HomeMy WebLinkAboutColeman, Rebecca - 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 REPOED
NUMBER ON BEHALFRTFILOF 110, CANDIDATE I. COMMRTEE; 2. 'LOBBYIST 3
NAME OF FILOMMITTEE,CANDIDATE OR LOBBYIST
Jzdth'& �'oLMai
STREET ADDRESS
ittC rieth I Dr.
CITY STATE
C 21P CODE
.(1441.1/4P4. 11 °'13 —
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE)
C�GUh� I MO. ... DAY YEAR
6TH TUESDAY' 1. 11 5— 2415
PRE-PRIMARY ` FOR OFFICE USE,ONLY
... -
MO. .DAY. YEAR.`. ..MO. .. .DAY ::YEAR:.
2ND FRIDAY DATES OF
PRE-PRIMARY PERIOD _` �/REPORTING (# Q I I ' TO 10
/) 21
ri c-) fy
30DAY 3. C Q
,.a
POST-PRIMARY.:
CASH BALANCE AT END Im
6TH TUESDAY 4. OF REPORTING PERIOD: $--Ai_ 33 '''
PRE-ELECTION :
TOTAL AMOUNT OF FILER'S
OUTSTANDING DEBTS OR LIABILITIES0 tri
2ND FRIDAY Ti
PRE-ELECTION V AT THE END OF REPORTING PERIOD: $ C) =
8. C O
SO DAY, =
POST-ELECTION REPORT?AMENDMENT YES NO ` / -< PO
7. lir
ANNUAL TERMINATION. YES NO
REPORT REPORT?
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 O' - V. - EMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00 ND '. - -..RT IS,TO THE BEST OF MY WLEDGE AND BEU ,TRUE,CORRECT AND COMPLETE.
if
M ..,
SWORN TO AND SUBSCRIBED BEFORE ME y fCs,t'p%pM
/9./i. OV - yCcn v0, R/S ntN:a
DAY OF L �Omn? °�a yp p� GN/�/l/_UUREE DOFF PPEt.RS/O/N SS MIT//TIINNG REPORT
����%%I `m�0'pan
�I
L.� ttA
6Q76 j�I3 PRINTED NAM
MY COMMISSION EXPIRE An.SI NATURE l / , aba 3 6 ( lI 51 -36°33
MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
PART II-
If statement is filed on behalf of a Candidate's Authorized 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.
DSEB-503(12-99)