HomeMy WebLinkAboutPacker, Alissa - 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 - -
lo
NUMBER OH REPORT9EHALF OF FILED I. t. -' 3.
CANDIDATE COMMITTEE'. .LOBBYIST
NAME OF FILING COMA;,CANDIDATE OR LOBBYIST
tri/ssu Pa-e ,/
STREET ADDRESS.
SQ f OKI 'l )-tY7 Kol L
CITY ^a 47 1/ STATE ZIP COOE I -r.
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) t41,14 64'
u_ `64'/ , MO. 'DAY y4-i ''
BOTH TUESDAY
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR - -- ----- -
• '2ND .• 2' DATES OF
:PRE PRIMARY PERIOD NG / I 021° Ig To /- J J/ 161
.30 DAY 3. _
•POST-PRIMARY. .- .,.
�',` CASH BALANCE AT END �'
4. OF REPORTING PERIOD: $
al c-
614i,,TU£SOAY'. ' - M
r PRE ELECTION
TOTAL AMOUNT OF FILER'SCAS
2N - L s. OUTSTANDING DEBTS OR LIABILITIES p
AT THE END OF REPORTING PERIOD: $ C7
PRE-EL•£CTIONI 376.
8. p
.30 DAYAMENDMENT C
POST.-ELECYION : YES NO
• REPORT? (.J'
• 7. N
ANNUAL ✓ -TERMINATION NO
• REPORT' -. .REPORT? v
AFFIDAVIT SECTION"
PART I-
If statement is filed on behalf of a Political Committee or Candidates's Committee,the 1" ` t i .la�CPI' 'y Notary Seal
nt a PubiiC
If statement is filed on behalf of a Candidate,the Candidate must sign here. York County
If statement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here. My commissionr�� expires�rn%�� iriJuly 18,2022
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR UABIUTIES INCURRED DURING THE REPORTtIGPERI� ARR5ic,"1 i[3
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY K WLEDGE AND BELIEF,
t�IdtI B Ybritf�i R91@tion of Notaries
SWORN TO AND SUBSCRIBED BEFORE ME THIS
ff LOUQ
DAY OF�1anYV1 20 SIGNATURE OF PERS N SUBMITTING REPORT
r• �. r . / 4 i.4E.I // PRINTED NAME
�r/r— - - IG'TURE
MY COMMISSION EX-� i
h . Oaa. S-iv _ s61 -o/0 5
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 BELIEF 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. - -
•
Department of State • Bureau of Commissions,Elections and Legislation
DSEII-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280
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