HomeMy WebLinkAboutRothman, Greg - 2017 Annual Report I •
COMMONWEALTH OF PENNSYLVANIA
1 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.
FILEN IDENTIFICATION 1:) REPORT FILEDito CANDIDATE ',„ .coiman-TEE LOBBYIST-•
NUMBER ON BEHALF OF
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
CrC•1 R,C,4.11461,Is.4
STREET ADDRESS
/ &„/,7 p I,'ph Y ROI
CITY STATE ZIP CODE
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE 'DISTRICT NO. PARTY "S:-.;:' DAie'cl#ELiglicN
(cHEcK oNE) R ,- MO. *i I AY I YEAR •
vt„Ce.„..•-•t- D
1. .',..,...1,if
6TH'TUESDAY /
PRE-PRIMARY FOR OFFICE USA.SINLY
mO. I DAY I YEAR MO. DAY I YEAR .... -
—
2ND FRIDAY. 2. DATES OF • ' CD0
REPORTING TO
PRE-PRIMARY PERIOD 0! 10 i 2.4/7 I z- 3 I 20/7
, ; ---
31i OAY s' CO
POST-PRIMARY
CASH BALANCE AT END
4.
Gm TUESDAY OF REPORTING PERIOD: $---16 CI
PRE-ELECTION C.-1
TOTAL AMOUNT OF FILER'S J (7) ---
OUTSTANDING DEBTS OR LIABILITIES
2ND-FliIDAY
PRE-ELECTION• AT THE END OF REPORTING PERIOD: $ ...
co
-‹ 01
3t)DAY '
AMENDMENT
POST-dLeCTION YES NO i .
. REPORT?'
. •
T. .
ANNUAL •TERMINATION
REFORt
K REPORT? YES NO X
.:.:".-I'''3;.:•44''.r'41:44-'4.....a41r•': -;:''•'•' :..'-'•,''.' l'',1.•-. • , '• , . 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.
:
SV:EAN(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(S250.00)AND THIS REPORT IS,TO THE BEST OF MY K' VLF F A , RELIEF,TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS Lki
',Mu,
ief DAY OF c...,,. ila..-P- 20 /9 SIGNAT RE OF PERSON SUBMITTING R ORT
V41)121/4.14111 la G •: , o 1,011.1 4 a
,...."
— -- ..41 .-.4- •f?ES" PRINTED •-ME
,./. SIGNA RE tl SePtl- .
R .,-,. 4 t '
MY COMMISSION EXPIRES ' 40./ ,feDStiota. . "7&3— 12..12—
. • . —0P1- vi
MO. DAY Isarr.,vA 0800 s,,, , DAYTIME TELEPHONE NUMBER
GIIV. won . .
PART 11- 1 0006
If statement is filed on behalf of a Ca. 'do 'uthorized Committee, Candidate must sign here.
I SWEAR(OR AFFIRM)THAT 70 THE BEST OF MY KNOWLEDGE AND BELIEF THIS POLITICAL COMMITTEE HAS NOT VIOLATED ANY PROVISIONS CF 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 a Bureau of Commissions,Elections and Legislation
DSEB-503(12-99) 210 North Office Building a Harrisburg,PA 17120-0029 a (717)787-5280
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