HomeMy WebLinkAboutMiller, Nicole - 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 /CANDIDATE I COMMITTEE LOBBYIST
NUMBER ON BEHALF OF
NAME OP FILING COMMITTEE,CANDIDATE OR LOBBYIST
N 1C o l_ Miller
STREET ADDRESS
3$3Q Co v vl'ale I4OUse Dr
CITY UP CODE
any I-ti l Pa 1 -7011 _
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) DID MO. DAY YEAR.
1. J!` S g 2 I I G
6TH TUESDAY
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
2ND-FRIDAY. 2. DATES OF
PRE-PRIMARY REPORTING TO /�,,
PERIOD 5 �� W /o j
el
30 DAY 3. C
POST-PRIMARY X
//�\ CASH BALANCE AT END �r�•
tel/ `sZZI I
6TH TUESDAY 4' OF REPORTING PERIOD: $ =
PRE-ELECTION —
TOTAL AMOUNT OF FILER'S Com)
4.5. OUTSTANDING DEBTS OR LIABILITIES t
2ND FRIDAY AT THE END OF REPORTING PERIOD: $ A
PREELECTION- Q
30 DAY 6.
AMENDMENT
POSTELECTION REPORT? YES NO -< r.)
cgl
T.
ANNUAL TERMINATION
REPORT REPORT? YES NO
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 OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSC IBED BEFORE ME THIS l�J f!If/I A ��
/3fh �(� $�
DAY OF V�SIGNAT RE OF PERSON SUBMITTING REPORT
*AI
. wea o •ennsylvama•Notary Seale`C°O Ire rl l l
L.--144_27 M GAN ORRIS•Notary Public
IGN RE Cumberland County PRINTED NAME
MY COMMISSION EXPIR _ _E./ � 14
tl ic0'w'. xpiresJan 14,2023 ' 2' 0
e DAY •0066 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
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