HomeMy WebLinkAboutBienstock, Albert - 2019 30-Day Post-Primary COMMONWEALTH OF PENNSYLVANIA
CAMPAIGNFINANCE 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 IDENTIFICATION10,
REPORT BALED , CANDIDATE II" COMMITTEE Z
LOBBYIST - 3
NUMBER ON BEHALF OF
NAME OF FILING COMMI,,tt,CANDIDATE OR LOBBYIST
, 2.R.gie7 It .147/2:-91/4-CrG;C
STREET ADDRESS
63 ez b .9/aiI/e-L",P X 1 b
CRY STATE ZIP CODE 1
Cg/ii, 8/11 /2/9 /70/ / - 0..3?"
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
• (CHECK ONE) TQMO./ DAY YEAR
6TH TUESDAY 1. tt/ 'S/7/, G..LP /,1/Jf/ /Je'7 WE7 1 1 40..J --- ---/--7.--PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR - -
2ND'FRIDAY 2. DATES OF
PRE-PRIMARY PERIODTING �J 9 / /9
TO z- /0 /9
30 DAY 3. ` O
POST-PRIMARY / - ;t,
CASH BALANCE AT END
6TH TUESDAY 4. OF REPORTING PERIOD: $ �"I'i C
PRE-ELECTION
TOTAL AMOUNT OF FILER'S 0
OUTSTANDING DEBTS OR LIABILITIES
2ND FRIDAY AT THE END OF REPORTING PERIOD: $ 00
-PRE-ELECTION
6. C-..7
30DAY • G
AMENDMENT
POST-ELECTION REPORT? YES NO
7. ..< -+.
ANNUAL TERMINATION YES NO /,
REPORT REPORT? ✓ .
AFFIDAVIT SECTION
PART I
a If s l&ment is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here.
a Nf iRrnent is filed on behalf of a Candidate,the Candidate must sign here.
} If gtaatinent is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here.
Z tgS T'Zt(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
IZ W m TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND dbMPLETE.
LL U) E N SWORN TO AND SUBSCRIBED BEFORE ME THIS �j� / /� � �/q�/)
O a E._ �-tie-774/ •. 4.--er-,1�( � `.�{_./
z E2- 0 w<I (� DAY OF _ ,I, I 20. SIGNATURE.AF PSRSON SUBMITTING REPORRT
L12.O 3 0 - 4i/ ,A... '�L .�� I�=� �L./�L"P //.PRINT NAM/✓r , aC
ZE
'CDV. Z A SIGNATURE
O a E COMMISSION EX• ES 3 �\ 2o2 7/7 _j gQ 7.0%37
2 E U ce MO. DAY YR.AREA CODE DAYTIME'TELEPHONE NUMBER
T m
O
PART F-
It~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