HomeMy WebLinkAboutKnutelsky, Debra - 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 ' I. 2. 3.
NUMBER ON BEHALF OF CANDIDATE COMMITTEE. LOBBYIST NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
r& kn u:1-e.1S
STREET ADDRESS
0701 A) Prinee .
CITY . STATE p A ZIP CODE
S 11)PP-14 ib 1,--06 1 -
TYPE OF REPORT NAME OF OF CE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) MO. DAY YEAR
6TH TUESDAY Aucti,...4.3y..,
II
j
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. -DAY YEAR
2ND FRIDAY 2. DATES OF
PRE=PRIMARY;,`, REPORTING { / /7 TO 10 93 1
C)PERIOD /LY„ /U/,
30 DAY 3.
0
.......
POST-PRIMARYD CEP
m
CASH BALANCE AT END $ F.;6TH TUESDAY". ..
4• OF REPORTING PERIOD: ---I
I--
,
PRE-ELECTION . , ky, O
TOTAL AMOUNT OF FILERS =
2ND FRIDAY 6 OUTSTANDING DEBTS OR LIABILITIES6 D
PRE-ELECTION. - AT THE END OF REPORTING PERIOD: $ ; ME
6. (V
30 DAY C17
AMENDMENT
POST-ELECTION REPORT. YES NO . ---I
r -‹ GO
7.
ANNUAL TERMINATION YES NO e ///
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($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE� � AND BELIEF,TRUE,CORRECT AND COMPLETE.
SWORN
,TO AND SUBSCRIBED BEFORE ME THIS —] /y-/2�'u""�n
p X/711 DAY OF Oc.k r 2017 l !SIGNATURE OFPERSONSUBMITTING PORT
_ &bpm A 1.6tt tc•ky
�/ , - ..•.% __4+141.:..1,4,!, C.�:���✓�' PRINTED NAME
SIGNATURE ", 'I.L 5
MY COMMISSION EXPIRES MEGAN E 003' 53a - S^a
CA►tLI$LE BO".CUMB LAND COUNTY AREA CODE DAYTIME TELEPHONE NUMBER
My commission Expires MIK 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)