HomeMy WebLinkAboutBorder, Zachary - 2020 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 REPORT FILED CANDIDATE .COMMITTEE.
NUMBER , ON BEHALF OF ' 2. LOBBYIST 3.
NAME OF FILINO COMMITTEE,CANDIDATE OR LOBBYIST �L
z2(1/14ri, Odd
STREET ADDRESS
I WaU1ft _WO tk/ _
CITY j � STATE pA 21P CODE .
1 O -_
TYPE OF REPORT NAME OF OFFICE SOU T BY CANDIDATE DISTRICT NO. PARTY '.I, a r; -g:•CU. 4
(CHECK ONE) I Q� Vep
MO. DAY YEAR8TH TUESDAY Y� V"` mot/w'1 -Li[ ' I
PRE-PR1MARts:
rd FOR'OFFICE USE ONLY
M.O... .DAY•. YEAR 'MO. DAY :'YEAR: •
gym.
DATES OF
ZdVO'FRIDXY`r,'`:'; Z'PRE-PRIMARY PERIOR REPODTMG CA
^U(r'1 !/)2_O TO O' 01 /^ \
.
30DAY . . 9. //" 1 !
POSTPRIMARY I..}
CASH BALANCE AT END
4. OF REPORTING PERIOD:
PRE-ELECTION . I.
TOTAL AMOUNT OF FILER'S ..
2Na;FRmav' 5. OUTSTANDING DEBTS OR LIABILITIES -I -
PRE-ELECTION AT THE END OF REPORTING PERIOD: $
6
30 DAY -
POST-ELECTION AMENDMENT" YES NO
• REPORTS._. : .
7. i -
ANNUAL TERMINATION • YES NO
REPORT.: REPORT?.
FFIDA,VIT Sl CTtON
PARTI-
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($250.00)AND TIES REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF N!'.CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
14h,DAY OF L)C.c 20i SIGNATURE OF PERSON SUBMITTING REPORT
SIGNATURE c PRINTED ( v/
MY COMMISSION EXPIRES U"A \lP r(`P Isv Q 1th of PenmYWa^1a _ I Gl/
MO. DAY p1gpE1 A f QUICK,Nota Z:-;CODE DAYTIME TELEPHONE NUMBER
r„mbertand County
xoires '; '' - - i
PART It- Runt;^r 12B8'
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
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.
DSE13-503(12-99)