HomeMy WebLinkAboutStill, Jon - 2017 30-Day Post 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 ' I• 2. 3.
NUMBER ON BEHALF OF CANDIDATE. V COMMITTEE.. LOBBYIST
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
7onl &TUX,
STREET ADDRESS
41� i\100dfa.G3il L
CITY STATE ZIP CODE
CQr (sle PA (7o (5 -
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) (/��
C,& 00( Df'1.01ur MO. DAY YEAR
;1. i1 7 20f7
6TH TUESDAY
PREPRIMARY' FOR OFFICE USE ONLY
.. :MO. DAY. YEAR.- MO. -DAY 'YEAR. .
2ND FRIDAYE-PRIM2' DATES OF
PRE-PRIMARY REPORTINGD / 1 l0 2i, 17 1r
TO I 27 17
PERIO
30 DAY
3'
C
POST-PRIMARY
.J
CASH BALANCE AT END �j
4• OF REPORTING PERIOD: $ - rr1
6TH TUESDAY:`. 73
PRE-ELECTION . T-•- N
TOTAL AMOUNT OF FILER'S CT
5. OUTSTANDING DEBTS OR LIABILITIES :Z
2ND FRIDAY ' AT THE END OF REPORTING PERIOD: $ CD
'l7
PRE-ELECTION � - �
C)
40
30.DAY B. G .-
AMENDMENT '. f �„
POST-ELECTION. YES NO ]�
REPORT? 1
7. -<
ANNUAL TERMINATION..
REPORTYES NO
REPORT?
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 P .l`INit r • /_OVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDG AND BELIEF, -UE, '0:4 ,
,I/// /' D COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS /
DAY OF DCr r 2012 S ATURE OF RS. SU:MITTI G REPORT
� pnn/nn�. 4o�19-77-II &I L. ��IL,(�
�y/�(' RIA ii7 ,�. S''`am l� PRINTED NAME
/ SIGNA R °TARIM.S _
MY COMMISSION EXPIRES MEGAN EORRI• 7i`7 2-18 75 2'7
mo. ''utak/sublIU YR. AREA CODE DAYTIME TELEPHONE NUMBER
CARLISLE 8080,CUMBERLAND COUNTY
My Commission Expires Jan 14.2019
PART II- '
If statement 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.
DSEB-503(12-99)