HomeMy WebLinkAboutSilcox, Nathan - 2020 30-Day Post Election byriPennsylvania Department of State
Bureau of Campaign Finance&Civic Engagement
210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4)
www.dos.pa.govicampaignfinance • ra-stcampaignfinancec pa.gov
Unsworn Statement in Lieu of Sworn Statement for
Campaign Finance Reports
Note: Per Act 2020-15, which was signed into law on April 20, 2020 and allows for unworn
declarations, 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. 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 This form must be signed by hand where a signature is required.
Name of Filing Committee, Candidate, or Lobbyist
10 4k0.ur\ Si C05C
Reporting Cycle Name
0 Cycle 1 0 Cycle 2 0 Cycle 3 0 Cycle 4 0 Cycle 5
6th Tuesday 2ttd Friday 30 Day 6th Tuesday 2Rd Friday
Pre-Primary Pre-Primary Post Primary Pre-Election Pre-Election
it Cycle 6 0 Cycle 7 0 Cycle 8 —y 30 Day Day Post-Election
Annual Report 2"d Friday Pre-Special Election 30 Day Post-Special Election
Part I- 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.
I declare under penalty of perjury under the law of the Commonwealth of Pennsylvania
that the foregoing is true and correct.
t 2 I o I I Lo Zo
Signature of Treasurer, Candidate, or Lobbyist Date (DD/MM/YYYY)
0 ca Stlrcetc 1 cYraoc,� -rOv:?s►+ .o / 1aA jitsA
Printed Name Location (City/State/Country)
DSEB-502R
Updated 6/24/2020
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.
ENRTI FILER IDCA,RINN ' OF , I J`I 1' LOBBYIST
J 1
HUMBER v
NAME OF FILING G.AJin ire,CANDIDATE OR LOBBYIST _ r
rJP.•r+ . p . SILc c77<
STREET ADDRESS
CITY STATE zip CODE
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDVATE DISTRICT NO. PARTY CAT OF E1.EC"IG:.
(CHECK ONE) TOt>atak• P MO. DAY YI'JIR '
'S1T1 TURS011Y.. i. G•OMN►*SS N O 'er- 2 •t 03 Z-oZ-o
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MIL DAY YEAR
2ND.FRIWY z' DATES OF
+
PRE.PRIMARY REPORTING
PERIOD T o 11 if, 1 23 'LQ ^h DAY PO 3. DE+✓.0 aoao
POST•i1B}tARY
CASH BALANCE AT END
6n TUESDAY 4' OF REPORTING PERIOD: $ C'7
PRE$ECTWN
TOTAL AMOUNT OF FILER'S
s. OUTSTANDING DEBTS OR LIABILtT1ES
PRE-ELECEcroN
T AT THE END OF REPORTING PERIOD: $
Poe-
B.
30 DAY.
POST'€LECTION r matiomoir
YES NOREPORT?
ANNUAL TERMINATION
REPORT RNPOR? YES NO
AFFIDAVIT SECTION
PART t-
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.
SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR UABIUTIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS(S250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLE6d➢.BEIIEF,TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
DAY OF 20 SIGNATURE OF PERSON SUBMnTINO REPORT
P. Si .c A
PRINTED NAME
SIGNATURE p
MY COMMISSION EXPIRES i to i 2 C�
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 SWEAR(OR AFFIRM)THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THIS POLITICAL COMMITTEE HAS NOT VIOLATED ANY PROVISIONS OF THE ACT OF
Jute 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
DSEe-503(12-99) 210 North Office Building • Harrisburg.PA 17120-0029 a (717)787-5280