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Home My WebLink AboutSilcox, Nathan - 2020 2nd Friday Pre-Primary ‘0717 Pennsylvania Department of State Bureau of Campaign Finance&Civic Engagement 210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) www,dos,pa_Azovicampaignfinance • ra-stcampaignfinancePpa.gov Unsworn Statement in Lieu of Sworn Statement for Campaign Finance Reports Note: Per the temporary waiver granted by the Governor on April 6, 2020, Campaign Finance Reports (form DSEB-502), Campaign Finance Statements In lieu of full reports (form DSEB-503), and Independent Expenditure Reports (form DSEB-505) need not be notarized. (See Temporary Waiver of Notarization Requirement for Campaign Finance Reports and Statements). Instead, the filer may file with each report or statement the corresponding version of this form signed by the required individual(s). This particular form is to be used only for Campaign Finance Reports and only so long as the waiver referenced above is in effect. This form must be signed by hand or by typing your name where a signature is required. If you type your name, you understand that's your electronic signature and will constitute the legal equivalent of your signature on this form. Na e Ca(Aft Committee, Candidate cp Lobb ist Ma -hauel Si I cox Reporting(Awftg Name 0 Cycle 1 9(-Cycle 2 0 Cycle 3 0 Cycle 9 6th Tuesday Pre-Primary 2nd Friday Pre-Primary 30 Day Post Primary 30-Day Post Special Election Part - If this form is submitted with a Committee report, the treasurer must sign here. If this form is submitted with a Candidate report, the candidate must sign here. If this report is submitted with a report by a contributing lobbyist, the lobbyist must sign here. By signing or typing my name below, I hereby declare under the penalty of perjury, pursuant to 18 Pa.C.S. § 4904, that the information contained in the accompanying Campaign Finance Report is to the best of my knowledge and belief true, correct and complete. Signature of Treasurer, Candidate, or Lobbyist Date Printed Name DSEB-502R 4/15/2020 3 Pennsylvania Department of State Bureau of Campaign Finance&Civic Engagement -1:-7 210 North Office Building,Harrisburg,PA 17120 • 717,787.5280{Option 4) www.dos.pa.gov/campaignfinance • ra-stcampaignfinancePpa.eov Part 11- if this form is submitted with a report by a Candidate's Authorized Committee, the candidate must sign here. By signing or typing my name below, I hereby declare under the penalty of perjury, pursuant to 18 Pa.C.S. § 4904, that the information contained in the accompanying Campaign Finance Report is to the best of my knowledge and belief true, correct and complete. i•Dcg--P 76 Signature of Candidate Date K.) P Printed Name DSE8-502R 4/15/2020 CO.SMONWEAL i H 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 IDENT1FiCAT10N REPORT FILED , CANDIDATE >/ COMMITTEE 2 LOBBYIST NUMBER ON BEHALF OF J� NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST bJA 1-1-'r,,,J S I t-C"Q 74 STREET ADDRESS CITY STATE VP WOE Ic e>0PIA I 0-1`2) TYPE OF REPORT NAME OF OFFICE SOUGHT SY CANDIDATE !DISTRICT NO. PARTY (CHECK ONE) a t},r+�P OBJ � ' 4a I /MO. j DAY YEAR T. GM' <SSI,><-••• e 6,, I 2.. 267-0 6TH TUESDAY PRE-PRIMARY FOR OFFICE USE ONLY MO. t DAY YEAR IAO. I DAY ! YEAR 2ND FRIDAY 2 DATES OF PRE-PRIMARY REPORTING PERIOD 1a TO ,S I 111 2,0 30 DAY 3 POST-PRIMARY CASH BALANCE AT END 6TH TUESDAY 4. OF REPORTING PERIOD: PRE-ELECTION TOTAL AMOUNT OF FILER'S 5. OUTSTANDING DEBTS OR LIABILITIES 2ND FRIDAY AT THE END OF REPORTING PERIOD: S C PRE-ELECTION 6. PO DAY POST-ELECTION AMENDMENT YES NO /X\ REPORT? ANNUAL TERMINATION REPORT REPORT? YES 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 Contributincl Lobbyist,the Lobbyist must sign here. I SWEAR(OP AFFIRM)THAT THE AGGREGATE RACE-,PTS CR CSEURSELIENTS CR LIHB'LIT,ES'NCURREO DUR.NG THE REPORTUO PERIOD DJCIC'ATED ABOVE DID NOT EXCEED TWO HUNDRED AND FIFTY DOLLARS(S250.00)AND THIS REs'OKT is,TO THE EAST OF',1Y KNCtILECGE AND 5EUEF,TRUE,CORRECT AND COMPLETE. SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF 20_ t`-SIGNATURE OF PERSON HITTING REPORT E 4..D �.f P- S."( C.. PRINTED NAME SIGNATURE // r�- MY COMMISSION EXPIRES 1 Lf� l 2-O J 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 SVIEAS(CR AFFIRM)THAT TO T^t BEST OF 1.1?KNO.._EDGE ANT.'EEL E:..S?O..-'CAL CC TAT -E HAS NOT V.OLATEO ANT PROVISIONS OF THE ACT OF JUNE 3,1937(P.L. 1333,No.320)As 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 DSt:u-SN(12.99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280