HomeMy WebLinkAboutCapozzi, Shelly - 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.
FILERNUMBER IDENTIFICATION 10, K 3 3 3 9 73 9y REPORT FILED
CANDIDATE I. 2. 1ON BEHALF OF COMMITTEE:. LOBBYIST'.
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
.� -° C S1-)-e 1 fy t. (2po2Z,t
STREET ADDRESS
/(PSS /1 R,-'
CITDE
Y�j� ( p �/�� CO
�JK/�( i i IC 1'C 1 A 11-0 1 S STATE PA [not J--- —
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) 1 Tj..i S kJ'IJ MO. DAY YEAR-
//6TH TUESDAYKZ
D r Tia/ 7
PRE-PRIMARY, FOR OFFICE USE ONLY
. ., :
MO. ,.DAY-:
:. 2. . YEARr-�. .;NO.
2ND'FRIDAY DATES OF /
PRE-PRIMARY';":<: PERKIDTING /o 2.Ls, ez1 1 TO l 13 '
30 DAY 3.
POSTPRIMARY3
CASH BALANCE AT ENDC7
6Tr+.ruF SAY; ::.
:4. OF REPORTING PERIOD: $ 11 47. ==„
ra
PRE-ELECTION 11:73 CM
TOTAL AMOUNT OF FILER'S rn m m
s' OUTSTANDING DEBTS OR LIABILITIESCI
2ND FRIDAY AT THE END OF REPORTING PERIOD: $ `fly. I
PRE-ELECTION = N
CD
3O T-E E s / AMENDMENT' C) MC
POST-ELECTION V REPORT? YES NO 1
v c w
ANNUAL TERMINATION.: YES NO = N.)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 OR DI-.11.11'.. NTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AN. I'• -2. IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF„TRUE,CORRECT AND COMPLETE.
'ki165SWORN TO AND SUBSCRIBED BEFORE ME THIS 46, C.N0°r4,0
and ' a -e-r �C�4�Cr4 S, SY
DAY OF Q o, s D aco�"?, SIGNATUREF PERSON UB ITTING REPORT
0,74,4
BIG TORE -- �Z�6 72�5 PRINTED SME
MY COMMISSION EXPIRES �+- L /'/ o�oa3 ('-) / 9 - ? Z-6Co
MO. DAY YR. REA 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) '