HomeMy WebLinkAboutAlosi, John - 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 REPORT FILED 110.
I'llON BEHALF OF 1111 CANDIDATE -COMMITTEE LOBBYIST' ,
NUMBER f 2. 3.
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
STREET ADDRESS
o ),- 3-1(..
CITY STATE ZIP CODE
FN 5 L A PA 17 z-> — t s'l,,
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE 'DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) MO. DAY YEAR
,. g i irl:501r-= c� si i-i, 11 'z z i p
8TH TUESDAY.
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
2ND FRIDAY REPOR
2. DATES OF
PRE-PRIMARY PER ODTING )U q. i . TO 1 I z? (j
30 DAY 3. ( C C) p
POST-PRIMARY �C -I
CASH BALANCE AT END uir. y
CD
SIN TUESDAY 4. OF REPORTING PERIOD: $ m in
:�T n
PRE-ELECTION I
TOTAL AMOUNT OF FILER'S
2ND FRIDAY s. OUTSTANDING DEBTS OR LIABILITIES 0 �' --'1
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ 7
Xma
C) _i:.
B. cp
30 DAY —
POST-ELECTION ' REPORT? YES NO AMENDMENT C.': "~
-..y W
7. Q'1
ANNUAL TERMINATION YES NO
REPORT REPORT?-
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 Lobbyist must sign here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS (� G'//vc v
6.0DAY OF pPG Plrf�i-Qy 2O. ' „, vv SIGNATURE OF PERSON SUBMITTING REPORT
ei,e,.....ertst `Z �TTGii 3 /1 t-i�S�
Tf 'ym
SIGNATURE C1 1 c PRINTED NAME
MY COMMISSION EXPIRES to -7 5 - a/ F,E1 0
3 23-$ 7 /06-/7.94,
MO. DAY YR. .. m�R ODE DAYTIME TELEPHONE NUMBER
9 33d d
PART II- .C I S o
If statement is filed on behalf of a Candidate's Authorized ant ,Zandidate must sign here.
'D.2 - i
N
I SWEAR(OR AFFIRM)THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF I$.Pg.Iv�CAL co MTTTEE HAS NOT VIOLATED ANY PROVISIONS OF THE ACT OF
JUNE 3,1937(P.L.1333,No.320)AS AMENDED.
00"pc ea
N C ea
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
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