HomeMy WebLinkAboutMiller, Nicole - 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 ' REPORT FILED - I. 2. I.
NUMBER ON BEHALF OF CANDIDATE COMMITTEE. LOBBYIST
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
NICr t MU '
STREET ADDRESS —
3a eavvi
3ale, H-Duse f)r
CITY STATEZIP CODE
Camp 41, Pa. )71
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) m l1_CUM `Uq,l(ey MO. DAY YEAR
6TH TUESDAY S• SLhOOI Dlrcc-hoV DI „ i t 5 19
PRE-PRIMARY FOR OFFICE USE ONLY
. .. MO. DAY YEAR MO. DAY YEAR ..... ..
2ND FRIDAY 2" DATES OF
PRE-PRIMARY REPORPERIOD 0 TING (0 Nt d
I I )n TO ) i JC
30 flay 3 M G
00 ?"'"",
P08T-PRIMARY
CASH BALANCE AT END —I
6TH TUESDAY 4" OF REPORTING PERIOD: $ >, IN.)
PRE-ELECTION M "&--
TOTAL
CTOTAL AMOUNT OF FILER'S C9
2ND FRIDAY. 5 OUTSTANDING DEBTS OR LIABILITIES C,
PRE-ELECTION Y AT THE END OF REPORTING PERIOD: $ e27Q
-•
30 DAY AMENDMENT ...< . . en
POST-ELECTION REPORT? YES NO y
7.
ANNUAL TERMINATION
REPORT REPORT? YES NO NC
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 MY KNOWLEDGE AND BELIEF,TRUE;CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED
)BED BEFORE ME THIS
"114-k DAY OF ol.� Commonwealth of Pen5�n -Notary Seal G TUR F PERSON SUBMITTING REPORT
MtwN uKRIS-N ublic
0Cumberland County a _ LÀ ( '
.,..� .•, • + n 14,2023 PR'TED NAME
IGNATURE Commission Number 1260066 I O
MY COMMISSION EXPIR ; // I ir''Ur _111).___
MO. DAY YR. EA 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
DSEB-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280