HomeMy WebLinkAboutScott, Timothy - 2017 Annual Report 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 10. REPORT FILEDCANDIDATE COMMITTEE LOBBYIST
NUMBER ON BEHALF OF 111I. 2. 3.
NAME OF FILING COMMITTEE,CANDIDATE...----_OR LOBBYIST 1
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STREET ADDRESS I C
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CITYSTAT£ ZIP CODE
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) MO. DAY YEAR
-17-- M6-1072- - Lt ' .(\12-) ,---D
6TH TUESDAY
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
2ND FRIDAY 2. REPORTI
DATES OF �J
PRE-PRIMARY PERIOD NG ` ^ 1 TO 7` 1
L l fV
30 DAY s' a
C.Z
POST-PRIMARY
CASH BALANCE AT END :--
E
4. OF REPORTING PERIOD: $.----.0-- :DC3 , :3-'-'
6TH TUESDAY
r_
TOTAL AMOUNT OF FILER'S ' --
2ND FRIDAY 5. OUTSTANDING DEBTS OR LIABILITIES C
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ C-)
6.
30 DAY E�
POST-ELECTION AMENDMENT YES NO C...)REPORT?
7X X -<
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,,41e Lopby'lgt must sign here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS 61 Q UABILIVISZZONet JRRED DURING THE REPORTING PERIOD INDICATED ,BOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IZ'O Mg B�E57 OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AN• COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS Z O-t ri zz~� �j,�A^^~ __ __...._.�_,,,-_
• Z Lu rp E a o SIGN CTURE OF PERSO SU ING - •ORT
b DAY OF L' 20�"
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_/A.{ �, `Q . I/ O .J z U s), i `.E/✓L(� 11'/y O c�
cJlrNA ''E = D: .- 1'LLI a PRINTED NAME/! � ((�f
MY COMMISSION EXPIRES r ��q E"' N -O 2 (P l ( --/
MO. DAY YR. 3 0 0 a CODE DAYTIME TELEPHONE NUMBER
0 c?REw
PARTII- 2 m2
If statement is filed on behalf of a Candidate's Authorized Conte, Candidate must sign here.
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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 THI
pp SIGNATURE OF CANDIDATE
b DAY OF i' * I $
. , .
_ 20
/ 7
114; .. 11:-u.,..LAPRINTED NAME
• IGN•al-.
4.
MY COMMISSIO 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