HomeMy WebLinkAboutCrampsie, Sean - 2019 2nd Friday 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 pli REPORT FLED
0. CANDIDATE: COMMITTEE:: .LOBBYIST
NUMBER ON BEHALF OF --- - -
NAME OF RUNG COMMITTEE,CANDIDATE OR LOBBYIST
/1
Cat wt/,O i
STREET ADDRESS Y
8(F Sf .tqvd A'
CITY STATE ZIP CODE
(Wit .1 P/9 17°(3 -
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) M0. DAY. YEAR
` .''
6TH TUESDAY 1. O Z ` 1O
PRE-PRIMARY FOR OFFICE USE ONLY
. - MO. ::DAY-. -:YEAR... -:MO. DAY :''YEAR:,
2ND FRIDAY REPORTING fl l ot TO /') 0 J I el
Z_• / DATES OF (J (/ U�(J I
PRE-PRIMARY PERIOD Q
30 DAY :. 3.
POSTPRIMARY
CASH BALANCE AT END0
6TH TUESDAY OF REPORTING PERIOD: $ C o
PRE-ELECTION .:
TOTAL AMOUNT OF FILER'S0rill CO 3c
5 OUTSTANDING DEBTS OR LIABILITIES r"
2ND FRIDAY. X1 -C
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ r-- I
s. =
30 DA' C3
.: : AMENDMENT NA' MID
POST-ELECTWN REPORT T S I C, =
C
CD
ANNUAL TERMINATION:. YES
REPORT- REPOR? ir
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.
If statement is filed on behalf of a Contributinc Lobbyist,the Lobbyist must sign here.
R(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXC= D TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWL OGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
c'5
.W WO AND SU CRIBED BEFORE ME THIS G t
3 r DAY OF I 1 1/ 2Q 1 SIGNATURE OF PERSON SU IBA R ORT
m
7
y 0 P'Al i' a baystr,
�� TE��As se
N =Z
o a.m S NATURE �j� PRINTED NAME
m ma. 0 t4- cabg1 "ire-a . Fr) COMMISSION EXPIRES
a Sr* m. 9 MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
-
-n
� ,
a CART II
,II state i3-int is filed on behalf of a Candidate's Authorized Committee, Candidate must sign here.
N Z
I S' •R(OR AFFIRM)THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THIS POLITICAL COMMITTEE HAS NOT VIOLATED ANY PROVISIONS OF THE ACT OF
UNE 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.
DSEB-503(12-99)