HomeMy WebLinkAboutEbert, Skip - 2020 6th Tuesday Pre-Primary 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 , REPORT FILED 01,
CANDIDATE 1.X COMMITTEE T LOBBYIST 7.
NUMBER ON BEHALF OF
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
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STREET ADDRESS or
/68S 4J Li4crn R./
CITY STATE ZIP CODE
Ce-r./;,.././.. /.4 /70/-S —
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) ,pI /v, Akio
[ orn� Z i 2.yi`U MO.SDAY YEAR '
. C TT y / G 7 ?..a Zb s-C
•'BTH,TUESDAY
PRE-PRIMARY 1/ FOR OFFICE USE ONLY
•\ MO. DAY YEAR MO. DAY YEAR
2ND.FRIDAY 2. DATES OF
PRE-PRIMARY REPORTING /� TO
• PERIOD G 1 G I -1,Q7.0 (7) 0 Zvi' C7 T%.J
30 DAY 3. '
POST-PRIMARY co O.
CASH BALANCE AT END L.
4. OF REPORTING PERIOD: $ r' 3:4c=)
8TH.TUESDAY-
PRE-ELECTION
TOTAL AMOUNT OF FILER'S
2ND FRIDAY : OUTSTANDING DEBTS OR LIABILITIES
..:'PR£=ELECnori AT THE END OF REPORTING PERIOD: _ C) �
6. 033O DAY
AMENDMENT
POST-ELECTION YES NO �!
REPORT? /� ..._
7. -< Com)
ANNUAL TERMINATION
REPORT REPORT? . YES )j NO
AFFIDAVIT SECTION
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(5250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TR ,CO ECT AND OMPLETE.
SWO- TO AND SUB RIBED BEFORE ME THIS
I ; DAY OFA �.,L� a 20 X SIGNATURE OF PERSO SUBMITTING REPOR
'O"I L7f% , Kt. s io P OK r
`I ,,II At wealth of Pennsylvania-Nola'y Seal PRINTED NAME
MY COMMISSION EXPIRES Tami L.Stum,Notary Public 71'7
Mo. Cumlasaiand t.eflfLy AREA CODE N
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11 I' 2OZ2 DAYTIME TELEPHONE NUMBER
My eomlflissioa es I'
PART II- Commission number 1338266
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
.TUNE 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
U5L'[3-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280