HomeMy WebLinkAboutFriends of Jim Hertzler - 2018 30-Day Post Election 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 ' REPORT FILED Ilio. CANDIDATE 1 COMMITTEE LOBBYIST 3
NUMBER ON BEHALF OF
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
FKrrxfp S or�fMEKE I
STREET ADDRESS
o. gox Lig
CITY E/M ! STATE i)a
1 PCODE
"70 i 6-- -----
.
TYPE OF REPORT NAME OF OFFICE SOUGHT
(/BYY CANDIDATE
..�. {r��DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) Cou" 1 1 W d1 Ss ')A I K z 1 r1 MO.
DAY YEAR Y L�
6TH TUESDAY I y(,J��J G/_
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY I YEAR - -
2ND FRIDAY
2. DATES OF � nn
PRE-PRIMARY PER ODTING ID .J`'�/J O I8 TO 111 x2)188 cc,
30 DAY 3. 1
cc)
MI rn
POST-PRIMARY
CASH BALANCE AT END 1,I3�• 7
$ t
4. OF REPORTING PERIOD: F IT
6TH TUESDAY
PRE-ELECTION Q ..V
TOTAL AMOUNT OF FILER'S C M
2ND FRIDAY e. OUTSTANDING DEBTS OR LIABILITIES
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ 0 G ••
1 ...-
POST-ELECTION
y
AMENDMENT YES NO
// �\
7.
REPORT?
7.
ANNUAL TERMINATION YES NO y
REPORT REPORT?
AFFIDAVIT SECTION
PART I-
If statement is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must SIM
If statement is filed on behalf of a Candidate, the Candidate must sign here. {;OMMONvVt �OF PA
If statement is filed on behalf of a Contributing Lobbyist, the Lobbyist must sign here. �;OUNTY OF DAUPHIN
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 OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE
�MEE THIS
6 DAY OF '. 2f PAn4'e1 20 I SIGNATURE OF PERSONN SU BM TTING REPORT
Commonw�eafh of Pennsylvania- ‘AAtS 6 M_AAVt.W C-exs\Cha. )C.
Caryn Sida4kNatary NubfC PRINTED NAME/�
MY COMhISS10N EXPIRESDaUphln County b�BZiZv2Z l 117 -
VQ_- ob cic
My commission exults Octobbi12,2022'R. AREA CODE DAYTIME TELEPHONE NUMBER
COMmIssIon number 1 U4U19O
PARTII . .,...,�,�,.. .n ..�..«�.�..,.,...,,
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
DSBB-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280
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