HomeMy WebLinkAboutGuido, Robin - 2019 6th Tuesday 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 IDENTIFICATION REPORT FILED 1\1.CANDIDATE 2. 3.
/
l
NUMBER ON BEHALF OF J( COMMRTEE LOBBYIST-
NAME OF FILL COMMITTEE,CANDID OR LOBBYIST
S I11tt1 ADDRESS
•
.525" Stmm,- - ►Ve__,
Cm 1ZIP CODE
( 1 i je-/ .STATE A-- / / V/ -
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PA DATE OF ELECTION
(CHECK ONE) MO. DAY YEAR
6111 TUESDAY 1• eir k1i-., 1 , --/E�� �.�l�
- N�►lA,(:( OS 21 201
PRE-PRIMARY /� (UJ FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
DATES OF
2ND FRIDAY Z REPORTING TO h C-) Iv
PRE-PRIMARY PERIOD of
of
l �/4 D if
30 DAY 3'
POST-PRIMARY m
CASH BALANCE AT END
6TH TUESDAY 4• OF REPORTING PERIOD: $ >
U.
PRE-ELECTION
TOTAL AMOUNT OF FILER'S
5• OUTSTANDING DEBTS OR LIABILITIES f�'
2ND FRIDAY AT THE END OF REPORTING PERIOD: $ �/
PRE-ELECTION
6. ' f 77
30 DAY -
AMENDMENT
POST-ELECTION REPORT? YES O
ANNUAL 7 TERMINATION _YES V
REPORT REPORT? 0
AFFIDAVIT SECTION
PART I-
lf 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 - ••n here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED• •N,G�r THE RE R IN,. ERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY/ '. A it AND EL F RUE,CORRE,•ND COMPLETE.
ASWO,RN TO AND SUBSCRIBED BEFORE ME THIS C� I G l /
/ ,7ij DAY OF V I ( 20/9 i ATU OF PERS. SU'BVMITTING REPORT
C-1111
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//�Q�//�• 9 r- / / moi . ^' w �PRINTE• NAME
GNATU Qommonwealth of Pennsytva A clary Seal
MEGAN ORRIS-Not Pubtk /27 3'1C/va/�
MY COMMISSION EXPIRES C.....bc.le.p14,,,,my ----�
MO. My Cilisslon Exp} Jan 14,I023 A EA CODE DAYTIME TELEPHONE NUMBER
toornI,xy.,uW'-`e-12600" y
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PART II-
If statement is filed on behalf of a Candidate's Authorized Committee,Candidate must sign here.
1 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