HomeMy WebLinkAboutCrampsie, Sean - 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 110, ./
NUMBER REP°, E0DF CANDIDATE 1 common towns 3
NAME OF SUNG COMMITTEE,CANDIDATE OR LOBBYIST
476a 77 er4fiv )c_
STREET ADDRESS
1115 5)--rol-Corol pr,
CITY STATEM ZIP CODE
e(gii.3/6 / -
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) MO. DAY YEAR
1. a(/1 k jercv9h Cov/ii i'1 P
6TH TUESDAY
FRE-PRIMARY- FOR OFFICE USE ONLY
Ho. DAY YEAR MO. DAY YEAR
PND FRIDAY 2' DATESROF
PRE-PRIMA" ' PF_RIOD G 4 /1 / 7 To 1 p 2/ 19
30 DAY 3' • C) r.....)
POS -PRIMRY C=I.
CASH BALANCE AT END ...c,
6TH TUESDAY 4. OF REPORTING PERIOD: $ 0 CCJ ,---.
PRE-ELECTION
TOTAL AMOUNT OF FILER'S
5. OUTSTANDING OUTSTANDING DEBTS OR LIABILITIES Ll . Ts
THE
2ND FRIDAY --...E.: .c.
PRE-ELECTION AT END OF REPORTING PERIOD: $
I,..'
C.)
Is
6. c-) =
30 DAY 0
AMENDMENT
POST-ELECTIONYES NO
REI3ORT?
7. --4 T=0
ANNUAL '
TERPAINATON _. -< CO
REPORT REPORT? ‘`.' NO 7(
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 UABIUTIES 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 KNOWLED0 BELIEF,TRUE,CORRECT AND COMPLETE.
(
SWO TO AND SUBSCRIBED BEFORE ME THIS _....L.‘„,."._.
. Y OF ikat • - 2019 SIG A E OF PERSON SUBMITTING RE T
at fr. 0" _-- Ce_, M/I
PRINTED NAME '
SIrcioURE
,p, -
SON EXPIRES 14 Qoa
A,. , ,„s9iid„umo. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
AN "aNt111-17gpin ,. -'1Ujill°2 A
Haiignd 4)!o u4°a 3isilav)
PARTiutvris N ,
tategeOfiRid on behal i of a Candidate's Authorized Committee, Candidate must sign here.
l'IkVAliev, . . ON
I SWEAR(ciR 2' 4 1 BEST OF MY KNOWLEDGE AND BEUEF THIS poUTICAL 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) 9