HomeMy WebLinkAboutCamp Hill Republican Committee - 2019 Annual Report 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 :CANDIDATE 1 y 110, ON RENRT OF ' • COMMITTEE; 'LOBBYIST
NUMBER 3•
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
C 9en,o H/a Z. �i EPu,e5ac,4-N aom'i7TEC
STREET ADDRESS
/0 s- /4 tN S neEg r-
CITY STATE
ZIP CODE
C9/rite ye l 4 6019 /70/1 --
TYPE OF REPORT NAME OF OFRCE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) MO. DAY. YEAR:
6TH TUESDAY
PRE-PRIMARY, `' FOR OFFICE USE ONLY
:MO. ,.DAY'.... YEAR :NO. ., ..DAY ' YEAR .. ...
2ND FRIDAY 2. DATES OF Cj C) N
NG TO
PRE-PRIMARY' PERIOD / / I I ,2, 3/ /I
C
30 DAY 3. CO L.
POST-PRIMARY 2
rn
CASH BALANCE AT END 97 /7 CO
6TH TUESDAY ?,.: 4. OF REPORTING PERIOD: 7 --.,.
PRE-ELECTION . I,
TOTAL AMOUNT OF FILER'S -02ND FRIDAY s. OUTSTANDING DEBTS OR LIABILITIES p Q
PRE.ELECTION AT THE END OF REPORTING PERIOD: $ �1 0(d• / C Cei
---11O
30 DAY. —� X"'"
POST-ELECTION, AMENDMENT YES NO
REPORT?. .:.
7.
ANNUAL , / TERMINATION. YES NO
REPORT V REPORT?
AFFIDAVIT SECTION
PART I-
If statement is filed on behalf of a Political Committee or Candida•- ommittee,the Treasurer must sign here.
If statement is filed on behalf of a Candidate,the Candidate m . gn h
If statement is filed on behalf of a Contributing Lobbyist,the •b.'1st must s n here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR U :ILl 1E ICURI p • ING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,T.The VS7 F4i%')01• 'GE AND BEUEF,TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS 2C •? .4
A n oQ p*\a / I% i- ��-.
` DAY OF JC)Y 'J �(t_ 21.E/i�c �, e, k'N .a� SIGNATURE OF PERSON SUBMITTING REPORT 11 �'0 3 �c•O o�
:/ 3 JS 0 '-,t,'"
4-`` / r . /3 20-6.)
. c .y, PRINTED NAME
SIGNATURE F `.
MY COMMISSION EXPIRES 0 ' .�." ' ! 17 5-- 7 r.26
MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
a\
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)