HomeMy WebLinkAboutThomas, John - 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 1110,,
REPORT FILEDOONBEHALF OF ' CANDIDATE' I. / COMMITTEE.. z__ LOBBYIST 3.
NUMBER
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
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STREET ADDRESS
YO 7 AurA/Er J),Qf_✓E_'
Cm STATE PIP CODE - _- -
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
- (CHECK ONE) 4'5.04.'40-x0
/� MO. DAY YEAR
/!�A
6TH TUESDAY 1. /A�.j/ r
LD/f/e oi 1/ $ 1i//� ', t- // i.e,r c o/9
PRE-PRIMARY FOR OFFICE USE ONLY
MD
MO. DAY YEAR M0. DAY YEAR
2ND FRIDAY 2. DATES OF
PRE-PRIMARY REPORTING 9 TO
PERIOD O,l // .ate/ _ /o L6p ' 1"..1je/ f
30.DAY 3. =
POST-PRIMARY '
CASH BALANCE AT END ctr1
6TH TUESDAY o. OF REPORTING PERIOD: $ 73 --..1
PRE-ELECTION >�
TOTAL AMOUNT OF FILER'S
2ND FRIDAY 5• OUTSTANDING DEBTS OR LIABILITIES _ Q
'� AT THE END OF REPORTING PERIOD: $ r a n m
PRE-ELECTION
0
6. C
POST-ELECTION 1
AMENDMENT YES NO 4/ O
REPORT?
7.
ANNUAL TERMINATION
REPORT REPORT? YES NO ✓
AFFIDAVIT SECTION
PART I-
If statement is filed on behalf of a Political Committee o.„andld#t ¢'s Committee,the Treasurer must sign here.
If statement is filed on behalf of a Candidate, the Candy-atejlg ggn here.
If statement is filed on behalf of a Contributing Lobbyist rhea..dtf t must sign here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DisBuRSEmENTVin LIA$r EG fg.URRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT 4 LO 1.ESsEE3T OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
Ii
SWORN TO AND SUBSCRIBED BEFORE ME THIS O Z.2 1...,......LL � mEc,
5 DA OF 11,61/111 0_,..4 20.1 Q c a ¢ SIGNATURE OF PER ON SUBMITTING REPORT
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ft.I_ ATURE - W Z c H- > PRINTED NAME
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MY COMMISSION RES :-<1 e-- toaI z j 433 E „ /7 76/- /s-r6
MO. DA YR. M r E o R�REA CODE DAYTIME TELEPHONE NUMBER
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PART II - 0 .e w
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 BELIE;Z'HIS. J2T fAL. OMMITTEE HAS NOT VIOLATED ANY PROVISIONS OF THE ACT OF
JUNE 3,1937(P.L.1333,No.320)AS AMENDED. a a c N o
SWORN TO AND SUBSCRIBED BEFORE ME THIS D V. o
(A���''"�'C� Z J, ro ,`D SIGMA URE OF CANDIDATE
DAY OF ( ^ •1 V fY 201 Ul w Z t M a 779
O Q C =.-0.Q PRINTED NAME
711:f1.. SI NATUREQ c V W � 76A 476
MY COMMISSION XP RES V C1 2-02-\ Q O• .B CODE /DAYTIME TELEPHONE NUMBER
MO. DAY YR. W z.- c y N
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Department of State • Bureau ofpErviiisions,Elections and Legislation
DSEB-503(12-99) 210 North Office Building • o 1arr teuv-0A 17120-0029 • (717)787-5280
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