HomeMy WebLinkAboutNguyen, Colleen - 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 IDENTIncATLON REPORT FILED I0
I. COImerTEE.: 2
LOBBYIST
ROMER ON BEHALF OF
NAME OF FLUNG COMMITTEE,CANDIDATE OR LOBBYIST
CD Li Len .NQv.j2\
STREET ADDRESS
1150 *(l4— s' 'P
S�^1r )CIcQ._
cITY cr\ate_ ,CANPA SIP
2_5 — a 7 5
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY CATE'OF ELEC ION
(mac ONE) MD. OAY YEAR".
BTR TUESDAY".,;i
rRE-PRI ARY FOR amce use ostY• -
:MO. ".DAY.. YEAR:.. "MD. /MY ' YEAR'(•�
ATES OF
2iH)'fRIDY1Y 2 DREPORTING D �3 �I� o
PRE‘PRIMARY •• PERIOD t(j7 0(p kr?
30riirr _ m CM
POST-PRIMARY." 73 c
. ... CASH BALANCE AT END
BTH TUESDAYD I I
a. OF REPORTING PERIOD: $ —
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elm-met-non CD
TOTAL AMOUNT OF FILERS C7 =
5 OUTSTANDING DEBTS OR LIABILrrIES
PREE- TDR A AT THE END OF REPORTING PERIOD: $ C CO
z_
CD
30 DAY: _ cn
• AMENDYE'NC :"
POST#LECTION. ' YES NO
•REPORT?. .:',':
7 I.
ANW AL' 'TERMINATION
REPORT' : REF"11 NO X
i
AF1=1OAVIT SECTION
PART I- .
If statement is Bled on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here. r
If statement is filed on behalf of a Candidate,the Candidate must sign here. o?4
if statement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here. c rn a
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR UABIUTIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NO- (R C{
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY EDGE AND BELIEF,TRUE,CORRECT AND COMPLETE. Z CL) O Z
SWORN TO AND SUBSCRIBED BEFORE ME THIS K Z 33 D
201_1_ IGNATURE OF PERSON SUBMITTING R 0-
31s' DAY OF l TG�rcQ` L_ � p x p f11 D
fifi CO 1 IP.4 9_/-) A),Iyp n
SIGNATURE S a 21 T
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MY COMMISSION EXPIRES 7 cL �� l �� r ` .I Z ,
MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER iv n C
w co
PART II-
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If statement Is filed on behalf of.a Candidate's Authorl ed Committee,Candidate must sign here. G
I SWEAR(OR AFFIRM)THAT TO THE BEST OF MY IGIOWLEDGE AND BELIEF THIS POLITICAL COMMITTEE HAS NOT VKXATED 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.
D5EB-503(12-99)