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MacIvor, Denise - 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 REPORT FILED - 1. NUMBER ON BEHALF OF ' CANDIDATE. COMMRTEE;. LOBBYIST`;. NAME OF SUNG COMMITTEE,CANDIDATE OR LOBBYIST '---‘,-. .. �..... sem - Z. Maces-vov' STREET ADDRESS t O M eC to Ce_ CITY , lam.�D W�STATE ZIP CODE 'B©t k S?9,\nCV PPt t a•0 +- TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION (CHECK ONE) MO. DAY, YEAR 5C�C96i i tertO c I t 03- ao tq- 6TII TUESDAY PRE-PRIMARY > FOR OFFICE USE ONLY MO. -DAY YEAR .::MO. ` ':'DAYYEAR ... . •�ND FRIDAY 2' DATES OF G PRE•PRIMARY PERIOD REPORTING 0(o O(0 aDI TO {Q a./ pW I_ 30 DAY ... 3 ` C7 Ns I C CASH BALANCE AT END ,_O — M •--+ 4. OF REPORTING PERIOD: $ co ^_. 6TH TUESDAY MI Cl PRE-ELECTION ,Z7 --I TOTAL AMOUNT OF FILER'S r 2ND FRIDAY 5. l OUTSTANDING DEBTS OR LIABILITIES �. C) PRE.ELEcnON'. V AT THE END OF REPORTING PERIOD: $ CI s. © 3c 30 DAY: : , POST-ELECTION ' AMENDMENT NO C GJ REPORT?: :. Z 7. '-•.1 _ ANNUAL TERMINATION / REPORT YES NO v REPORi�... 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 ust sign here. I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRE• DU"R""tttING E REPORTING- RIP•INDICATED =• E DID NOT EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KN•WiEDGE ND BELIEF, R , .•RRECT A D •MP - E. f SWORN TO AND SUBSCRIBED IBEFORE ME THIS �t� r/ / / I 4 I(/ (� DAY OF e ! IOL r 20 17 S "` OF PERSON S B -EPOR ` '") ! f (pe,n i s - 2, M a c_l-alai' '' 2.0 .1, �r ' � . K' ' Lt J-((L.-' y , . PRINTED N/A-ME \ -7 MY COMMISSION ?(PIPES` A111At.iEAI -h t l00C , 22 51 Mt t iv P YR. AREA CODE DAYTIME TELEPHONE NUMBER 4100 1 CAlILI$LR e011o,Cutallai MAD COun1Y PART II- My Commission Whoa Jan 14.201S If statement is filed on-DenaTt ofa cdanutuate s HuulWI'zed 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. DSEB-503(12-99) Y