HomeMy WebLinkAboutScott, Fred - 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 FILED I� .' 2. ... 3.
ON BEHALF OF ':',CANDIDATE: ' COMMITTEE::: ;'LOBBYIST`..•:
NUMBER .DI .. .......-.
NAME OF FILING COMMITTEE,CANDIDATE O LOBS
F€ .
Co7L
STREET ADDRESS
701-1 &a ( gg-6 .
CffY,SY leaf lf is h STATE PA ZIP CODE
TYPE OF REPORT NAME OF OF SOUGHT BY ANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) Sn/jr VD 1 �I r t� Q
III�///I//ii ��'��� / M0. • .'DAY.:. , : :YEAR'>•" :
. . ....: /( a/ 7
.. :..
;; 6TH TUESDAY<:„;::E
;:PRE-PRIMARY.:.::••'': EUS :. :
FOR OFFICEUSE ONLY.;:' ;
::MO: " :'DAY YEAR:;. ..
DATES OF
BE:44IMAY i : ;::''2 REPORTING 5 i / TO 6 10 /q
,/ W
::POST.-PRIMARY:,::.: /� .1 Lr
I CASH BALANCE AT END S.6 v O
a. OF REPORTING PERIOD: $
PRE-ELECTION'
TOTAL AMOUNT OF FILER'S
: OUTSTANDING DEBTS OR LIABILITIES
PRE ECFION: :< AT THE END OF REPORTING PERIOD: $ CC.) 3
C
s.
30 DAY 2. ..
POST-ELECTIONREOR YES NO y ....<
ANNUAL TERMINATION:', YES NO
REPORT?:.
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 Candid-te,the Candidate must sign here.
If statement is filed on behalf of a Contri- .tt, • Lobbyist,the Lobbyist must sign here.
.qq,,
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEI- OR DI56LB,S � S OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($25. 00)AND Tlllt$. f TO THE BEST OF MY�KNOWLEDGE AND BELIE ,TRUE,CORRECT AND COMPLETE.
W RN TO AND SUBSCRIBED BEFORE THIS 1,000, :••1;6 . 4f.k,, /rc4;
DAY OF �_ ' C��SLo' Pmt Coo n,orb/4 , SIGNATURE OF PERSON SUBMITTING REPORT
• 4f4/ "EIS
�j// N SIGNATUREIBJ bP`t16p06 pl� PRINTED NAME {
MY COMMISSION EXPIRES 61.14I• `/1 62 3 7 3 9 S y
MO. DAY YR. •REA 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.
DSEB-503(12-99) •