HomeMy WebLinkAboutFish, David - 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 1110, REPORT FILED I/11' CANDIDATE !Y/ COMMITTEE 2. LOBBYIST 3.
NUMBER ON BEHALF OF _
NAME OF FILING COMMITTEE,CANDIDATEIJ
OR LOB YIST C
✓ kV f,
STREET ADDRESS
tor L44,tj 1100 5-7-- bv.
CRY CODE
GA m 1 , I, L STATE ^ ZIP 1 7 O
/f} elT /
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) 140,4.0A 4 ik, 1 vL(t `vim M 15 C`a,,- e,,viacreiy MO_ DAY YEAR?
6TH TUESDAY - _- _ _
PRE-PRIMARY FOR OFFICE USE ONLY
MO. I DAY YEAR MO. DAY YEAR - -
2ND FRIDAY 2. DATES OF
PRE-PRIMARY 3 PERIOD � TO i' aV NG (� � ` ^„jll C)
30 DAY �
POST-PRIMARY CO C7
CASH BALANCE AT END
6TH TUESDAY 4. OF REPORTING PERIOD: $ 7Z CI
PRE-ELECTION
TOTAL AMOUNT OF FILER'S =
2ND FRIDAY 5. OUTSTANDING DEBTS OR LIABILITIES0
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ C) 3C
s. 0 N
30 DAY.. - - --
AMENDMENT ` ' ';
POST-ELECTIONREPORT? YES NO 'X` -
7 °°° ��/ "C ....I
ANNUAL TERMINATION YES NO y
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 Contributi • obbyist,the Lobbyist must sign here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS Cr' .ISS S OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00) ND THIS Jew TO THE BE: • .1 KNOWLEDGE,lGAN. 'ELIEF,TRUE,CORRECT AND COMPLETE.
SrAND SU SCRIBED BEFORE ME TH My Co Co_ gR,''ory��
//J� Co 4744"1/20,- N ani�� foJa aDAY OF ��� � dCo `3 p No(' SIGNATU; F PERSON SUBMITTING REPORT
�, a
n
J2 J4
' SIGN�A�SURE 1r X06�DIj PRINTED NAME
MY COMMISSION EXPIRES LL/ J'l ` ao a3 I 73-7— ‘3s
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.
Department of State • Bureau of Commissions,Elections and Legislation
OSEB-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280