HomeMy WebLinkAboutMechanicsburg Future Fund - 2019 2nd Friday Pre-Election COMMONWEALTH OF PENNSYLVANIA
CAMPAIGN FINANCE STATEMENT 1/1
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. .
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FILER IDENTIFICATION REPORT FILED _I - - I,
NUMBEROr, ON BEHALF OF. 111 CANDIDATE COMMITTEE'_ x LOBBYIST•
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST _
STREET ADDRESS
36 �. CbOJI:R 51.
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CITY STATE ZIP CODE .. . =-"-
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) 9 / MO.. . DAY YEAR .
. Lt yC'� 1.0
11 S ?o'9
'6TH TUESDAY
PRE-PRIMARY" FOR.OFFICE USE ONLY
':MO. DAY YEAR MO. OAT YEAR
2ND FRIDAY•' 2. DATES OF
PRE-PRIMARY R• ERODTING ^� �� j�,�i TO (O �, ?.not
.30 oaf : . Y- /��l
POST-PRIMARY': UM
CASH BALANCE AT END
`OS co M c''
:: '6TH.TUEsm,/ OF REPORTING PERIOD. $ X --f
PRELECTION ' P"-'
TOTAL AMOUNT OF FILER'S .
2,40 FRIDAY s.✓ OUTSTANDING DEBTS OR LIABILITIES 6.-
PRE-ELECTION /X AT THE END OF REPORTING PERIOD; $ 191° O s
30 DAY.: 6. CO
POST-ELECTION AMENDMENT REPOR•TI
? 1 YES NO A .GJ
2
ANNUAL TERMINATION �� YES NO �/
REPORT , �7�"
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AFFIDAVIT SECTION 'w
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PARTI- Z LI cN ��-
If statement is filed on behalf of a Political Committee or Candidates's Committee, the Treasurer must sign here. L o,:z
If statement is filed on behalf of a Candidate,the Candidate must sign here. a d z
If statement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here. Z -I rz = o
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I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABIUTIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOP- CO p y O
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE. LL J -•'' '"
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SWORN TO AND SUBSCRIBED BEFORE ME THIS
oil•.,.' DAY OFCCI 20SIGNATURE OF PERSON SUS ITTING REP T W 2 ' y N
>, �ti ./ �. . AAA-7-m 46 t,/ ,t-�iCenvr Z a E o
III A -11_. T1R�� PRINTED NAME 0 y o
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MY COMMISSION EXPIRES, 1 a.I .Q (l�k' ? 1 -) Z Q 44 -1. 2,Z I O >,m
MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER U
PART II-
If statement is filed on behalf of a Candidate's Authorized Committee,Candidate must sign here. .
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I SWEAR(OR AFFIRM)THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THIS POLITICAL COMMITTEE HAS NOT VIOLATED ANY PROVISIONS OF THE ACTS O s 'a
JUNE 3, 1937(P.L. 1333,No.320)AS AMENDED. J a O - z
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SWORN TO AND SUBSCRIBED BEFORE ME THIS . Z J i".E o
SIGNATURE OF CANDIDATE W W!!.
DAY OF ZO.0_ oXie L. M,(ler NPRINTED NAME Me Z
MY COMMISSION EXPIRES, C Jud(%'{.) 1) i O ,
A EA CODE DAYTIME TELEPHONE NUMBER Z L V cri
M0. DY YR. Z Ytp z
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Department of State • Bureau of Commissions,Elections and Legislation 2 Yc v W
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DSEB-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280 o -'n