HomeMy WebLinkAboutMakam, Asha - 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 IDENTIFICATIONREPORT FILED CANDIDATE 1;10COMMrtTEE 2. 'LOBBYIST 3
NUMBER 110 ON BEHALF OF '
NAM OF FILING COMMITTEE CANDIDATE OR LOBBYIST
A
51-1Ll e4/-Aim
STREET ADDRESS
4/(/ULA STATE M ZIP/ 7� --"..- 05-9
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) 1. {'' ( 9/ittoGAfrr MO. DAY YEAR
6TH TUESDAY
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
2ND FRIDAY 2. DATES OF
PRE-PRIMARY PE OD NG 1 2 zo(7' TO 1-L /I !' 7f
` C) N
30 DAY 3. o
POST-PRIMARYC=i
CASH BALANCE AT END D cm; C_
6TH TUESDAY 4. OF REPORTING PERIOD: $ m >u.
PRE-ELECTION 1—
TOTAL AMOUNT OF FILER'S >
'
2ND FRIDAY S' OUTSTANDING DEBTS OR LIABILITIES
CD
PRE-ELECTM AT THE END OF REPORTING'PERIOD: $
6. (,
30 DAY C
AMENDMENT
POST-ELECTION REPORT? YES NO
7. - ...< .r-'
ANNUAL \ TERMINATION yEs )0
REPORT �'TV1 REPORT? 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 PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST 0 AY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS Commonwealth� of Pen
oC A DAY OF til ft At i' 9, 1,- 20 ,gotaHal Seal EIMATUREE OF PERSON SUBMITTING REPORT
f ROBERT E FRY-Notary Pu f //7q /1/1/14,1944
Il-�:�� /'.'.,,i:4: •: . I P,CUMBERLAND C U)N1 Y PRINTED NAME
SIGNATURE hh ear Commission Expires Jun2021 C
MY COMMISSION EXPIRES f^57""'" 1/? 5-11 7- —01$
MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
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 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)787-5280
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