HomeMy WebLinkAboutWilson, Chad - 2019 2nd Friday Pre-Election 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
NUMBER I ONPORT BEHAL OF I CANDIDATE - I.
COMMITTEE. 2. •LOBBYIST '•
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
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STREET ADDRESS
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Cm STATE
ZIP CODE
A/E c✓ O, kSret_Ar PA /70 -
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE)
M0. •DAY YEAR•
'
•
6TTSrv�G�Cf� ryL/IiGjL.
.. N' UEAY' /( 5 1 //•'
PRERRARX .
fOR'OFFICE':USE.ONLY
. .. MO. -DAY,•.. YEAR:. .MO. •DAY ' :':YEAR.
•2ND FRIDAY 2' DATES OF
•PRE-PRIMARY::. PREErioRoTING
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n tV
30):iAY 3. zz
•POSTPRIMARY,:"`
CASH BALANCE AT END $ 22'"S'"�S .
6TW TUESDAY`.':'4' OF REPORTING PERIOD:
PRE-ELECnoN
TOTAL AMOUNT OF FILER'S Z fV
• OUTSTANDING DEBTS OR LIABILITIES Q
2ND LECTI AT THE END OF REPORTING PERIOD: $ D
'PIM-ELECTION :. G� +�
6. �-'J
30 DAY. .
. 'POST-ELECTION •.. AMENDMENT YES NO D
REPORT
7. c)
• •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 LIABIUTIES 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�AND B .TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BET
RE ME THIS 4. 4
Q2�nef DAY OF 1--- 202. SIGNATURE PERSON SUBMITTING REPORT
0.2..e....4...47.)Commonwealth of PennsyNar is-Notary Seal G/?ark /zS UN
GAN ORRIS Natary Public
g� Qanbm land Cdanty PRINTED NAME
0 f/Inir MY Commission Expires Jan 14,0066 2023 )/) ` �y a l
MY C" OM SION E� G�VY�6 Commission Number 1260066 I
U MO. UAY YK. 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.
DSEB-503(12-99) •