HomeMy WebLinkAboutFish, David - 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 poo REPORT FILED ' CANDIDATE VVV�� COMMITTEE 7 LOBBYIST 5
NUMBER ON BEHALF OF
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST _
DcLA
STREET ADDRESS
d J La-At(' ?o54 L,1-0,
CITY STATE ZIP CODE
C0'MP \A.( \ 1 T /1- I. `70t ( — iL/d-r
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) ��(' /(� ( �{ MO, DAY YEAR
6TH TUESDAY 1. TUWwSk(/ Co,n/MtI��V fti� DE/1i
fay - -- a-/ do/ g
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR 1 MO. DAY YEAR
2ND FRIDAY 2. DATES OF
PRE-PRIMARY PERIOD ING '0,,s..... a? xi, TO ' 0 f /0 S? ?
n/
30 DAY 3. / O /
1
POST-PRIMARY r.,,Q
CASH BALANCE AT ENDf
6TH TUESDAY
4. OF REPORTING PERIOD: $ „;
PRE-ELECTION C.
rri
TOTAL AMOUNT OF FILER'S 2C
s. OUTSTANDING DEBTS OR LIABILITIES 0 I
2ND FRIDAY AT THE END OF REPORTING PERIOD: $ M""'�' C3
PRE-ELECTION
CP
B. Wm.30 DAY AMENDMENT C
POST-ELECTION YES NO I, 0 ...
REPORT? C
7.
ANNUAL TERMINATION /y
REPORT REPORT? YES NO , / , . Qs
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 BE OF Po KNOWLED E AN ELIEF,T UE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS / ���
/4 14-IDAY OFV'u- t_ __ 20/ 0 SIGNATU F PERSON SUBMITTING REPORT
et,....... • .nia•Notary Seal PRINTED NAME (`�
SIGNATUR. /EGAr otary Public ) 7 3) V/� 3✓
MY COMMISSION EXPIRES ,�,�("�',"�`' A Count,
Mo. Mlp'dfmmissiDtrfIxpires Jan 14,2023 A EA CODE DAYTIME TELEPHONE NUMBER
- Commission Number 1260066
PARTII -
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 POOVISIONS 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 1'
MY COMMISSION EXPIRES AREA CODE DAYTIME TELEPHONE NUMBER
MO. DAY YR.
Department of State • Bureau of Commissions,Elections and Legislation
DSE13-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280