HomeMy WebLinkAboutThomas, John - 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 110. REPORT FILED I. 2. -J.
NUMBER ON BEHALF OF111
CANDIDATE ✓ COMMRTEE'. LOBBYIST
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
-✓'c AA/ V. ?No.LP.&c
STREET ADDRESS
�1a7 / 9eJAE,E-..1).4.
CITY STATE ZIP CODE
/►-1Ec HA,V/C.-5.8 e/AI a. itld / 70_3"0 -
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) MO. DAY' YEAR
6TH TUESDAY ii. 7 vVJ///P Ce. At' $J ,✓.e--.Q /Snio 1/ 0.1" . 9
.0/
PRE-PRIMARY FOR OFFICE USE ONLY 7
MO. DAY YEAR MO. DAY YEAR
2. DATES OF
2ND FRIDAY REPORTING TO
PRE-PRIMARY PERIOD J, / 1 .2.0/9' // 4:2..r0/930 DAY S' C p
POST-PRIMARY
CASH BALANCE AT END co
6TH nit=sbnY. 4. OF REPORTING PERIOD: $ - Q -. rr7 ru
XI (--)
PRE-ELECTION
TOTAL AMOUNT OF FILER'S t
5 OUTSTANDING DEBTS OR LIABILITIES = F'
2ND FRIDAY
PRE-ELECTILECT1ON AT THE END OF REPORTING PERIOD: $
I) 3
6./ a
—
30 DAY AMENDMENT c ''
POST-ELECTION REPORTS NO ✓ 4"
7. "'C
ANNUAL TERMINATION YES NO
REPORT REPORT? 17
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,n t sign here.
If statement is filed on behalf of a Contributing LoblOist gtm 4 byist must sign here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR OISBURSEMV/TS l ictA 'i s INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPT ISZTfgThif BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS W Z m a-
l.!
qqb 1 /� ( ayi SiGNA URE PERSON SUBMITTING REPORT
DA OF TORE 2
F' II aci o.c ¢ PRINTED NAME
IGNATURE Q Q ie 3 0
till C I.. y
MY COMMISSION XPIRES ,'"q 2024 k it v) Z 7/ 7 , /..)" 7�
MO. DAY YR. Q a E w AREA CODE DAYTIME TELEPHONE NUMBER
Z. 5 C o a. -
co co w
PARTII- O Yi>,12
If statement is filed on behalf of a Candidate's Aut W ittee,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 ,
ff SIGNATURE OF CANDIDATE
DAY OF 20
PRINTED NAME
SIGNATURE
MY COMMISSION EXPIRES AREA CODE DAYTIME TELEPHONE NUMBER
MO. DAY YR.
Department of State • Bureau of Commissions,Elections and Legislation
DSEB-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280