HomeMy WebLinkAboutScott, Timothy - 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 0, REPORT FILED illo I X
ON BEHALF OF CANDIDATE COMMITTEE •
NUMBER LOBBYIST -..
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
S +I
STREET ADDRESS
V C-_ OCAV\0vaZ s-"-2. ✓Ac,- 36 `�
CITY STATE ZIP CODE
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) MO. I DAY YEAR
AA. i 410
OTB TUESDAY .
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. - .DAY YEAR
2. DATES OF
PND FRIDAY REPORTING To 1 �i 1
PRE-PRIMARY - PERIOD01 1C1 ` l
30 DAY 3' W
00
POST-PRIMARY Fri L-
CASH BALANCE AT END M "
6TH TUESDAY, 4. OF REPORTING PERIOD:
r—
PREELECTION al
TOTAL AMOUNT OF FILER'S p
2ND FRIDAY OUTSTANDING DEBTS OR LIABILITIES /75 n
PRE-ELECTION : AT THE END OF REPORTING PERIOD: $ `��'' Q
C:
W
30 DAY, AMENDMENT-
POST-ELECTION REPORT'! YES NO -4 CO
7.
ANNUAL / TERMINATION YES NO
REPORT. IXC REPORT? �j
• AFFIDAVIT SECTION a m
N
PARTI- 0 g G m
aNt= 01 If statement is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here. v v z
If statement is filed on behalf of a Candidate,the Candidate must sign here. z a t co
If statement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here. . 63 a$N °
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPOR G PERIOD INDICATED ABOVE DID NOT $Z U O15 H
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BEL':: RUE;COD'- •■ A'1 rn m
COMPLETE. c N G N 7 --
SWORN TO AND SUBSCRIBED BEFORE ME THIS �, % e N E O E
�1Q a � nCii xc `0
D Y OF �] 6 ,J 4L 200 GNATUR • AN SUBMITTING REPORT OAC E 0'in
al S
1-0
•���i�� 7 `J11° - r G Q a
'SIGNATURE `AME
SIGNATURE p C E U O
MY COMMISSION EXPIRES /U .71-/ load l'i 0L(Q Com' 03 E a E
MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER U
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 POUTICAL COMMFTTEE 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
DSE6-503(12-99) 210 North Office Building • Harrisburg,PA 17120.0029 • (717)787-5280
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