HomeMy WebLinkAboutGilge, Jon - 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 FILED10°' 2. 3.
NUMBER ON BEHALF OF CANDIDATE. COMMITTEE. LOBBYIST
NAME OF FILING COMMITTEE CANDIDATE OR LOOISf -
,j()11 � /9-e
_
STREET ADDRESS
.i-7 C1X01, ��.
CITY STATE
,p ZIP CODE
Geo y4 L- !'�
/7' 3 - .
TYPE OF REPORT I(AME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) Ayal- Z6110/4
MO. DAAY �YYEARR-6TH TUESDAY:' .<1 'ei /1 7 )0
PRE-PRIMARY ` FOR'OFFICE USE.ONLY
MO. .DAY YEAR MO. .:DAY :''YEAR..
• 2NQ FRIDAY 2' DATES OF \ ///►►►
PRE-PRIMAR•
Y REPORTING 7/1 / TO /l �� / t`7 tv
PERIOD v rl / ems- _
..... `^r
• '30 DAY 3. p I
POST-PRIMARY rf t rn
CASH BALANCE AT END - 0C'''')6TH TUESDAv' 4' OF REPORTING PERIOD: $ Xi
> I
CO
PRE-ELECTION . .G
TOTAL AMOUNT OF FILER'S '--'
5. OUTSTANDING DEBTS OR LIABILITIES C'3
2ND FRIDAYAT THE END OF REPORTING PERIOD: $ 0 �")
PRE-ELECTION "'�
-- N
30 DAY >(/ AMENDMENT -� GO
POST-ELECTION YES NO
REPORT'�
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 Lobbyist must sign here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERI-0,, ATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE: • F,..„),.,-; 0- AND COMPLETE.
SWORN AND SUBSCRIBED BEFORE ME THIS
AY OF A. 1�
eetirx
20 I q SIGN. ,'. OF - R • U IN?REPORT
r , lir MeUr L *i.t;ToINN Y1LVI / �pi1
R • OA
C�J11�{� PRINTED NAME
5
SIGNATURE LORIE GEISTWHITE r
/
MY COMMISSION EXPIR S NntAry PHhlic 6C2577--‘‘7
CARLMS'EE 80R0P@tlMBERLYRN0 COUNTY AREA CODE DAYTIME TELEPHONE N MBER
PART II-
If statement 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 VIOLAT D ANY PROVISIONS OF THE ACT OF
JUNE 3, 1937(P.L.1333,No.320)AS AMENDED. '//
SWORN TO AND SUBSCRIBED BEFORE ME THIS
SNt'D
DAY OF 20— O //AM
PRINTED N
SIGNATURE 7f eq---Cr.-7
MY COMMISSION EXPIRES . AREA CODE DAYTIME TELEPHONE N MBER
MO. DAY YR.
DSEB-503(12-99) .