HomeMy WebLinkAboutAlosi, John - 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 $250.00 during the reporting period.
FILER IDENTIFICATION 110. REPORT FILED CANDIDATE '
NUMBER ON BEHALF OF 0, I2. 3.
COMMITTEE" LOBBYIST
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
-10(IIN k . /+loss .l,r,
STREET ADDRESS
io$ S, Pry 14 £*1
CITY STATE ZIP CODE
S4 prev151 14,0CCll PA- l 7 2,C7 -
TYPE OF REPORT NAME OF OFFICEUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) ^ ) ✓) MO. DAY YEAR
GTH'TUESDAY '. 1. iR.q5 16+e/I Of W I IIS ,Vit- 0 t, 1"L Nov -7 _OI-7
PRE-PRIMARY. FOR OFFICE USE ONLY
MO.' ..DAY YEAR.. MO. -DAY :'YEAR.
2ND FRIDAY':;'. 2. DATES OF
PRE-PRIMARY REPORTING / (JJ/_ id II TO 'O 'L 2.07
PERIODC)((�
30;DAY • 3' = O
POST-PRIMARY -, r,,
CASH BALANCE AT END LXI
4• OF REPORTING PERIOD: $ 0 mn
6TH TUESDAY —I
PRE-ELECTION . P-•'
TOTAL AMOUNT OF FILER'S `j
5. OUTSTANDING DEBTS OR LIABILITIES
2ND FRIDAY
PRE-ELECTION x,. AT THE END OF REPORTING PERIOD: $ 0 —p
C)
6.
30 DAY C tL)
AMENDMENT < d
POST-ELECTION. YES NO �/
REPORT? C --IC�
7 -..<
ANNUAL - TERMINATION. t/
REPORT REPORT? YES NO h
AFFIDAVIT SECTION`;. •
PART I-
lf 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�JTO AND SUBSCRIBED BEFORE ME THIS
Q� ' Y A f
v �7ry�l \DAY OF 1 i 20 IGNATURE OF PERSON SUBMITTIN S1PORT
GA', • •j II!'"Walt' .l D��1 /ti. �X51 QIP.
/ PRINTED NAME
SIGNATUR2
Notary P 0,11C
MY NTY 71 7—3 t Q^i 7Ji
MY COMMISSION EXPIRE �/7
Mreommissl txpUos 31414,20T9 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 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)
0