
STREET ADDRESS
3c,),1_, &,I,.7 kv o o 6 .
CITY STATE ZIP CODE
TYPE OF REPORT IK NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) - f/� - MO.. DAY YEAR
6TH TUESDAY 1. 9A,3.1.-. S \ V JI 1 V.L`1 �V',GCfv I-+ 11 c,-017—
PRE-PRIMARY FOR OFFICE USE:ONLY
MO. ..DAY YEAR. . "MO. '- DAY YEAR
2ND FRIDAY 2' DATES OF N
PRE-PRIMARY G la(.- 1 c=,PERIOD c I
NG TO j� y� �1 c
0� ...d
30 DAY 3. CO C
POST-PRIMARY r1'Z G")
CASH BALANCE AT END ``�� 73
• OF REPORTING PERIOD: $ v �. _
6TH TUESDAY' ", (,'1
PRE-ELECTIONCD
TOTAL AMOUNT OF FILER'S S¢
5. OUTSTANDING DEBTS OR LIABILITIES nMr
2NFRIDAY `
PRRE-ELECTION 1(�' AT THE END OF REPORTING PERIOD: $ -j
6.
30
POSTAELECTION. AMENDMENT YES NO
.. 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($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
SWORN/ LTO AND SUBSCRIBED BEFORE ME THIS p
/5 f n DAY OF _,,t-L.5 i. 20/7 hef(:) re.
I SOFF PERSON SUBMITTING REPORT
q4,'.., 64_, .A Va:4111 .. V /1 ,YLV'..I, I '
MU-E
ANUL S PRINTED NAME
MY COM ISSION EXPIR . MEBAI&E OR i: 1 S756 - 2-3-06
r lag. 1' .j� AREA CODE DAYTIME TELEPHONE NUMBER
CRIME Ili P 1; , y COUNTY
PART II - My'CJan 14,2019
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
PRINTED NAME
SIGNATURE
MY COMMISSION EXPIRES AREA CODE DAYTIME TELEPHONE NUMBER
MO. DAY YR.
f
DSEB-503(12-99)