HomeMy WebLinkAboutNguyen, Michael - 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 IDENTIFICATIONREPORT FILED I. 2. 7.
NUMBER pp ON LF BEHAOF ', CANDIDATE �/ J COMMITTEE LOBBYIST -_.-
NAME OF RUNG COMMITTEE,CANDIDATE OR LOBBYIST I
MscHAFL T• Nb[1NE/V
STREET ADDRESS - _
P.0. .60X 5-9/,
CITY STATE ZIP CODE
t/1/Dy/.. N inZS dS-9�
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) MO. DAY YEAR
T . (1.Ee,6.1)E4 -.,n OP D 5 Plot i6t)L 117 7or7-
6m TUESDAY
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR -
2ND FRIDAY 2 DATES OF C) , -
PRE-PRIMARY RE REPOOb NG iv Z 3 1 . TO II 2.1'
p
1, I._
30 DAY 3. - T) r
ri
POST-PRIMARY C-'7
CASH BALANCE AT END
a. OF REPORTING PERIOD: $ b ›•• i
6m TUESDAY -.-J
PRE-ELECTION
TOTAL AMOUNT OF FILER'S .1J m
5 OUTSTANDING DEBTS OR LIABILITIES
PND FRIDAY AT THE END OF REPORTING PERIOD: $ r'� --_
PRE-ELECTION C
6. - -i CO .
30 DAYAMENDMENT
-E
POSTLECTION / CT)
REPORT? YES NO
7. -
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 Contributing Lobbyist,the Lobb ist must sign here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS 0 UAB&ITIES I URRED DURING THE R ••' - G PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,+.;Q.TR BEST• , Y KNOWLEDGE -EUEF,TR •;- CT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS ' Oyn® �3
/ �e F 20!`Z 3Z a -
(/fIGNATURE OF PERSON SUBMITTING REPORT
A/�OF QP C `P h'l� DAY �a
J�L.J o r oz s6 HkEc. �(`Gt Y6/l
SIG TUR X n 1 PRINTED NAME
in
MY COMMISSION EXPIRES G " /'5 ;...I Deo oV. Z . v- ,SL/-�_00& y
MO. DAY YR. c` Q AR:•1017E DAYTIME TELEPHONE NUMBER
S
02
PART II- "''
If statement is filed on behalf of a Candidate's Authorized i •h„ ittee candidate must sign here.
I SWEAR(OR AFFIRM)THAT TO THE BEST-OF MY KNOWLEDGE AND BEUEF T -• -ICAC 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)787-5280ir. V/
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