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HomeMy WebLinkAboutFriends of Jim Hertzler - 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. FILERNUMB IDENTIFICATION REPORT FILED00, CANDIDATE i COMMITTEE X LOBBYIST NUMBER ON BEHALF OF ` \ NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYISTj IKJS- MS of .c\-' n e"�2 UE�\ STREET ADDRESS CITY ©L STATE ZIP CODE - 1f YF-\It _ • ‘ 0a5 TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE 'DISTRICT NO. PARTY y.w/�� DATE OF ELECTION (CHECK ONE) 1. C DU N 1 CO MM - S1t�NERl 2 \ D fir-1 \ 6. I �Y 2O YEAR 6TH TUESDAY PRE-PRIMARY FOR OFFICE USE ONLY . MO. i DAY i YEAR MO. I DAY I YEAR 2ND FRIDAY DATES OF • I '—` PRE-PRIMARY PER ODTING 0 j 0 i 2,0I_` V TO 05 'to 1,2,to °" CA rn 730. 30 DAY 3' 7-4 POST-PRIMARY 20 CASH BALANCE AT END g'SQ /��" `"'''' Q t' 6TH TUESDAY 4. OF REPORTING PERIOD: UU 1100 JJ PRE-ELECTION _. TOTAL AMOUNT OF FILER'S 2ND FRIDAY - J OUTSTANDING DEBTS OR LIABILITIES 0 PRE-ELECTION AT.THE END OF REPORTING PERIOD: S �. —rn, ..!;" S. -.0 I 30 DAY POST-ELECTION AMENDMENT YES NO .; . ., REPORT? - • 7, ANNUAL TERMINATION YES NO OP, REPORT REPORT? 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 Contributing Lobbyist, the Lobbyist must sign here. I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DUPING THE REPORTING PERIOD INDICATED ABOVE DID NOT EXCEED TWO HUNDRED AND FIFTY DOLLARS(S250.00)AND THIS REPORT IS,TO THE BEST OF MY KNO:VL EDGE AND BELIEF,TRUE,CORRECT AND COMPLETE. SWORN TO AND SUBSCRIBED BEFORE ME THIS l����4# 7: • r _ 20 f( SIGNATURE OF PERSON S TTINGIR PORT �� y • NL AR •L SEAL ( `€z'c! vte.W �(,V‘C,�k '�y �"= 'O a Pubi• PRINTED NAME f'st'"nsbor• w"'.(g8rnberland Count g1.l�c..�o� ` /� MY COM ,Is i'rir� P RM'on dti s May 02 4 l 9 �O _'.!_'• E..',.,:' a'.A Ale CIATION OFTvOTARI, -• AREA CODE 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 ' M0. DAY YR. • Department of State • Bureau of Commissions, Elections and Legislation L�St(3•Sn}{t2`1`�I 210 North Office Building • Harrisburg.PA 17120-0029 • (717)787-5280