HomeMy WebLinkAboutScott, Timothy - 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 Illo REPORT FILED CANDIDATE COMMITTEE Z LO3.
BBYIST
NUMBER ON BEHALF OF 10,
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
1lVVVdV‘A.--y A_ �C-e,
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STREET ADDRESS /
CITY STATE „,...-.4..._ ZIP CODE
� tC � 1.--7c,t3
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) MO. DAY YEAR
6TH TUESDAY 1
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
2ND.FRIDAYREPORTI. 2. DATES OF
PRE-PRIMARY PERIOD NG 2`�' 1 . TO i( 27 I
30 DAY 3' `/Vo _O
POST-PRIMARY ...-!
CASH BALANCE AT END CX3 p
4. OF REPORTING PERIOD: $ m f
6TH TUESDAY �'1
30 n
PRE-ELECTION
TOTAL AMOUNT OF FILER'S
2ND FRIDAY 5. OUTSTANDING DEBTS OR LIABILITIES
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ C,?
OE
(
30 DAY
W
POST-ELECTION AMENDMENT YES NO .�°. „r-
REPORT? ---I
7. IIII
-'�
ANNUAL TERMINATION
REPORT REPORT? YES 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 Contributin. Lobb is-1, ,- ::.yist must sign here.
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I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTA CR§BILITI:.*NCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORb c killtE 8.- OF MY KNOWLEDGE AND BELIEF,TRU 7 CORRECT AND COMPLETE.
SWORN TO AND SUB CRIBED BEFORE ME THIS z 2 a C
n1^n�/y� 7�< N �R`C Z
DAY OF L�`yY�V Y NC7C 201 l• o N 0 7ER4BMITTING REPORT -.._._
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•/ ', 1 I n P13 'T D x 1 1 PRI TED NAME Co
SIG A E o g•c G r O ^�
MY COMMISSION EXPIRES a w 3 m m l� G S 2 e” �'Li
MO. DAY YR. a- c a'z D 2 AREA CODE DAYTIME TELEPHONE NUMBER
Z
PART II - "S^ac r-
If statement is filed on behalf of a Candidate's Auth alq Co 1ittee, Candidate must sign here.
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N
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.
Department of State • Bureau of Commissions,Elections and Legislation
DSEB-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280