HomeMy WebLinkAboutGrayson, Lisa - 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 100. REPORT FILED
NUMBER ON BEHALF OF CANDIDATE L.. COMMITTEE ill LOBBYIST
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
RA
STREET ADDRESS
CITY STATE ZIP CODE
_
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) 6..k.4,-...13.
MO. DAY YEAR
1
Ick5z_csic,r. b.0 W I\IS 2-1 (. -e 10 —1
. —I 20 I-1
6TH TUESDAY
PRE-PRIMARY FOR OFFICE USE ONLY
.
MO. I DAY YEAR MO. 1 DAY YEAR f
, 2. DATESOF
41,10 FRIDAY '
REPORTING \% I j--) TO .12_ 1 31 I-1
PRE=PRIMARY C) N.3
PERIOD !
3. ' ..
—a.
30 DAY
POST-PRIMARY al '''ri
CASH BALANCE AT END ril fil
6.61 TUESDAY
OF REPORTING PERIOD: $ Cb -70 CO
r—
PRE-ELECTION I
TOTAL AMOUNT OF FILER'S .7Z
5.
2OUTSTANDING DEBTS OR LIABILITIES C:3
ND:FRIDAY .
De
PRE-ELECTION __
AT THE END OF REPORTING PERIOD: $ . •itp ,0'4'3 c) 7m,__
, 6. ...;•-
30 Ivor :Z.
AMENDMENT C.3
POST-ELECTION REPORTYES NO \i(
'?
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 PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNCI.'' I.BELIEF,TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
‘ DAY OFc----cbirLA- -4. 20Th SIGNAT RE OF PERSON SUBMITTING -EPORT
COMMONWEALT iff•41 Ns, 1 I, fu )'— isa._c. .-1C-C-La-- --
PR1NTE NAME
NOTAR AL AV„ -I NATURE
Marjorie A.ViectodetisNak lliflfc OH' 05 \ s' so-)3.51-1
MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
Silver Spring Twp,Cumberland County
My eCMmIssion expires April 05,2018
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
DSEI3-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280
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