HomeMy WebLinkAboutSilcox, Nathan - 2018 2nd Friday Pre-Primary 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 L 2. �,
JO, 110, CANDIDATE ,,,e,,,,e, COMMITTEE LOBBYIST
NUMBER ON BEHALF OF „
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
)3A-TI 00 S)uc{
STREET ADDRESS
14a7 i I,..)OcA.4.7E...ic 'tX2( J e.
CITY STATE ZIP CODE
I` '.CA,..6 #3ILSr9C)-4o eA I70S-0
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) �aMPOra.., -rrl.,,,D.X-A,P MO. DAY YEAR
1.
6TH TUESDAY C-d MM,CS;C,)COIL R. Is 2i g'
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY 1 YEAR
2ND FRIDAY 2. , DATES OF
PRE-PRIMARY yREPORTING TO
PERIOD 1 '31
\ 1 13 O 1 g
30 DAY 3.
POST-PRIMARY
CASH BALANCE AT END O C) NJ
4. OF REPORTING PERIOD: $
BTH TUESDAY
PRE-ELECTION
TOTAL AMOUNT OF FILER'S I
2ND FRIDAY 5. OUTSTANDING DEBTS OR LIABILITIES -<C
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ I
B. CO
30 DAY t,„,
AMENDMENT -0
POST-ELECTION REPORT? YES NO �-�
7. 0 ......
ANNUAL TERMINATION CV
REPORT REPORT? YES NO :Z.
•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.
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(5250.00)AND THIS REPORT IS,TO THE BEST OE MY KNOWLEDGE AND BELIFF TRI E,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED] BEFORE ME THIS /yam C -p��
/ DAY OF /V/6 201/ V SIGNATUREREOF PERSON SUBMITTING REPORT
4I i +.• cc kA*3 P. 57 L.C.-D'
SIGNATURE PRINTED NAME
MY comostentmareattkla PenOansa-v.,.;ry Segi i -z el (.• L19 — . ,a 8�
Adam C.WagnerrltOtary . I. YR, AREA CODE DAYTIME TELEPHONE NUMBER
peIIphin Cnunty
PART II- My commission expires December 2,2021
If statem- ' ,t'•11.ve• •.,11.,11•14 tr 2
•1 •e2(2=4s �7k`Jthorized Committee, Candidate must sign here.
Member,Pennsylvania Asso : -
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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