HomeMy WebLinkAboutEbert, M L Skip - 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.
RLER meunncecnair1.1, REPORT FILED 0 I i.,
NUMBER ON BEHALF OF ) )
CANDIDATE " COMMITTEE 7 LOBBYIST
I
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
STREET ADDRESS
tees 4i L; ,-4. RI
CITY STATE ZIP CODE
Coh-p-I;"0 Ar.., PA/ /70/5 -
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY ;':,""' 'DATE OF'ELECTION
(CHECK ONE) MO. DAY YEAR'
OS. 22 / 7
6TH TUESDAY
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
2. DATES OF
2ND.FRIDAY
PREPRIMARY REPORTING 1 z 6 7.,Go TO tr., 7/ IA)7
PERIOD
C)
3C=
30 DAY. C
"
POST-PRIMARY " c=t
CASH BALANCE AT ENDco L.
6TH TUESDAY
4. OF REPORTING PERIOD: $ 1 rri
-..
PRE-ELECTION r- iv
,
TOTAL AMOUNT OF FILERS --,.
5. .
2ND FRIDAY OUTSTANDING DEBTS OR LIABILITIES
CZ)
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ 0 -t„,
5. CD
30 DAY C.: IS;
AMENDMENT
POST-ELECTION YES NO ,x :7
REPORT? 1•3
f
T, ..< ‘..0
ANNUAL
REPORT ,e REPORT? YES NO y
AFFIDAVIT SECTION ' ' 1 I'
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 INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS(S250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF. RUE.CORRECT AN COMPLETE
SWORN TO AND SUBSCRIBED BEFORE ME TM*
4/ i AY OF 4 aa r 20 Ze) SIGNATURE OF P SON SUBMITTING REPOR
iiilfirrem
. • -lir 41-"Tiwtalth of Pennsylvania-Notary Seal IA L 51CiP 5.5Err
PRINTED NANIE
SIG ATurami L.Stutn,Notary Public
MY COMMISSION EXPIRES Cumberland County 47 1110 ' (92.0
M'commissffiNxpires140ember 20,2022
A CODE DAYTIME TELEPHONE NUMBER
CUIDluis5i011 number 1338266
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 BELIEF THIS POLITICAL COMMD1EE HAS NOT VIOLATED ANY PROVISIONS OF THE ACT CF
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
LISEB-503(i2-99) 210 North Office Building • Harrisburg,PA 17120-0029 0 (717)787-5280
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