HomeMy WebLinkAboutThomas, John - 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 $250.00 during the reporting period.
FILER IDENTIFICATIONREPORT'FILED CANDIDATE I. OOMMRTEE. i LOBBYIST 3
NUMBER 10, ON BEHALF OF 01
NAME OF RUNG COMMITTEE,CANDIDATE OR LOBBYIST
J 0111/ V 7210't/14(5
STREET ADDRESS
A70 7 /0FIGJ A/,'f 1,e.
CITY STATE ZIP CODE
/1,-r'/-7/411✓/CS.15//026 Fro / 7G1.3 -D i
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) MO. DAY . YEAR
6TH TUESDAY 1. T 4(/4(//v5/0.7)4(//v5/0.7) Coi-rm i !f/o,iJ /�C /\D e, O c - al aO/ 9
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
2ND FRIDAY 2. / DATES OF
PRE-PRIMARY V REPORTING TO ! / 9
PERIOD D 3 // >2o!9 D., D6 ev ,= Ga
30 DAY 3' ,,MP3
POST-PRIMARY 05 =
CASH BALANCE AT END r'rt 3,'
VTH.TUESDAY 4' OF REPORTING PERIOD: '$ D XI
I
PRE-ELECTION kra
TOTAL AMOUNT OF FILER'S
2ND FRIDAY 5' OUTSTANDING DEBTS OR LIABILITIES D Com}
PRE-ELECTION AT THE END OF REPORTING PERIOD: $
6. s
30 DAY .
POST-ELECTION AMENDMENT YES NO ' C
REPORT? ✓ ""�
7.
ANNUAL TERMINATION YES NO ✓
REPORT REPORT?
AFFIDAVIT SECTION
PART k,-
z ift§ttnent is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here.
If gtetitment is filed on behalf of a Candidate,the Candidate must sign here.
c&f&tatl hent is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here.
Z .J, (OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABIUTIES INCURRED DURING THE REPOR44
TING PERIOD INDICATED ABOVE DID NO7
LU W N TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
LL J E d 3 VORN TO AND SUBSCRIBED BEFORE ME THIS
O < -)naJ�
P‘ON U x g SIGNATURE OF PON SUBMITTING REPORT
I-• Fa- C 4 ! DAY OF /�, 2O
O fiNILI'Z ' c co `) �,/AL � i Jam /✓ V PRINTED NAME
z • ti.E z SIGNA RE
2 E p +COMMISSION EXPO ES 31 202-L ____z"7 7 e'/- /577
2 co U LU MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
O = ''
o •M g
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
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