HomeMy WebLinkAboutShultz, Sean - 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 $250.00 during the reporting period.
FILER IDENTIFICATION 110, REPORT FILEDCANDIDATE I.../\ COMMITTEE F. LOBBYIST ,
NUMBER ON BEHALF OF '
_
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
S.eR� Sir( �Imo.
STREET ADDRESS sy
siveLF
CITY STATE2 ZIP CODE �/
CCrlLSL2 TA- ( ?Or3 — ( Its$'
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) -MO. DAY YEAR
1. G41r l'-s le �a rock C01 ) 05 Z.( 2c(q
6m TUESDAY
PRE-PRIMARY FOR-QFFICE e3 ONLY
MO. DAY YEAR MO.- DAY YEAR ,
2ND FRIDAY 2. DATES OF /� n++' ...CD
PRE-PRIMARY PERIOD NG 6 7�/' 6-7 /ci TO 06, 10 /Q' ..
30 DAY 3' .a
A «..,-
POST-PRIMARY ^ �` +f,;^.r. z^
CASH BALANCE AT END ,4/`�
6TH TUESDAY OF REPORTING PERIOD: $ C., --r,7
PRE-ELECTION C) '
TOTAL AMOUNT OF FILER'S 0
2ND FRIDAY5. OUTSTANDING DEBTS OR LIABILITIES„.
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ v_�
B. _
30 DAY
POST-ELECTION AMENDMENT YES NO
REPORT?
7
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 SUBSCRIBED,� RIBEFORE ME THIS <
COMP onweal %a. `; �� ^W59 x'ham`P� 20 )9 SIGNATURE OF PERSON SUBMITTING REPORT •
OCLLY M HO',KENS:•;' ,d.to- he sem.n frt. S k +-2-
r _ 1 ,11/_I
..,..- .'14 ° ..d Ai - ,r d 2 0 44%„„I
Aly Commissionpines Se l4, .. 2 SI' • RE - PRINTED NAME
CommissicoNit OPo1- •ikks C( 2,`f 7,1 7 i? 0—T5-2-�f
��• MO. DAY YR. 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
6
DSI3B-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280
R- -