HomeMy WebLinkAboutCitizens for Border - 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 01, REPORT FILED CANDIDATE I COMMITTEE' LOBBYIST 3
NUMBER ON BEHALF OF
NAME OFILI CAN ATE OR ST 2e- of �0 fS(t
STREET
S
S4(St.,a(1°ti S -)-
CITY STATE LP CODE
/4_,
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
• (CHECK ONE) /� MO. DAY YEAR-
- 0Db t N Ga/fivC. / 1 // 7 - / 7
6TH;TUESDAY
PRE-PRIMARY FOR OFFICE USE ONLY
+ MO. /DAY YEAR MO. DAY YEAR -
DATES OF
2ND FRIDAY
PRE=PRIMMARY V / c 2. PERIODTING to-
// �3 17 TO !f 27 /7
,
30 DAY 3. - -- - - -----
POST-PRIMARY Or), (1 � r-,.,
...1CASH BALANCE AT END OOyy 4V c
4. OF REPORTING PERIOD: $ ".1
6TH.TUESDAY Ca p
PRE-ELECTION Rl rrl
i TOTAL AMOUNT OF FILER'S :'7 c-)
ZND.FRIDAY - b. OUTSTANDING DEBTS OR LIABILITIES 0 I
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ lll....//// ..-
d
-
30 DAY :3 ,X AMENDMENT
POST-ELECTION / ` REPORT? YES NO X 0
7. !
ANNUAL -TERMINATION ---/ N
REPORT REPORT? YES NO J -< `o
•
AFFIDAVIT SECTION
PART!-
If statement is filed on behalf of a Political Committee or Candidates's Committee, the Treasurer must sign here. < W
'�1 3 Lent is filed on behalf of a Candidate,the Candidate must sign here. z w 0
f -te Lz•nt is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here. < a g N z
Oot t_
3 31'- A C-•R AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NO(p U •- 0
3 aEREE•A. 0 HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNON II e" • '• ELIEF,TRU•,CORRECT AND COMPLETE. Z _, C p
icy7 = Z ! A / 0 , dpAr w ' 0
0 D ',:RN TO AND SU CRIBED(JBE,F/O�/R�E E TQHIpS/ i / ✓ O. J - 6 v
ff cn
7 Z D �{{ DA 0 QC, 20 C,t 2O` /,--J!/`�/NJATO//�///-�J"/"�R�/SO pSU(B�MITTING REPORT 0 < O uii <<
i3c A ell) y ti/(/! /,�1/0 a a
I l F- q - z
u� CF fn
r `/J{{� [x`/ 9� PRINTED NAME �/�/��1 Q O Zii.0
m SIG AVE 4 1 ��I DI/ / ��DV� Z Z I E 2
m 0 COMMISSION EXPIRES
3 a Iv Z CI
MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER 0 O E Dw
m b� 2::(c3 d
ppcc U am
IN) I�tT 0 w
2 If§oat:r= ent 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 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
01 (1.-----V---
1 SIGNATURE OF CHDIIDATE
nnn,�,hDAYOF U [lQrnh l 2011 �/c////�jr� kr )/- ' '. -
J WYl „'[ rw PRINTED NAME_ //�V
�IGNA RE n J\/�( v
MY COMMISSION EXPIRES 0 I I . 2L 0 2,0 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
ig
___ —.—