HomeMy WebLinkAboutMakam, Asha - 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 IDENTIFICATIONREPORT FILED CANDIDATE f. COMMITTEE LOBBYiST
NUMBER 00. ON BEHALF OF 100, ,00 2. 1.
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
Asha Makam
STREET ADDRESS
P.O. Box 596
CITY STATE ZIP CODE
Enola PA 17025 -- 0596
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
• (CHECK ONE) MO. DAY YEAR
Clerk of Courts Democrat 11 7 201
(
6TH TUESDAY. -PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. I DAY YEAR
2. DATES OF C) N
2ND FRIDAY: REPORTING 6 5 17 TO 10 23 17 `=
PRE-PRIMARY PERIOD
J
30 DAY 3' rTl C7
POST-PRIMARY.' 7,9 -.-4
CASH BALANCE AT END 0v
6TH TUESDAY
4. OF REPORTING PERIOD: $
PRE-ELECTION L;,,7
TOTAL AMOUNT OF FILER'S C? M
5. OUTSTANDING DEBTS OR LIABILITIES 0 C
2ND OF REPORTING PERIOD: $ ..�
PRE-ELECTION AT THE ENDZ.
PO
30 DAY 6. .. - 1
POST-ELECTION AMENDMENT YES NO
REPORT?
7.
ANNUAL TERMINATION YES NO
REPORT 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 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� f�BEFORE ME THIS
027 DAY OF CJ�i1 V I�2JC--' 20 /7 SI NAT RE OF P.RSO` N SUBMITTING REPORT
EALT of N YiVArdIA Asha Makam
CLL I IIG��'y A I .A 4 PRINTED NAME
N1E ORRIS 717 547-0181
MY C MMISSION EXPIRES Notary Public
URau^sE alit,CUM1RLAND COUNTY i AREA CODE DAYTIME TELEPHONE NUMBER
i My CUIIJuli:blwl tJIOi,alb Jen 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.
Department of State • Bureau of Commissions,Elections and Legislation
DSEB-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280 3