HomeMy WebLinkAboutGuido, Robin - 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 ' REPORT FILED 'ON BEHALF OF 2. 3.
'CANDIDATE Jt, COMMITTEE LOBBYIST
NUMBER
NAME OF FILING CO A AFT EE,CtNDIDATE OR LOBBYIST do
06 i VL
STREET ADDRESS L \ /
2
5.
3010 i
CITYC.afttIe_
STATE 1ZIP D
TYPE OF REP0RTTNAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) /SMO. DAY YEAR
6TH TUESDAY 1 V e2 I
PRE-PRIMARY FOR OFFICE USE ONLY
PERIOD MD. DA i YEAR M /
YEAR
2ND FRIDAY 2. DATES OF I O ///��� D�
PRE-PRIMARY REPORTING o�L TO C) V_
30 DAY / " A
POST-PRIMARY ,V 33
^
CASH BALANCE AT END
6TH TUESDAY 4. OF REPORTING PERIOD: $ r-- t
PRE-ELECTION
TOTAL AMOUNT OF FILER'S
2ND FRIDAY 5 OUTSTANDING DEBTS OR LIABILITIES //�K Ts
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ 0
/��
6. C
30 DAY
AMENDMENT U.;:-.,POST-ELECTION YES
REPORT? NO .r{
.v+:
7.
ANNUAL TERMINATION
REPORT REPORT? YES NO
AFFIDAVIT SECTION
PART I-
If statement is filed on behalf of a Political Committee or Candidates's Committer 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 sig' -re.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DU- E REPOR '.P 'nD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY NO,,, • �D BEL TR :,CORRECT AND PLETE.
SWfirt I
TO AND SUBSCRIBED BEFORE ME THIS - /20/47 /. /o_. �j \
DAV OF IQ� G'•7 URE O -ERSON SU'C.TTING REP-
• ��
L ✓.441" 1
14 _ - J wealth dvin
PpsYlvanfa•Notary Seal PRINTED NAM
i f 0 i 1 IG y c MEGAN ORRIS-Notary Public '`
MY COMMISSION EXPI- Cumberland County gig
C(F-3 `//�`��%✓�/
MO. Negro"".....v cairn Jan 14,2023 AREA CODE DAYTIME.TELE HONE NUMBER
tornmismon'flumber 1260066
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(Pl.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
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