HomeMy WebLinkAboutScott, Fred - 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
NUMBER FtLED
' :CANDIDATE I. COMMITTEE. 2• 'LOBBYIST- 3ON BEHALF OF ,
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
STREET� ADDRESS
6 4'y ARAI D S /iRgl i-'
CITY STATE
ZIP CODE
S/71/Afo/'/JS Bei,,2 6 P4 / 7.2 g _
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) MO. DAY YEAR
c//DO L. /3oci .2Q bC/I1 - // 9S 0/0/9
6TH TUESDAY'
PRE-PRIMARY: FOR OFFICE USE ONLY
... :MO. ..DAY: YEAR '..MO. ...DAY :,>YEAR..
ND FRIDAY
. DATES OF
2PRE-PRSIA 4RY 2 REPORTING TO C)
PERIOD D a). /(� / J /q
30 DAY 3. E'er
rn cD C_
POST-PRIMARY ,.c
CASH BALANCE AT END 0 I--
6m:TUESDAY?`;:::
a. OF REPORTING PERIOD: $ Z CV
PREELECTION . C3
TOTAL AMOUNT OF FILER'SC'a
OUTSTANDING DEBTS OR LIABILITIES
2ND FRIDAY 1/�
PRE-ELECTION,. AT THE END OF REPORTING PERIOD: $ [ =
6. .^,-1 GAS
30 DAYAMENDMENT
POST,ELECTION REPORTZ NO �[
/�
ANNUAL TERMINATION YES ` NO
REPORT : REPORT? /Y` ,
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 Candid - the Candidate must sign here.
If statement is filed on behalf of a Contr.',Ligna •bbyist,the Lobbyist must sign here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEI• S OR DIS' ..-, . -OR LIABIUTIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($2 ,.O0) D THIS .'�' ..I , •THE BEST OF MY KNOWLEDGE AND BEUEF,ETUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME 'Co 0!/`�b0,,,'-ayfPo,�� A, ,/ >���0- _
all/11A •DAY OF /1lv Y e �'ss.2 ZC -6*O�a /) /SIIGN'AT/U]RE OF PERSON SUBMITTING REPORTA"
Ll t t� �6'J✓d / 4, SIGNATURE
,0 A . co 9--r s/�-
���V��� �Qr NP 7
—j SIGORE rZ6�06610I� PRINTED NAME
MY COMMISSION EXPIRES %,..J6.1 yI /I/ ,=g003 i t7 sj a - y'S/y
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)
a