HomeMy WebLinkAboutMonighan, Beth - 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
NUMBER IDENTIFICATION 10 5---a015--- 1 /4-73D
�(_I(J ONPBENALF OF ORT FILED 0,, CANDIDATE. 1 X COMMITTEE. 2' LOBBYIST
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
13 e..-1--k Mon i9 hain
STREET ADDRESS
q w. G re e_I N S+.
CM STATE
Sh i r /I x. - l 0 r) ZIP CODE —
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) _
1 -x COI 1 1�L � MO. DAY YEAR
1. W ^7
6TH TUESDAY ..
PRE-PRIMARY FOR OFFICE USE.ONLY
MO. DAY YEAR. MO. -I DAY YEAR
2ND FRIDAY 2. DATES OF 0 It r�2
PRE-PRIMARY;:'. REPORT ^o • /_ 6 I ' T O 1 (9.J l el
PERIOD (p -
C..)
30 DAY 3. ( I
POST-PRIMARY ""1
CASH BALANCE AT END OvoCZ,
6TH TUESDAY4' CI
OF REPORTING PERIOD: $ 70 --1
PRE-ELECTION . f"' r%))="`
TOTAL AMOUNT OF FILER'S Z X'
5. OUTSTANDING DEBTS OR LIABILITIES
0
ci
PNDRE FRIDPRE-ELYECTION
'r, AT THE END OF REPORTING PERIOD: $ n �'
PRE-ELECTION Jl =
CD
6.
30.DAY
POST-ELECTION. AMENDMENT YES NO '"4 4""REPORT? X -:
7.
ANNUAL I NO TERMINATION.. YES
REPORT REPORT? X
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 EDGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
SWORN� TO AND SUBSCRIBED BEFORE
ME THIS a.
/ .•Y OF O( CI`L' 20/ IGNATURE OF PERSON SUBMITTING REPORT
...01111111.OAL."//.. 13(4 A-- moo fyt h
ow.'-ii., /..It :7 I. RE �/7
PRINTED NAME t��/
MY COMMISSION 1.--eh Dy -261g /I7 L c/ —Y g 4
TINA MARIE Muff NT MO. DAY YR. AREA CODE AYTIME TELEPHONE NUMBER
Notary Public
LEMOYNE BORO.,CUMBERLAND COUNTY '
•AR'IM}Bommission Expires Feb 4.2018
.,taLmenl is fle.J .,., L,I.,,If.,f a a.ididate'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.
DSEB-503(12-99)