HomeMy WebLinkAboutCrossley, Janelle Kayla - 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
NUMER k c72-0c2-0 C 0.- F? 6P
REoirr FILED k
ON BEHALF OF r XI
cogoirmat con TEE
LOBBYIST '
MAME1.114••• ,,C TE OR LOIRDYIFT
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STREET ADDRESS
0
CITY STATE \dr) ZIP CODE
Metuoi'll , /702 i -
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECX ONE) MO. DAY YEAR
Gm TUESDAY 1. Sm-z- Repre 'i- e.seioilTi-i /9'9' DEM2
.
/-
PRE-PRIMARY - FOR OFFICE USE ONLY
MO. DAY Ems tgo. 1 DAV I YEAR ............,
DATES OF ! 3
2uo ninny REPORTING // 0.2 zy TO S'i 7
PRE-PRIMARY
3
30 DAY
POST-PRIMARY
CASH BALANCE AT END C) 1-..,
Sm TUESDAY
4. OF REPORTING PERIOD: $ 0 C C=)
M C=,
PRE-ELECTIONCD =
TOTAL AMOUNT OF FILER'S M xi..
5.
2ND Y OUTSTANDING DEBTS OR LIABILITIES
FREDAr-
PRE-ELE-CTION AT THE END OF REPORTING PERIOD: $ — >. --
= N)
C3
30 DAY 6. --0
POST-ELECTION AMENDMENT YES i NO
REPORT? 0
ANNUAL TERMINATION . .•
REPORT
I REPORT? YES NO --.1 CA)
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AFFIDAVIT SECTION
PART I-
If statement is filed on behalf of a Political Committee or Candidates's Co, mittee, 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. 8
f swEAR OR AFFIRM)THAT THE AC-GREGATE RECEIPTS OR DISBURSEMENTS CR UABILITTES NcuRREc,DURING THE REPORTING PERIOD INDICATED ABOVE DID N
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNCV.i.E /ANTI 6 .. ,TR R,CORRECT AND COAIPLETE. g F2 r o
SWORN TO AND SUBSCRIBED BEFORE METHIS /1
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1 2 DAY - °I k 20 Z-0 i SIGNATU• OF PERS. FIJBMITT1NG REPORT
CD V
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PRINTED NAME "m c
g_73—
,...e. .,''.. SIGNATURE '
MY COMMISSION EXPIRES a? ' I 20 2 1 '7/7 7Z g _S-
c
MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER l'-''0 T-7 B.
5
PART II-
If statement is filed on behalf of a Candidate's Authorized Committee, Candidate must sign here.
I SWEAR(OR AFF1RAR)THAT TO THE BEST OF MY KNOWLEDGE AND aEL:EF THS POLITICAL O.OA1,RiTrEE HAS NOT VIOLATED ANY PROVISIONS OF THE ACT OF
.11.1E 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
USES-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280