HomeMy WebLinkAboutColeman, Rebecca - 2019 30-Day Post 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 S FILED CANDIDATE 2. 3.
NUMBER ON BEHALF OF ' �.COMMITTEE.: .OBBYIST
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST ttt
1dstatt Golautt r1
STREET ADDRESS
t(S 1641( Dr
CITY
STATE Pot ZIP CODE/0
0(3
14114 6)(1t1
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) .°X. ,. MO. DAY jYEpAR
6m TUESDAY < CAV14 I 1% S f
FOR OFFICE USE ONLY
. :..' :MO. •DAY . YEAR`°.
OF
2ND FRIDAY....'. 2 PRET ES NG 1 o wtiZ II T ii 25 11
PAE�PRMBA�iiRY:z; ::; i
3Onay •: `: 3.
POST-PWMARY. :'' r
CASH BALANCE AT END C _
STM TUAy .;, 4. OF REPORTING PERIOD: $
PRE-ELECTION : rn
TOTAL AMOUNT OF FILER'S 77 t
OUTSTANDING DEBTS OR LIABILITIES T""
2ND FRIDAY ''..,:
PRE•ELECTtON:'•:t AT THE END OF REPORTING PERIOD: $ = ••�
lD
30 DAY: s tl ' Q =
PST-ELECTION. V AMENDMENT': NO I
REPORT? C CP
TERMINATION.; ..4 N
REPORT REPORT? YES NO "< `•.A
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 0- •ISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00) ttB REPORT IS,TO THE BEST OFJ�If•1 OWLEDGE AND'B L F,TRUE,CORRECT AND COMPLETE.
�'nc
SWORN TO AND SUBSCRIBED BEFORE ME Th .
04N of
//'I DAY OF /t/o v' , ' M c,,,o7 C RR .1-4,,,,,,,
i d,,ia. . NAT RE OF PERSON SUBMITTING REPORT
h, 4 Not.,
o tj� /�
�j� �I, Cn�hsi' 4. C°�n Pc;N r ry�a/ L - CA W m a
-� 1 ' p 1#f �/ H`o'b`,IGNATuRE
,; 4 /� PRINTED NAME
MY COMMISSION EXPIRES SJa•&` / ! / AO i7�66 01J i ri 5/e( -3b33
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 BEUEF 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) '