HomeMy WebLinkAboutFriends of Tony Adams - 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 00 REPORT FILED
CANDIDATE COMMITTEE --''' LOBBYIST 1
NUMBER ON BEHALF OF ; ..
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
T.------
<T .'c... .e A•N&_S C>c 1 C3 NI ADNy\A. S .
STREET ADDRESS
L5 \ iP e_.\/) Ce
CITY STATEm ZIP CODE
TYPE OF REPORT NAME OF OFFICE SF ?ANDIDAK DISTRICT NO. PARTY ,'DATE OF ELECTION
(CHECK ONE) i\f\041 iS "A•10-c-- e3.....\ -- t, CCe..7\--- IC4-3-6) regrN --
MO. DAY 1 YEAR ...._
6TH TUESDAY. 1 C.)\-3& C1 it 10 -) i DOI 7
PRE-PRIMARY FOR OFFICE USE ONLY
M.D. 1 DAY I YEAR MO. I DAY 1 YEAR .,
2 DATES OF I ! < 1
RIDAY
2ND F
REPORTINGTO r-s;)
1,.1
(-)
PRE-PRIMARY A
PERIOD , dt( zn ' 01 id )7 —
0, ,
.......
30 DAY
CD cp
POST-PRIMARY. M rn
CASH BALANCE AT END70 c-
6TH TUESDAY )
4. OF REPORTING PERIOD: $ r) , oc). f— I
)>•
PRE-ELECTION —
TOTAL AMOUNT OF FILER'S 171
5 OUTSTANDING DEBTS OR LIABILITIES 3tio
2ND FRIDAY C) =
AT THE END OF REPORTING PERIOD: $ C5 • OC) Q —
PRE-ELECTION
T.-
-
2:
30 DAY . MEND ....4 AI1ENT ---
A
POST-ELECTIONYES NO rk.
REPORT? '
7.
ANNUAL TERMINATION
YES X NO
REPORT REPORT?
AFFIDAVIT'SECTION
-
PART I -
If statement is filed on behalf of a Political Committe-A r Ca tv's -s's Committee,the Treasurer must sign here.
If statement is filed on behalf of a Candidate, the Car,4 date lig.14.sign here.
If statement is filed on behalf of a Contributin. Lobb thea•vc. 1st must sign here.
-ft'
; c• `.'. _
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBLIRSEYEN OR teRILI; ,„.IN,C2.1 RRED D'..,,-E.REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORZ,..-.4%-t;tf'' O.M. ,,:%0. ----E AND SEE., R '-- CORRECT AND COMPLETE.
w LLJ as-0 <C
u) (_,
SWORI.N TO AND SUBSCRIBED BEFORE ME THIS 1 A 0 , E c,
--= z 0-a- .
DAY OF b ecew.cor2r- 20 -, 0.7* SIGNATURE OF PERSON SUBMIIII ING REPORT
oilboat
< 8
41)1 to :,_,E1._ce,cap .‹ s .. „ A h.
SIGNATURE 2 C)) 2).: <>,-, PRINTED NAME
Z a...a E E
MY COMMISSION EXPIRES C:9\ I c:9120 O Ti) 2 grp 7 i/
tf ) 3 -S 6 MO, DAY DAY YR. Y a)0 -AREA CODE — DAYTIME TELEPHONE NUMBER
2 0.
."1111M1a:1,--
PART H- < 1111111111IFZILL.
c -
If statement is filed on behalf of a Candidate's Auth•e,ed c7.4,1 1,ittee,Candidate must sign here.
' 11111M.
- . . .
:SWEAR(OR AFFIRM)THAT TO THE BEST CF MY KNOWLEDGE i'sk:ki) L,EF7T15 n.• 9 CA'...CO:At' t EE HAS NOT VIOLATED ANY PROVISIONS OF THE ACT OF
JUNE 3, 1937(P.L. 1333, No.320)As AMENDED. ZCL 2-Ci Z
Z ....I ,••• 0.1 0
< Q)L
W
C
w ca-P. . Illba...'44110111M111110
0_ co v., c
SWORN TO AND SUB CRIBED BEFORE ME THIS •-• = ......rommooMIIIIIIIIIIMIMP.."..-
6e
) DAY OF ev./S- .c--c- II r z 0 11-
20 r. 4)- ciw : A .
ti <-r. 8 = --- Illik.4a V. ... 11%,•,. ., Ik` 4*' .A.
- , ,_,Irk &if , < i-ca Ico 2
0 PRINTED NAME
I L-§ 0 gi In
MY COMMISSION COMMISSION EXPIRES SIGNATURE Z g . -i121-2T-- Y. ME TELEPHON NUMBER
MO. DAY YR, 2 Y 0 0 -
U MI-
Department of State • : •- .t. 4 lammissions,Elections and Legislation
DSEB-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 a (717)787-5280
&
November 30, 2017
Sharon Adams
Treasurer
Friends of Tony Adams
15 Peebles Road
Newburg, PA 17240
Dear Sharon,
This letter is my official notice that I am forgiving any and all remaining debt of the $20,000.00
loan that I made to the Friends of Tony Adams political action committee on January 13, 2017. The
obligation is null and void.
Sincerely
H.Anthony Adams
15 Peebles Road
Newburg, PA 17240
c)
c o
c7
m ri
--
Ar
s.
C)C)
Z