HomeMy WebLinkAboutCamp Hill Democrats - 2019 30-Day Post Election Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be clear and legible.It should be typed)
Filer Identification Report Filed By Candidate Committee
Number (Mark X) !ll��,
Name of Filing Committee,Candidate or �/ /
Lobbyist e Q/:1, b7 5 ein a e/^a is
Street Address `J�5 ack( /Cv 6
City C fm P /i/// 7 J-State �� (� Zip Code / 70//
Type of Report(Place x under report type)
1-6"'Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday 5-2nd Friday 6-30 Day Post 7-Annual Special 2' Friday Special 30 Day
Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election
Date Of Election Year Amendment Termination
(MM/DD/YYYY) 41/20? 20/9 1 Report Report
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
ie'/a1/ao/7 //l R SAW if
A.Amount Brought Forward From Last Report $
/
a / e
49
8.Total Monetary Contributions and Receipts $ / C) ins
(From Schedule I) Q
C.Total Funds Available $ / GCt3 1=1
(Sum of Lines A and 8) la 9/, 6 / m m
D.Total Expenditures $ r—
(From
(From Schedule Ill) )" (11
E.Ending Cash Balance $ C7
(Subtract Line D from Line C) /d9/, 4 9Q a
F.Value of In-Kind Contributions Received $
(From Schedule II) 0 C
159
G.Unpaid Debts and Obligations $ -<
(From Schedule IV) 0
Affidavit Section
Part 1-If this is a Committee report,treasurer sign here.Ifis is a candidata r port,candidate sign here. I
I swear(or affirm)that this report,including the attached s$l>�dules on paper, to the best of my knowledge and belief true,correct and complete.
Sworn to and subscribed before me this rules
�j� /� ^
gis da of ,� 20_ 1' a l $ ® l/(/ '&11- ii/� ^(r/T) .7--" (-/Z,
Signature of Person Submi in report
644-2 Signature
\;- .-A.y�D,�
,,Signature * :�I Printed Name
My Commission expires OZ f 7/ 7 a/d — 9 Yo 9
MO. DAY YR. ® 333 Area Code Daytime Telephone Number
s lip
Part II-If this is a report of a Candidate's Authorized Com Ita i a I sign here.
I swear(or affirm)that to the best of my knowledge and b Ifigpolit I mittee has not violated any provisions of the Act of lune 3,1937(P.L.1333,NO.320)as
amended. I g
Sworn to and subscribed before me this I .
day of 20 '
Signature of Candidate
Signature Printed Name
My Commission expires
MO. DAY YR. Area Code Daytime Telephone Number