HomeMy WebLinkAboutBoyles, Sherry - 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 ' CANDIDATE. I COMMITTEE. 2. LOBBYIST 3
NUMBER ON BEHALF OF
NAME OF FILING COMMITTEE,CAN TE OR LOBBYIST
r� LOS
STREET ADDRESS
lb 6-COA- P\N •
CRY \U. \-\CIAA
V� STATE •,YUJ// l U lU
^ ZIP CODE
(^6 -
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) MO. DAYYEAR
/`
6TH TUESDAY . ,:;: 1 k`..C.\IVA Jl/ S AstkA Y. /1 / /
PRE=PRIMARY... \ fV, v✓`�
FOR OFFICE USE ONLY
MO. DAY - YEAR... MO. DAY - YEAR..
2ND FRIDAY 2. DATES OF
PRE-PRIMARY' REPORTI ,�
NG I (nJ .fl TO 1 ,)_3 \13
PERIOD
30 DAY 3.
C7 iv
POST-PRIMARY C C
CASH BALANCE AT END r-.i
6TH TUESDAY 4' OF REPORTING PERIOD: $ 0 co CZ,
M C.
PRE-ELECTION .
--1
TOTAL AMOUNT OF FILER'S )::-
5. W
/ OUTSTANDING DEBTS OR LIABILITIES /� —
PRE-ELECTION
` j/ AT THE END OF REPORTING PERIOD: $ v
PRE-ELECTION C3
321.
6.
n
POST-ELECTION AMENDMENT YES NO -
REPORT?
7. - -1 w
ANNUAL TERMINATION YES NO ' /
REPORT REPORT?, V
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 INC --.• DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF K • :DGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS _ d I---�
�ISt /-7
DAY OF 20 / / - SIGNAT RE OF - R T!N S r'T TING REPORTIl
�jj��y/1 L �� Lr 1.��
SIGLA IRE
I.1.I . ;1 PRINT-4 ME
MY COMMISSION EXPIRES_ MEI'. E OORRIS. 1 i�_ (448- uu(; b
MOCARLISLet'GRQNdI f:UAABER AND COUNTY AREA CODE L DAYTIME TELEPHONE NUMBER1
My Commission Expires an in,2uie
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)