HomeMy WebLinkAboutColeman, Rebecca - 2019 30-Day Post-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 OICANDIDATE. ✓1 /
COMMITTEE-:, LOBBYIST
NUMBER ON BEHALF OF - --
NAME O�FjLING DO�ea_ �
ID LOBBYIST
STREET ADDRESS
Qf 5 0th( hr
CITY W YI1� STATE P4 pa ZIP "1
3
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) wD U VI L +I 5 2—(
Y
6111 TUESDAY 1.
PREPRIMARY FOR OFFICE USE.ONLY
MO. DAY YEAR . ':MO. - DAY _YEAR.:.
2ND FRIDAY: 2. DATES OF
PRE-PRIMARY REPOD
RIORTING 5 1 �4 i0 I
PED
30.DAY .
POST PRIMARY ✓ w
CASH BALANCE AT END U
4. OF REPORTING PERIOD: $ , w
STH TUESDAY
PRE-ELECTION I`7
TOTAL AMOUNT OF FILER'S -3
OUTSTANDING DEBTS OR LIABILITIES > I
PRELEC11 AT THE END OF REPORTING PERIOD: $ --
PRErELECTION
d
6. C7
POST-ELECTION. AMENDMENT YES NO 0
REPORT T
7. Z..r
ANNUAL TERMINATION YES NO �'C
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 DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST• KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
3r DAY OF 20SIGNATURE OF PERSON SUBMITTING REPORT
CM _ aaC�t cot�ah
_�1 _ —� LL r9�iL/rte PRINTED NAM �f
MY COMMISSION EXPIRES SI t' . .Ty Publicary a' 1 1_i ;lit-310 /`.
MEGAN ORRIS- ./��
Curri:Ny land CouRty
"My Comm Nn Expir s lan 14,2023 AREA CODE DAYTIME TELEPHONE NUMBER
Currnni»Tun Nwnber 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(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) a