HomeMy WebLinkAboutSilcox, Nathan - 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 10,, REPORT FILED ' CANDIDATE I.)( COMMITTEE 2 LOBBYIST i
NUMBER ON BEHALF OP ,,t-
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
►D p--n--I-A,.) P- s')k---c---r)
STREET ADDRESS
1 Li'Y-1 I t-9 U..SZ Pi_SS `DI-A a
-
CITY STATE ZIP CODE
M gG1-b+-.D%GSC'Jr.�Q--& P A - t`2 Osp _.
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) 'u-rIrr,p rbc --re)La +..4 I P MO. DAY YEAR
1. COM t L.SS.IL7DrCX� R 1 ` 2.01
6TH TUESDAY
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
2. DATES OF
2ND FRIDAY REPORTING TO
PRE-PRIMARY PERIOD .5 t--1 t X, 23 1---7
30 DAY 3' t -) I-
POST-PRIMARY
CASH BALANCE AT END ---..s
4. OF REPORTING PERIOD: $
6TH TUESDAY III CD
PRE-ELECTION .70 —I
TOTAL AMOUNT OF FILER'S f-- N
2ND FRIDAY 5. OUTSTANDING DEBTS OR LIABILITIES >. Cil
PRE-ELECTION AT THE END OF REPORTING PERIOD: $
A
6. C)
30 DAY AMENDMENT �� -'
POST-ELECTION REPORT? YES NO --
7. .7.
ANNUAL TERMINATION "--1
REPORT REPORT? YES NO x Lc)
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 TI - IOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS(S250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE, ORRECT AND COMPLETE.
SWORN�/�� TO AND SUBSCRIBED/ � BEFORE__ MEMETHIS �---
(/I_, DAY OF L/ t�'J 42 20_1 --- SIGNATURE OF PERSON SUBMITTING REPORT
• PRINTED NAME
SI ATURE
C07401EPa 1 - --I,-1 6 We - '1z;
Notarial Seal DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
Adam C. Wagner, Notary Public
PAR ly_of Harrisburg, Dauphin County
If -,f-Al i' i;'•*filiftfeRef cif ididate's Authorized Committee,Candidate must sign here.
EHSmm.P£N"SYL.A NIA ASSOCIATION OF NOTARIES
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 • Bureau of Commissions,Elections and Legislation
DSEB-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280