HomeMy WebLinkAboutEbert, M L Skip - 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 por, REPORT FILED 0. CANDIDATE I� COMMITTEE I LOBBYIST 3.
NUMBER ON BEHALF OF
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
M . L . 5 k t P E.01Z3)
STREET ADDRESS
188 U. 1. 1 s ev K hi RD
CITY STATE �� ZIP COOS
CARLIsi, i 701.- -
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE�� ^y DISTRICT NO. PARTY DATE OF ELECTION
CHECK ONE) 01•S 1 .Ic i ke7)0�i�r y REP Y
1. II D '201q
6TH TUESDAY
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. I DAY YEAR
2ND FRIDAY 2. DATES OF
PRE-PRIMARY PERIOREPORTING 'O 7.1
1 19 F
TO 1 1 25. I e
30 DAY 3. ( l 1
POST-PRIMARY.
CASH BALANCE AT END
0
6TH TUESDAY 4. OF REPORTING PERIOD: $ O
PRE-ELECTION -, •'C
TOTAL AMOUNT OF FILER'S „r'�"..,„ t\7
5. OUTSTANDING DEBTS OR LIABILITIES
0 ...,...,
--,.. UI
2ND'FRIDAYAT THE END OF REPORTING PERIOD: $
PRE-ELECTION . "7;7
c) =
8.
30 DY 0
POST-ELECTION REPORT?AMENDMENT YES NO 1,// V
7. —4 C37
ANNUAL TERMINATION YES NO "'C .....1
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 DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD DICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF TRUE,CO RECT AND COMPLETE.
SWORN AND SUBSC-IBED BEFORE , E THIS14(S'
INS
DO OF A -•/ 2Q_4 SIGNATUREPERSON SUBM I REPORT
-�" P' 1rX
PRINTED NAME
Commonwealth of Pennsylvania-Notary Seal IGNATURE
Tami L. ,n NRq+1Es / 1 1? 1.4 s 4 4 1 4
MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
Cumberland County
My cunmission expires November 20,2022
Ctemifsipn number 1338266
If statement is Pied on benalf 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.
S
20 ORtj�Q AND SUBSCRIBED BEFORE ME THIS
I Q SIGNATURE OF CANDIDATE
• L.I�,
-/ %V j PRINTED NAME
SIGNAT ^
UR //�
MY COMMISSION EXPIRES /1
/(J�O /C9.13--- AREA CODE DAYTIME TELEPHONE NUMBER
MO. DAY . YR.
C,r,tiarooc�Il11 of Pelmsylvama-Notary Seal ,
Tami L.Stum,Notary Public ►apartment of State • Bureau of Commissions,Elections and Legislation
cttqyrland County 21 I North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280
I, c n on Spires November 20,2022
L Comzxussi:on Number 1338266