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HomeMy WebLinkAboutFriends of Jim Hertzler - 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 111,, REPORT FILED - I J NUMBER ON BEHALF OF CANDIDATE COMMttTEE LOBBYIST NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST Fk NDS o , �M R C L R STREET ADDRESS. O Y. F CITY 6.w 0 STATE 0 A P CODE I 7V5 __ TYPE OF REPORT NAME OF OFFICE 1 SOUGHT BY CANDIDATEAT ;1r DISTRICT NO. PARTY DATE OF ELECTION (CHECK ONE) 1 cou' ' ' co M�{ I.�iS(',L`o 2-1 PEm 'MOi Orl617 6TH TUESDAY 7 PRE-PRIMARY FOR OFFICE USE ONLY MO. DAY YEAR MO. DAY YEARDATES OF - -- - 2ND FRIDAY PRE-PRIMARY 2 REPORTINGPERIOD I I 2QU n{/.0l7 TO '2 31 I 20)7 // 30 DAY 3' POST-PRIMARY MCO CASH BALANCE AT END I 6TH TUESDAY OF REPORTING PERIOD: $ 1�13'7. 3 PO Ze: PRE-ELECTION TOTAL AMOUNT OF FILER'S GJ 5. OUTSTANDING DEBTS OR LIABILITIES O ... 2ND FRIDAY AT THE END OF REPORTING PERIOD: $ C, PRE-ELECTION 6. 0 30 DAY AMENDMENT \ / %.9 POST-ELECTIONYES k0 .2! GO REPORT? ANNUAL -TERMINATION YES NO REPORT REPORT? - AFFIDAVIT SECTION <-- EIf statcknent is filed on behalf of a Political Committee or Candidates's Committee, the Treasurer must sign here. ot> If Oite93nent is filed on behalf of a Candidate,the Candidate must sign here. -1 If Itgtez.ment is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here. z ,--o-ei--g Z 3 cLt (OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT W li ,TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE. ,,,,,..k LL . a,TVORN TO AND SUBSCRIBED BEFORE ME THIS !—_ O' Jr v ctra I DAY •- i♦ 1 - 20 3 IGNATURE OF PERSON BMITTI` REPORT Vccu" aY 0 E IN 15 o 4' 0E ,'; �StGN (` QPRIIjNTED NAME O RiY COMMISSION EXPIRES � �`��`\� Ut/- ©6 X ei m MO. DAY YR. AR CODE DAYTIME TELEPHONE NUMBER O - W PAR I'fl - 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 COM 7EE HAS NOT VIOLATED ANY PROVISIONS OF THE ACT OF JUNE 3, 1937(P.L. 1333,No.320)AS AMENDED. Ns SWORN TO AND SUBSCRIBED BEFORE ME THIS �itd��mp1 3��" DAY OF of 20 r3' IF IGNATU'E OFC NDIDATE� PRINT D NAME .i SIGNATU- �..� ( / 2 l ( — g ' ) o MEGAN E IRITIS- l 1 1 MY COMMISSION EXPIRES 'NotaryPubl c AREA CODE AYT ME TELEPHONE NUMBER CARLISLE BORODCOMBER ANO COUNTY My Comintaslon Expires Jan 19,2019 '4"'ill'''''''MpartrriBRPvr OidiC .. flereae-bf Commissions,Elections and Legislation DSEB-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280