HomeMy WebLinkAboutMechanicsburg Future Fund - 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 IlkCANDIDATE.: I. COMMITTEE-. 2 ;LOBBYIST 3.
NUMBER '' ON BEHALF OF X
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
Al C'IlAI1=cs%A1u' 4-DU rn
' STREET ADDRESS
% 0 . ,,e.i-SA- -
CITY l.J�_�'t STATE ZIP CODE �_
V3 , yi/4_ )/OSS
TYPE OF REPORT ME OF OFFICE SOUGHT BY CANDIDA� DISTRICT NO. PARTY DATE OF ELECTION
• (CHECK ONE) `II_.(I. . '44,a,.,-„I ( A MO.. DAY_ YEAR,.•-
7/1 "1411
6TH-TUESDAY. . - _
PRE-PRIMARY - FOR OFFICE'USE ONLY:
DATES OF
'..MO. - DAY1 ^/,Y�FAr"R�1- MO. '�O{A�Y YEAR
2ND FRIDAY,.PRE-PRIMARY 2./ PE OD NG + O 1, ®1 "'� ` TO D3 U`� �"t
30 NAY• ' •3•
POST-PRIMARY
CASH BALANCE AT END d 036TH'TUESDAY 4. ' OF REPORTING PERIOD: $ l r^T3
-- PRE-ELECTION r -.—
TOTAL AMOUNT OF FILER'S O .
OUTSTANDING DEBTS OR LIABILITIES
'°r'- •
2ND FRIDAY O. ®
PRE-ELECTIO��i( AT THE END OF REPORTING PERIOD: $ —0
(,
B 0
30 DAY. -- I�''AMENDMENT ..r
POST-ELEC71ON" REPORT?- YES NO .G"'
..lam (.
ANNUAL .'-:: - •TERMINATION- YES NO C/ i
'REPORT .. REPORTS r
•
AFFIDAVIT SECTION
PART I- 6 a o =
If statement is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here. ."-N o °
If statement is filed on behalf of a Candidate,the Candidate must sign here. n o
If statement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here. ro 2 N
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT to Z Cl o a g
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE. m=UO s£ Q
SWORN TO AND SUBSCRIBED BEFORE ME THIS oje a m m a
9 DAY OF ,' `Uy 20n SIGNATURE OF PERSON U TTING PO o E Fa N
C/`� J . 1�.4-T T1-tE:4.J �C/�Cx-r2 ‘5 coc o in E m
Ct
PRINTED NAME 3 715E o
SIG RE E 5 E c
MY COMMISSION EXPIRES I a�l aoa, -1 q cc, 'i Z.2 t • E 0 E
MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER Lj 2 s:
PART II-
if statement is filed on behalf of a Candidate's Authorized Committee,Candidate must sign here. •
ry
I SWEAR(OR AFFIRM)THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THIS POLITICAL COMMITTEE HAS T VIOLATED ANY PROVISIONS OF THE ACT OF a O O'
AI
JUNE 3,1937(P.L.1333,NO.320)AS AMENDED. z..= N o
SWORN TO AND SUBSCRIBED BEFORE ME THIS / - (1u'1 c
(j /7 SIGNATURE
,O/FF/CANDIDATE m.5•. N y
I DAY OF Alai 20 i` 1 / /'Wtr- ~
PRINTED NAME c y m E Q
c
MY COMMISSION EXPIRES 5 I 0 RE att aoaa 1+ �y ITpG =b W O >
AREA CODE DAYTIME TELEPHONE NUMBER L Q o') a
MO. DAY YR. •
(B' co E c
30 •EE a)-
Department of State • Bureau of Commissions,Elections and Legislation o c E ti ro
DSEB-503(12-99) • 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280 E Y , E
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