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HomeMy WebLinkAboutMellott, Tami - 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. HUM IONNTIFICATION raPelf4T Fall) -IP ,►�. h. ..ill LOSERS, I. Mann ON WALE OF NMN CP FRMS CO MTITEE,GNN4MTi OR LONNYIST • "I omai , 11t,+f- _ STREET AIDRiU ?,°S' P;1-f `r!-rezi- . • cm STATE -ZIP CODE �'.1D(c,- P4 , 170)5 — 01.23 1 TYPE OP REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. 'PARTE DATE OF ELECTION (cNEcx coie) • ' MD. •Ci11Y ''Vim :1 SclaaA 'QJc4c�vl" .00 . • ho RoFPlce:I>'8EoNFY. .i1Q' . -DAY--- YMIR:.• „,'.LID. '-DAY ' .12.01 • 2NDEIBEILY ,!../Z DATES OF urAi c::.;;.; l° %( 19bl1 7° 11 a el jot? C) r` ' o; Y a c :. cp CASH BALANCE AT END 0 m Bra?ursatil' 4. OF REPORTING PERIOD: n TOTAL AMOUNT OF FILER'S Z Ui •ZRIp TyIIDAY OUTSTANDING DEBTS OR L IABILTnES © xi, PltlLtGipR AT THE END OF REPORTING PERIOD: $ C = SC CTC •30.DAY: .. ,..... . . 2 V T- i1. _• x . ._,• , , " YES NO x• 7, J ARaV1"' ' TEIIDINAT1ON.i YES 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 Ca _did- _,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/ 250 RECEIPTS��/� CR DISBURSEMENTS OR UABILJTIES INCURRED DURING me REPORTING PERIOD INDICATED ABOVE DID NOT EX EED rNo HUNDRED AND RFrY SOLIARS 00 .00)AND THIS REPORT IS,TO THE BEST OF MY AND BEEUR�F,,TRUE,CORRECT AND COMPLETE. lattri MEITF8 PPM g9'RINN IA MX(' DAY O,NOTA• '•. g,r 20 17 SIGNATURE OF PERSON SUBMITTING REPORT Kris y L.A/ ro,Nu dl•PuLIi,. T 1 P/�6110 y II E .,r . .unty Aid t"I T y '0'1"�I E *;_ p 30 4021 PRINTED NAME mye4,-,,,:: ' AA . •NOF�"ARIU Zoz` 7/7 7/e2.' /rl _ MO.) DAY YR. AREA CODE DAYTIIE TELEPHONE NUMBER 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 SC.IEP 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 OP CANDIDATE DAY OP W PRINTED NAME SIGNATURE MY COMMISSION EXPIRES AREA CODE DAYTi TELEPHONE NUMBER MO. DAY YR. DSEB-303(12-99)