HomeMy WebLinkAboutSchin, Richard - 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 2. 3.
CANDIDATE.' COMMITTEES:. LOBBYIST
NUMBER ON BEHALF OF NAME OF RUNG COMMITTEE,CANDIDATE OR LOBBYIST
Rickerd F, 5GYl i n
STREET ADDRESS ,/�
9 5c-r S d ,�^a k- b! .
CITY ^ �I STATE ZIP CODE _
1�/-'/W1 nOI ?/./ l70 /I
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) QQ MD. DAY. YEAR
GT6114 TUESDAY 1. RvP /1 '7 /7
PRE-PRIMARY FOR OFFICE USE ONLY
MO. :.DAY': <YEAR MO. DAY .:.YEAR N
2ND FRIDAY 2' DATES OF O
PRE-PRIMARY PERI �] ^�OD NG / f ( TO /D �f 2 /7
= -
30 DA? ' nZ C I
POST-PRIMARY :.
CASH BALANCE AT END0 N
a. OF REPORTING PERIOD: $
GTH TUESDAY
PRE-ELECTION 3
TOTAL AMOUNT OF FILER'S
2ND FRIDAY 5( OUTSTANDING DEBTS OR LIABILITIES ,G-
PRE-ELECTION /x_, AT THE END OF REPORTING PERIOD: $
6. -<
30 DAY AMENDMENT
POST-ELECTN YES
KINO
REPORT?
7.
ANNUAL . TERMINATION a \`
REPORTREPORT?
YE.. NO /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 KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
DAY OF 20 SIGNATURE OF PERSON SUBMITTING REPORT
SIGNATURE PRINTED NAME
MY COMMISSION EXPIRES
MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
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 VIOLATE ANY PROVISIONS OF THE ACT OF
JUNE 3, 1937(P.L.1333,No.320)AS AMENDED. c T
17 t
�jC/� tr
SWORN TO AND SUBSCRIBED B FORE ME THIS /J A v1 GG i- ��C.,c S
RP�n''/" \SIGNATURE OFF CANDIDATE
V DAY OF_OM) - 20/ 2.1 chard F. S(�Y!I�I
' . t/ I D' / IAA•. IL, PRINTED NAME �] /
SIGN r, . . I TH I,..i T i r l 1 7 _ 4 L _ Y/5/
�05—
MY COMMISSION EXPIRE! NOTARIAL SEAL
AREA CODE DAYTIME TELEPHONE NUMBER
MO. MEGAN E ORRMS.
Nom PuIIIIC
CARLISLE BORO,CUMBERLAND COUNTY
My Commission Expires Jan 14,2019
DSEB-503(12-99) —