HomeMy WebLinkAboutAdams, H. Anthony - 2017 30-Day Post 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 $250.00 during the reporting period.
FILER IDENTIFICATION 10, REPORT FILED 10, CANDIDATE A/T
COMMITTEE LOBBYIST ,NUMBER ON BEHALF OF
NAME OF FILING COMMITTEE,CANDID TE OR LOBBYIST
AZavv.,..s
STREET ADDRESS \
I S ?Q,e__\0 kG)_._. Teo ¢0
CITY STATE ZIP CODE
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AME OF OFFICE SOUGHTANANDIDATE DISTRICT NO. PARTY
TYPE OF REPORT ^_ I PATE OF ELECTION
(CHECK ONE) /VW G �^� - ' Joq
1 YEAR
• , "�-/1 ( U. ` - '-'01 1\/T`^^ MD. DAY 1
��Grv\ Ii
S
STH TUESDAY >°
PRE-PRIMARY FOR OFFICE USE ONLY
MO. I DAY IYEAR MO, I DAY YEAR µ
2ND FRIDAY:: ' 2. DATES OF i I Q
PRE-PRIMARY REPORTING /V ??(.( 19 /7
TO iO1 ,�) C
PERIOD 7 ._,•,,
''.
30 DAY iTi
/ / OD CD
rro rn
POST-PRIMARY. } (--)
• CASH BALANCE AT END r— 1
4. OF REPORTING PERIOD: co$ > —
. 6TH TUESDAY 7
PRE-ELECTION M
TOTAL AMOUNT OF FILER'S C) =
5. OUTSTANDING DEBTS OR LIABILITIES
PRE FRIDAY AT THE END OF REPORTING PERIOD: $ O • o0 C
PRE-ELECTION •
_ MI .,
30 0AY.
AMENDMENT. 1
POST-ELECTION' YES NO X
REPORT
7
ANNUAL TERMINATION
REPORT • REPORT? YES NO
AFFIDAVIT SE.CTtON : '
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 Candid. - must sign here.
If statement is filed on behalf of a Contributing Lobbyist, e Loy = must sign here.
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I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS "
•LLABiLI I- ABED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT I, 0 , S u. MY KNOT? EDGE AND=.EI. -,TRUE,CORRECT AND COMPLETE.
CO 7 C •
SWORN TO AND SUBSCRIBED BEFORE ME THIS ZJ CL N z Mel — '.
I S� DAY OF �eC \r 'C 24 a i Q SIGNAT • . --\RSO SUBMITTING REPORT �/��\y�, �/�/�C
0 J Z 0 B' /4 • AAA., 1 it( 1X K
(� OO n
2 cr O'1 1 `� PRINTED NAME
SIGNATURE ry F- Q. - 'Q
MY COMMISSION EXPIRES A IMO. DAY �{R. Z co Y 1 CpDE 'p,A,fi It4fE TELEPHONEb NUMBER
Z >,� E C
0 YLOO.
PART II- g aU
If statement is filed on behalf of a Candidate's Authori'.,•d C*71:= dee, Candidate must sign here.
co W
i SWEAR(OR AFFIRM)'THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF Ii-45 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_
Department of State a Bureau of Commissions,Elections and Legislation
DSEI3-5O3(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 a (717)787-5280