HomeMy WebLinkAboutSilcox, Nathan - 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 Illo REPORT FILED II CANDIDATE `>( COMMITTEE 2. LOBBYIST 3.
NUMBER ON BEHALF OF
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
NO A-r I-f p,J Sic
STREET ADDRESS
i 4a7 1 ov wcs peZLvT.--
CITY STATE ZIP CODE
M fGt-f- .DtG UILCCv P1LI l '1 DS-0 "—
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) I-f'n rn P D—) -i--a w t4 ' e' Q MO. DAY YEAR
6TH TUESDAY i. C O , . SS' D��CZ- R I \ 2 o 19
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
2ND FRIDAY 2. DATES OF
PRE-PRIMARY REPORTING TO
PERIOD (0 i 0 1 C 1 0 ZI 11
30 DAY 3'
POST-PRIMARY
CASH BALANCE AT END
6TH TUESDAY a. OF REPORTING PERIOD: $ O
C) N
PRE-ELECTION C O
TOTAL AMOUNT OF FILER'S
5. OUTSTANDING DEBTS OR LIABILITIES C t
2ND FRIDAY d r t-t
PRE-ELECTION AT THE END OF REPORTING PERIOD: $
I— 1v
6. (fl
30 DAY AMENDMENT
POST-ELECTION REPORT? YES NO C,
7114
T C)
ANNUAL TERMINATION 0
REPORT REPORT? YES NO C m
„„..1w
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 KNOWLEDGE ELI , ,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS te- s-
`01,.. DA OF OUib.- 2012 SIGNATURE or PERS•N SUBMITTING REPORT
PRINTED NAME
SI ATURE
MY coltRigam,gaitgeCO! ry SeakM( r1 (q q - ZocZ<-
Adam C.WagnerMotary Pubk¢ YR. AREA CODE DAYTIME TELEPHONE NUMBER
Dauphin County ...
PART II - My commission expires December 2,2021
If stateme ' -.t -- - m.er 20.6
amber,Penney VanICAeeoc'•'a.u."'..:-:' 'uthorized 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
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