HomeMy WebLinkAboutSwartz, Keith - 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 IDENTRCATION 110,
REPORT EWE° CANDIDATE I I. C E I. 2.. 1 LOBOTST
NUMBER ON BEHALF OF r i
NAME OF FILING COMMITTEE,CANDIDATE OR LOSEIT
T
STREET ADDRESS
ti I I We il'et AN Zri vt
CITY STATE ZIP CODE
—
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK oNE) MO. DAY YEAR
ry0 re,o9k 000A0 i // 67 ea/7
6TH TUESDAY
PRE-PRIMARY FOR OFFICE USE ONLY
MO. , DAY YEAR me. DAY YEAR
2. DATES OF
No FRIDAY
PRE-PRIMARY REPORTING ,4 /7 TO le zor / 7 C) IV
PERIOD C 0
—
---i
30 DAY 3 ... CCI M
_
POST-PRIMARY ITI 0
CASH BALANCE AT END XI -..c
OF REPORTING PERIOD: $ 0 r— I
6nt TUESDAY 4' D.
PRE-ELECTION CYN
.. TOTAL AMOUNT OF FILER'S CI .
2NO FRIDAY 5-vi OUTSTANDING DEBTS OR LIABILITIES
0 —0
3 ,
•
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ a
C PO
_
30 OAY
AMENDMENT
POSTELECTION _,.., YES NO
REPOR 1 r
7 - -,..
ANNUAL TERMINATION
REPORT REPORT? NO
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 6WEAR(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 KNOW GE AND ELIEF,TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
(0 DAY OFekr 20)/ SIGNATURE QF PERSON SUBMITTING REPORT
..
tA 4. so)4r 9 Z'
• I K , PRINTED NAME
S - RE
MY COMMISSION EXPIRES i I) .1..1.,...14.111t,..11 44 -7)-7 eit, - 0297
.. s . y 11 . TY,' •C! A CODE DAYTIME TELEPHONE NUMBER
lictIAS E oak* _
Aiitari Pvbac
PART II-
If statement is filed on behalf ac4evirocarviAL e r. witiov2407titt ,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.I.... 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)7874280