HomeMy WebLinkAboutPacker, Alissa - 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.
F ERB IDENTIFICATION10,
REPORT F{LE6 IIII CANDIDATE COMMITTEE J. LOBBYIST 3'
N MBER
- ON BEHALF OF
I .. ME OF FILING C MMITTEE,CANDIDATE OR BBYIST
'BEET ADD SS izek
ZIP P CODE
M �'''�!) this p, j' ,/ —
a 7 - TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
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(CHECK ONE) 6410_
��_�J ���I C(^a �, /_ P MO. DAY . YEAR.
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_ ,. ��/� a�(� s VNq
NO TUESDAY
PRE-PRIMARY FOR OFFICE USE-ONLY I
MO. DAY YEAR MO.- DAY YEAR .., ..
2ND FRIDAY
2. DATES OF
PRE-PRIMARY. .. PERIOD NG /6 ?.„2. /el TO B a.r 1 q c> Q
30 DAY .. .. 3' »
1 POST-PRIMARY at
CASH BALANCE AT END :;J rrl
n
a. 6TH TUESDAY` 4 OF REPORTING PERIOD: $ I..... 1
PRE-ELECTION. X--
w TOTAL AMOUNT OF FILER'S
OUTSTANDING DEBTS OR LIABILITIES
2ND:1 RIpAY "O
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ a MC
B AMENDMENT
IV
Et 30 DAY .ti
0 0 POST-ELECTION REPORT? YES NO ^ 4
T.
ANNUAL TERMINATION
YES ` NO
/8 REPORT REPORT? if
81 AFFIDAVIT SECTION r'
LU- 1- PART I-
2 Co 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.
CC If statement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here.
LI. I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
LUUL^L EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND:COMPLETE.
tJ
SWORN TO AND SUBS•' =ED BEF•-E ME THIS
(4&__- /4Za-ali----- 4/ek...--
OL. • OF i erilyA6S 20 / SIGNATURE OF PERSON SUBM ING RE ORT
immori
U) O �_/I cn P NAME t, /
�A!� .- c1
y MY CO•MISSION EXPIRES _ O
N v o. . Y '' YR. AREA CODE DAYTIME TELEPHONE NUMBER
PARTII-
If statement is filed on behalf of a Candidate's Authorized Committee,Candidate must sign here.
i 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.
a
SWORN TO AND SUBSCRIBED BEFORE ME THIS
Gar
O SIGNATURE OF CANDIDATE
r" DAY OF 20_
PRINTED NAME
Q SIGNATURE
MY COMMISSION EXPIRES AREA CODE DAYTIME TELEPHONE NUMBER
1 i MO. DAY YR.
8 8
Department of State • Bureau of Commissions,Elections and Legislation
[)5F'13-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280
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