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HomeMy WebLinkAboutFriends of Jim Hertzler - 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 , REPORT FILED ' CANDIDATE I COMMITTEE I X LOBBYIST } NUMBER ON BEHALF OF J/ NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST F.F\ e-Nips ©F �. r , /}ERT L,ER STREET ADDRESS e 13 Ox )k.3 CITY E---"Art ,LA STATE pr. tP CODE i7C° TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION (CHECK ONE) 1. ^ v o c ss �EK 2--, ^a�^ I t 8 R 6TH TUESDAY (�'(�, �`IIIJDam ' PRE-PRIMARY FOR OFFICE USE ONLY MO. DAY YEAR MO. DAY I YEAR 2. DATES OF 2ND FRIDAY REPORTING /n�j TO n ,� PRE-PRIMARY PERIOD i V ) 25 ig 30 DAY 3. t 44 W POST-PRIMARY m a CASH BALANCE AT END I 12Q Z7 6TH TUESDAY 4. OF REPORTING PERIOD: $ `� cJ V. D IV PRE-ELECTION Z C- TOTAL AMOUNT OF FILER'SC Ss s. OUTSTANDING DEBTS OR LIABILITIES ' C) Z 2ND FRIDAY AT THE END OF REPORTING PERIOD: $ Q PRE-ELECTION 30 DAY B POST-ELECTION AMENDMENT YES NO // REPORT? ANNUAL TERMINATION YES NO ex," REPORT REPORT? AFFIDAVIT SECTION PART I - C + .MONWEALTH . F A If statement is filed on behalf of a Political CI ,o oL ��arp� ommittee, the Treasurer must sign here. If statement is filed on behalf of a Candidat:, he w- •idate must sign ere. If statement is filed on behalf of a Contrib Ing Lobbf�.._,:pp�he Lobbyist must sign here. I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECE1P• OR RSEM 0'00BILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT EXCEED TWO HUNDRED AND FIFTY DOLLARS(S250.06 •ND,,.I 2EPORt i {�TOIVEs EST OF MY KNOWLEDGE AND B , -UE •' T AND COMPLETE. SWORN TO AND SUBSCRIBED BEFORE ME THIS �0� �'114;��, GfO��y + )-`r DAY F L�[Jl1/I Wd.I t� ,�5• �p „p ' SIGNA URE OF PE-SON SU:• ING REPORT G SI 7 RE // A�1 �, PRINTED NAME MY COMMISSION EXPIRES (L� �d�- ��)? i_ v O(� o MO. DAY YR. i9O • ODE DAYTIME TELEPHONE NUMBER 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 DSEB-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280 /