HomeMy WebLinkAboutEast Pennsboro Democratic Club - 2018 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 i �D 04. 2_0 1 REPORT FILED ' CANDIDATE I-COMMITTEE LOBBYIST ...
NUMBER ON BEHALF OF
NAMEFILING COMMITTEE,CANDIDATE
LOBBYIST 51. O ISPeN5bORD DNO CM1 L CLUB
STREET DDRESS�. 0. 13oX
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TYPE OF REPORT LNAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY 1 1 DATE OF//ELLLECTION
(CHECK ONE) �RL VE'r IOCKetik LV�2 2.,1 DEM ` . (DO 'YER
6TH TUESDAY
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR
YEAR MO. ^DAY YEAR
2. - - -
2NDD
FRIDAY REPORTING
U21bO
f `L f 1g
PREE-PRIMARYPERIOD � J
30 DAY 3. C O
POST-PRIMARY
CASH BALANCE AT END5
6TH TUESDAY 4. OF REPORTING PERIOD: $ •5 CO
adl
PRE-ELECTION
TOTAL AMOUNT OF FILER'S • 00
N
5• OUTSTANDING DEBTS OR LIABILITIES n
2ND FRIDAY: AT THE END OF REPORTING PERIOD: $ (f ® II.
PRE-ELECTION
6. a
30 DAY G
AMENDMENT ME
POST-ELECTION REPORT? NOpoi 2. C
.-..t
ANNUAL )(16 TERMINATION 1:1111NO 01All
-G
REPORT REPORT?
AFFIDAVIT SECTION
PART I- .
If statement isAIM An behalf of a Political C. ittee geC andidates's Committee,the Treasurer must sign here.
If statement isVMMONWEAV2—.t; ..Iti,-,t Candi a must sign here.
If statement istfikAl eF #f but g L byis t Lobbyist must sign here.
1 SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR OVA ENTS :..x•ArriEs INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND T 'I E •RTS, TEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
SG is
SWORN TO AND SUBSCRIBED BEFORE ME THIS % p
rY' DAY OF Jan ^ LJ � Cq0 SIGNATURE OFPERON SUB' ING REPORT
,, 'l/ / J 11:$,,,/ -o S:kg Paled - W 1 . �1(`al C a-k
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SIGNATUR /� G PRINTED NAME
MY COMMISSION XPIRES 11 fa•/, „ .. 020 ♦ : O 1* I W 0 C 61C
MO. DAY •
o 14 A"�• ODE DAYTIME TELEPHONE NUMBER
PARTII -
If statement is,filed on behalf of a Candidate's Authorize. 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
DSEB-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280
7
December 30, 2018
Matthew F. Franchak,Treasurer
East Pennsboro Democratic Club
P.O. Box 63
Enola, PA 17025
To whom it may concern,
I hereby forgive my$1,000.00 loan to the East Pennsboro Democratic Club. I originally
granted the loan on May 2, 2017. Please contact me with any questions or concerns, by phone
or e-mail, at (570)498-3487 or johndbosha@yahoo.com.
Sincerely,
g ► P '
John D. Bosha, Pharm.D.
5 Gale Circle
Camp Hill, PA 17011