HomeMy WebLinkAboutNguyen, Michael - 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 REPORT FILED 04, I 2 3
CANDIDATE le COMMITTEE LOBBYIST
NUMBER ON BEHALF OF
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
Michael T. Nguyen
STREET ADDRESS
P.O. Box 596
CITY STATE ZIP CODE
Enola PA 17025 — 0596
NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY . DATE OF ELECTION''
TYPE OF REPORT
(CHECK ONE)
Recorder of Deeds Democrat MO. I DAY YEAR
1. 11 7 201 (
6TH TUESDAY
PRE-PRIMARY FOR OFFICE USE ONLY
_ .
MO. DAY YEAR MO. DAY YEAR
2ND FRIDAY 2. DATES OF C) r•-•.)
REPORTING 6 5 17 To 10 23 17 c c=
PRE-PRIMARY PERIOD M -....1
3. CO az.
30 DAY ' M C.,
POST-PRIMARY
CASH BALANCE AT END 0 r— I-
4. OF REPORTING PERIOD: $ A
6TH TUESDAYZ .....J
PRE-ELECT1ON C3 -
_ TOTAL AMOUNT OF FILER'S II:ND
5. OUTSTANDING DEBTS OR LIABILITIES n 3:
2ND FRIDAY V AT THE END OF REPORTING PERIOD: $ 0 0
PRE-ELECTION CP
B. . .-1 GI
30 DAY —< I
AMENDMENT
POST-ELECTIONYES , 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(S250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE-NO BELIEF,TRUE,CORRECT AND COMPLETE.
SWOR4.40 AND SUBSCRIBED BEFORE ME THIS ,
0___DAY OF Mfiti _r 20/7 SIGNATURE OF PERS 0, SUBMITTING REPORT
A!i .2,1,)1 OF•7.;.: MIA Michael T. Nguyen
1
14 /./ --... :;.--
.....r..—....n,k,••I I 4_ : , . A.A.. _ PRINTED NAME
SIG , I onw i
717 547-0064
MY COMMISSI i' EXPIRES Antary Public
CARLISLE BONO;CUMBEROND count, AREA CODE DAYTIME TELEPHONE NUMBER
M y CUmmibb1011 LOINS Jan 14. 0 L. ,
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)A5 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 0 Bureau of Cominissions,Elections and Legislation
DSEI3-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280
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