HomeMy WebLinkAboutFreed, David - 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 10ENTIFICA7IONREPORT FILED CANDIDATE COMMITTEE 2 LOBBYIST 3
NUMBER 10, ON BEHALF OF 10, ,`
NAME OF FILINGCOMMITTEE,CANDIDATE OR LOBBYIST
D , ,4 . 64 c
STREET ADDRESS
32-1 N• 2 6 ) S1 •
CITY STATE ZIP CODE
GAP Ifil.,L pp 1 10 II —
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) MO. DAY YEAR
6TH'TUESDAY 1. )S 1ALIT. A�'\f,t.)‘-•\ 0.6P� i I 3 a vs c
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
C J fV
2ND FRIDAY: 2' DATES OF O •
PRE-PRIMARYREPORPERIOD TING TO ".7.. ..-,.1
30 DAY 3' rn C7
POST-PRIMARY r– I---i
r
CASH BALANCE AT END D Iv
CT�
'4. OF REPORTING PERIOD: $ 0
6TH TUESDAY
CD
PRE-ELECTION . '0
TOTAL AMOUNT OF FILER'S C) 3L
OUTSTANDING DEBTS OR LIABILITIES
2ND,FRIDAY CN
PRE-ELECTION AT THE END OF REPORTING PERIOD: $
-"'1 tV
30 DAY GJ
AMENDMENT \/
POSTELECTION REPORT? YES NO (/J(`
T. Y X
ANNUAL TERMINATION
REPORT REPORT? YES NO
0
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 UABIUTIES INCURRED DURING THE REPORTING PERIOD 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,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFOR E THIS ,`c
\ `
Ciir DAY OF 0C5la 20/'Y SI ATURE OF PERSON SUBMITTING REPORT
.30/411.--" , 0n`'''( ,� - ellAA.r
PRINTED NAME
COMMONWEALTH OF PENN
ALMO. O/ oy0 11 0 1_2G'3G�-1
SY CDMMI fARAYHLu�e�E
DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
Sonia E.Myers,Notary Pnhlin
Carlisle Boro, Cumberland County
PART I�utycommi io ex.i e I ,
If stat- r -: :- :: _ • - didate'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 • Bureau of Commissions,Elections and Legislation
llSLE3-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280