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HomeMy WebLinkAboutFriends of Jim Hertzler - 2018 30-Day Post-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 CANDIDATE I 3 COMMITTEE Je; LOBBYIST NUMBER ' ON BEHALF OF ' / NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST -FRI'N D. 0E- -til CRT— LER-- STREET ADDRESS pa. . oX '/ CITYA/0 L 1 STATE 470 ZIP CODE - TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION (CHECK ONE) C O V N ' jb �� MO. DAY YEAR 6TH TUESDAY 1. C 0/1111.- 6 son/ 2 i 5- /5 ao(B PRE-PRIMARY FOR OFFICE USE ONLY MO. I DAY YEAR MO. DAY i YEAR 2ND FRIDAY 2. DATES OF PRE-PRIMARY REPORTING o- ©\ oro l TO D n Ort po 1 n C PERIOD p( C� (p `� p( C9 30 DAY ;?.. C POST-PRIMARY t,,,. CASH BALANCE AT END 1) 137 % ril 6TH TUESDAYOF REPORTING PERIOD: $ r"-- PRE-ELECTION " TOTAL AMOUNT OF FILER'S `' 5. OUTSTANDING DEBTS OR LIABILITIES 0 C 2ND FRIDAY PRE-ELECTION- AT THE END OF REPORTING PERIOD: $ Fa 6. I X Z 30 DAY AMENDMENT rka POST-ELECTION REPORT? YES NO 7. 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. _f stat: rti 7n is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here. E =w,OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT 3,` E:. WO HUNDRED AND FIFTY DOLLARS(5250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE. Jul J F?^.3" ' aRN TO AND SUBSCRIBED BEFORE ME THIS i 8.--. ✓ ,�,1�7 s.:. a 20 I RTD D, DAY OF SIGNATURE OF PERT SUBM'� •G REPORT M. Z:3 \Oe �- a,n c 1 cc 1�. ::ra•r - ' PRINTED NAME "'2'01 '0 SIGNATURE �� COMMISSION EXPIRES MO. DAY YR. AREA COD <4.0 (al--- 10 C 96/1 DAYTIME TELEPHONE NUMBER Pi O�tT -- If stat ent is filed on behalf of a Candidate's Authorized Committee, Candidate must sign here. QD 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 6