HomeMy WebLinkAboutRothman, Greg - 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 IDENTIRCATIDN 110, REPORT FILED .'l T .- 1 '
CANDIDATE ON BEITALE OF ' NDIDATE ,tom COMMITTEE TLOBBl7,57
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
G ti. A.:4 ,
STREET ADDRESS •
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. 0.1"MrPti 1.021r . Ye/.
CITY STATE ZIP CODE
44641. 5 LA/ 7,4 /7GSD --
TYPE OF REPORT NAME OF OFFICE SOUGHT DYGANDIDATE DISTRICT NO. PARTY �,►, , M..DATE'OF ELECT•ION ';•
4.
(CHECK ONE)' - g.��Y��4Ff T^�� ��5+'NL.�/ 87 P )I'` ��. Os p/ 9
"`€41-UESbnY • 61,97•i.
PRE-PRIMARY • .I FOR OFFICE'USE ONLY
I ,MO. .OAY .YEAR MO. - DAY , YEAR
'-2ND:FRIDA`/, 2. DATES OF - n Ca
PR¢4?RBAARY ' REPORTING L TO s. 7 ` 11 q.
• PERIOD o oc yo/7 ' l 1 !�]
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30.DAY. ' 3• . _ _ CO C—
•POST-PRIMARY. ' 1'f1 r'•
CASH BALANCE AT END Xi __
6TH;TUES6,Y: °' , OF REPORTING PERIOD: $ W
• PRt=Ei ECT10N . Z
TOTAL AMOUNT OF FILER'S p
• 52NDFRIDAY. : OUTSTANDING DEBTS OR LIABILITIES 1
((/ C)
.,:':eRE=ELEC'iION , AT THE END OF REPORTING PERIOD: $ /// ��
B C
$Q DAY•.is- r - mor,AMENDMENT REPORT? YES • NO ,/�/
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.. •{ C.,
•
• ANNUAL - . ' TERMINATION •
REPORT' .REPORTS YES NO k 1
X . 1
AFFIDAVIT SECTION '
PART I-
If statemenfis 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 THEREPORTINGPERIOD INDICATED ABOVE 010 NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)ALIO THIS REPORT IS,TO THE BEST OF LIT MSL' E TRUE.CORRECT AND'COMPLETE.
SWORN TO AND OUDSCRIBEDIBEFORE ME THIS
t 1IV/Av11 •
`1
,
///
!Y -DAY OF �4 w<L ot.r V 20'LO -SIGNA REIOF PERSQN SUBMITTING REPORT
9s' �f'J , . 12-No i ,, t
!� . -14°‘811.tPRINTED NAME
' GNATURE 101.; IOU"
_�,,,LQB1
MY COMMISSION EXPIRES •'....TTn>TL : - 5[' •
.. 000•. ''' oa I• 0006, • • ODE, DAYTIME TELEPHONE NUMBER
mygaion ell gS"1292431 2g24 1
PART II- I t1►y COm bel
melon num
If statement is filed on behalf of Canakg'"- ' . orized Committee,Candidate must:sign here.
I SWEAR(OR AFFIRM)THAT TO THE BEST OF L.'Y KNO IRED E AND BELIEF THIS POLITICAL COMM('IEE HAS NOT VIOLATED ANY PROVISIONS OF THE AGT OF
JUNE 3,1937(RL.1333,No.320)AS AMENDED.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
SIGNATURE OF CANDIDATE
DAY OF 20
PRINTED NAME
• SIGNATURE
•
MY COMMISSION EXPIRES AREA CODE DAYTIME TELEPHONE NUMBER
MO. DAY YR.
• Department of State • Bureau of Commissions,Elections and Legislation
O$EB-5O3(12-99) . 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280