HomeMy WebLinkAboutDelozier, Christopher - 2019 6th Tuesday Pre-Election Reset Form ! Print Form
II II
Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be clear and legible.It should be typed)
Filer Identification Report Filed By Candidate / Committee Lobbyist
Number 834241240 (Mark X) n
Name of Filing Committee,Candidate or
Lobbyist Christopher Delozier
Street Address 1331 Sconsett Way
City New Cumberland State PA Zip Code 147070
Type of Report(Place x under report type)
1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday 5-2nd Friday 6-30 Day Post 7-Annual Special 2"Friday Special 30 Day
Pre-Primary Pre Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election
X
•
Date Of Election Year Amendment Termination
(MM/DD/YYYY) Report Report
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
6/11/19
A.Amount Brought Forward From Last Report $ 09/16/19
B.Total Monetary Contributions and Receipts $ 0 - C a
(From Schedule I)
C.Total Funds Available $ CO Cn
(Sum of Lines A and B) 0 rn CT1
"C7
D.Total Expenditures $ •
(From Schedule III) 8533.60 jita71/414
E.Ending Cash Balance $ 0 C '
(Subtract Line D from Line C) C'7 lCD
b
F.Value of In-Kind Contributions Received $
(From Schedule II) 0
--4
G.Unpaid Debts and Obligations $ —‹
(From Schedule IV) 8533.60 ')
' Affidavit Section •
Part 1-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here.
I swear(or affirm)that this report,including the attached schedules on paper,is to the best of my knowledge and belief true,correct and complete.
Sworn to and subscribed before me this
day of 20
v. Signature of Person Submitting report
Signature - 1 Printed Name
My Commission expires
MO. DAY YR. Area Code Daytime Telephone Number
Part II-If this is a report of a Candidate's Authorized Committee,candidate shall sign here.
I swear(or affirm)that to the best of my knowled:- •- .: -= •' :d any provisions of the Act of June 3,1937(P.L.1333,1NO.320)as
amended. Commonwealth of Pennsylvania- C-otary ea
Michael S.Lorah,Notary Public
Sworn to and subscribed before me this Dauphin County
I My commission expires October 22, 19 i
Z J da of S . . bei 20 f Q j Corn 'ssion number 129406 �f,/.4O4'. i
member.Pen Sylvania Association of N les ture of Cand at
ic7,,,,,
litictVittiSignature � Printed Name
Z /!f
My Commission expires 10 — M., —
.91 1 7 7/.• c Z so
MO. DAY YR. Area Code Daytime Telephone Number
a
SCHEDULE III
Statement of Expenditures
Filer Identification Number:
834341240
To Whom Paid Date[MM/DD/YYYY] $
Friends of Chris Delozier 8533.60
6-22-19
House tt Street Address Description of Expenditure
P 0 Box 714
City State Zip
New Cumberland PA Code 17070 Loan to Friends of Chris Delozier
To Whom Paid Date[MM/DD/YYYY] $
House tt Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYY] $
House it Street Address Description of Expenditure
City State Zip
•
Code
To Whom Paid Date[MM/DD/YYYY] $
House it Street Address Description of Expenditure
•
City State Zip
Code
To Whom Paid Date[MM/DD/YYYY] $
•
House St Street Address Description of Expenditure
•
City State Zip ••
Code
To Whom Paid Date[MM/DD/YYYY] $
House It Street Address Description of Expenditure
City State Zip
•
Code
To Whom Paid Date[MM/DD/YYYY] $
House tt Street Address Description of Expenditure
City State Zip
Code
To Whom Paid • Date[MM/DD/YYYY] $
House# . Street Address Description of Expenditure
City State Zip
Code