HomeMy WebLinkAboutHartman, Ryan - 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 110, REPORT FILED 1110, CANDIDATEI x COMMITTEE 7 ,
LOBBYIST
NUMBER ON BEHALF OF
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
''rya. 2. 40.041►.4"
STREET ADDRESS
.1(6 9 CA4 4 3)it,wa
CITY STATE ZIP CODE
TYPE OF REPORT WI
1ME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO, PARTY DATE OF ELECTION
(CHECK ONE) (' \ MO. DAY YEAR
1. J C(4006.. L eribfo 1211 3' I 13
6TH TUESDAY
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. i DAY YEAR
2ND FRIDAY ?' DATES OFI
PRE-PRIMARY REPORTING /. 6 '� TO
PERIOD (0 I ZI- 11-
_30 DAY 3' �O Gcp
POST-PRIMARY ..d
CASH BALANCE AT ENDC
A. OF REPORTING PERIOD: $ -49— m E'7
6TH TUESDAY 73 .--1
PRE-ELECTION
TOTAL AMOUNT OF FILER'S y
5. OUTSTANDING DEBTS OR LIABILITIES ...-19*--... ..1:32ND FRIDAY
PRE-ELECTION X AT THE END OF REPORTING PERIOD:
— 3
n
s_ 0 N
30 DAY AMENDMENT
POST-ELECTION al
REPORT? YES NO K Z-
7. -< ,r
ANNUAL TERMINATION YES NO J(
REPORT REPORT?
AFFIDAVIT SECTION
PART I
If statement is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here.
s tement is filed on behalf of a Candidate, the Candidate must sign here.
,.-o If st tement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here.
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3I° W 1 S`SEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
N N EED TWO HUNDRED AND FIFTY DOLLARS(5250.00)AND THIS REPORT TS,TO THE BEST'OF MY Kt 'LEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
o * x 0
-{ 3 SWORN TO AND SUBSCRIBED BEFORE ME THIS
> > 3
m inn
j �� 06 i SIGNATURE OF PERSON SUBMITTING REPORT
Ix 0- * DAY OF f ZO 1 1�
fy 3 o Ell
W ? / ��/ ./PIF T3 4y A
CD, O SIGNATURE /3 !� PRINTED�yNAME
a o.c D MY COMMISSION EXPIRES Oa /9 v7'O/ "1-14 6b 1' 2,1.4.0
.N O n MO. AY YR. AREA CODE DAYTIME TELEPHONE NUMBER
CD`Z PA1�T H -
If oiatement 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.
Department of State 0 Bureau of Commissions,Elections and Legislation
[)SEB-503(12-99) 210 North Office Building • Harrisburg,PA 17120.0028 • (717)787-5280