HomeMy WebLinkAboutScott, Fred - 2019 2nd Friday Pre-Election (-5-
� COMMONWEALTH OF PENNSYLVANIA
]6 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 REPORT FILEDI.
'
NUMBER ON BEHALF OF CANDIDATE . V .COMMITTEE:. LOBBYIST 3. .
NAME OF COMMITTEE,CANDIDATE OR LOBBYIST
TRS 4 co T
S ADDRESS
7a .9 JR,4 ) \5 2 fi:r .
CITY
STATE ZIP CODE
S«/i° .& /V s g v;2 P A / 7-)S7 -
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTYDATE OF ELECTION
(CHECK ONE) •
:BTMTUESDAr...;
SC/100L. D /R6C- i-a ,2 c/ , // �5
PRE RIMARY " FOR:OFFICE:USE.ONLY
:MO. ..DAY.. YEAR . ..MO. ...DAY ' ,'YEAR
IND FRIDAY 2' DATES OF
PRE-PRIMARY 3 REPORTING # / TO
6 /� /
PERIOD
3.(k2,"; .. C
POST=PRIMARYalS
CASH BALANCE AT END CO
STH:TUES ..Y :s''.'; .4..f /OF REPORTING PERIOD: $ /o. 66 r
PRE-ELECTION : -0N
• TOTAL AMOUNT OF FILER'S --
C,
OUTSTANDING DEBTS OR LIABILITIES
ZNDTR(DAY' / 0 C, -0
PREELECTION ... .. AT THE END OF REPORTING PERIOD: $ p 2
6.
3O DAY
POST.ELECTION RAF YES NO i =j
7.
. .ANNUAL. TERMINATION.
REPORT REPORT?'. YES NO J�
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 KN GE AND BELIEF,TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBEDRIBEFORE ME THIS \=
,91/5‘6-
DAY OF j V�� 20L /SIGNATURE OF P N SUBMITTING REPORT
- ' ,O
k-L �"Ri 0 s G0
k .L. LI PRINTED NAME
SIGMA I�` �f/ ^�
MY COMMISSION EXPIRES
commonwealth naPpnnNotary Public
MO.
/ ` 7 J y
MO. DAY CumberWed County AREA CODE DAYTIME TELEPHONE NUMBER
My Commission Expires Jan 14,2023
• Commission Number I LbWbO
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) . 8