HomeMy WebLinkAboutThomas, John - 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 IDENTIFICATIONREPORT FILED I / 2
CANDIDATE ✓ COMMITTEE LOBBYIST
NUMBER ' ON BEHALF OF 110.
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
_TOHN V. l o ll s
STREET ADDRESS
'/07 Pram ; .,thi- _
CITY STATE ZIP CODE
pb-.6#4»esgu PA / 76..53—.2sil
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) 1MO. DAY YEAR
1. �I ivmr-rie a,>',yissro.. >z ., // o c a6.>7
6TH TUESDAY
PRE-PRIMARY - FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
07DATES OF
2ND FRIDAY2.
PRE-PRIMARRY ((//REPORTING D.5 ?O TO d /O 1.7 .
30 DAY 3�
o
POST-PRIMARY
CASH BALANCE AT END o ,-
6TH TUESDAY 4' OF REPORTING PERIOD: $
PRE-ELECTION . .1
TOTAL AMOUNT OF FILER'S
5. OUTSTANDING DEBTS OR LIABILITIES
2ND FRIDAY
ERIDAY
PRE-ELECTIONAT THE END OF REPORTING PERIOD: $
30 DAY
POST-ELECTION AMENDMENT YES NO ✓ =
REPORT?
r
ANNUAL TERMINATION YES NO I/ -
REPORT REPORT?
AFFIDAVIT SECTION
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a 9latment is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here.
3 11€s1 ment is filed on behalf of a Candidate,the Candidate must sign here.
N �,l t ment is flied on behalf of a Contributing Lobbyist,the Lobbyist must sign here.
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Z Q p fol , R(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
Lii a coW Z�Ek D TWO HUNDRED AND FIFTY DOLLARS(5250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
p JQ c E a `WORN TO AND SUB . RIBED BEFORE ME THIS d
1- a c W Ag 6 A OF lil 0201 1 NATURE OF PERSON SUBMITTING REPORT
Q p Y 3 0 Alp
Z ii c in . / - \TO.c/moi/ 7-5.:1::)/11 19 S
ZO >a E a SIGNATURE PRINTED NAME
F...
(0 0 Lal
rf1.Y COMMISSI+• EXPIRES ��' 202 �>
7 ./-/S2
O = i MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
V .1
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