HomeMy WebLinkAboutKutz, Thomas - 2019 2nd Friday Pre-Election COMMONWEALTH OF PENN �LV NA;
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 3.
CANDIDATE / COMMITTEE LOBBYIST
NUMBER ON BEHALF OF �/
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
4..STTa 1MCL 5 KA-47-
STREET
REET ADDRESS
2 5— A' `\c3--Vi i-o
CITY STATE ZIP CODE
ie.c k-01-4cSbLLro `ik- 17053- ----
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION.
(CHECK ONE) //�� / 1 I,OWL( `getoutliatA. MO. DAY YEAR
6TH TUESDAY 1. COmrvL.IS51aI..e.r P L.-01PQ( AI1,Ql� o VLSkl,� AtiRA T4 Il 05 2.01q
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR - -
2ND FRIDAY 2. DATES OF �(
PRE-PRIMARY REPORTING �� W 7 r1 iq TO I0 21 ni 9
PERIOD !, 1 !'�
3. C) Al
30 DAY C c=
z;
POST-PRIMARY
CASH BALANCE AT ENDtxt
6TH TUESDAY m
4. OF REPORTING PERIOD: $ -I
PRE-ELECTION � . , 1�
TOTAL AMOUNT OF FILER'S
2ND FRIDAY 5. OUTSTANDING DEBTS OR LIABILITIES r,/ ooI� p '-V
PRE-ELECTION ✓ AT THE END OF REPORTING PERIOD: $ "T/f V
Q
30 DAY �+
POST-ELECTION AMENDMENTRETYES NO ,{ P
7.
Y �G
ANNUAL TERMINATION /
REPORT REPORT? YES NO v
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(S250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,T UE,C RECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS —
5 •AY ,F OC., �1 t , 2012 SIGNATURE OF PERSON SUBM r� REPORT
*I: _40 .1// /Aor"ss / 77
SIGNATURE //PRINTED NAME
MY COMMISSION EXPIRES F - 7 `7 t �' 17)
(O�Z -�� �
MO. DAY Coq}tnonwealth Of Pennsylv8Ria4 Seal DAYTIME TELEPHONE NUMBER
Alexandra M.Vaccaro, tary Public
York County
PART II - Mycomrnission $ ul 1,z0
If statement is filed on behalf of a Candidate's AuQftatr; {�, �liat must sign here.
Member,PennsYJyaniaAssecietipwo ~ab
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 2U
•
PRINTED NAME
SIGNATURE
MY COMMISSION EXPIRES AREA CODE DAYTIME TELEPHONE NUMBER
MO. DAY YR.
Department of State • Bureau of Commissions,Elections and Legislation
DSEI3-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280