HomeMy WebLinkAboutRothman, Greg - 2020 Annual Report I, VVIViM C VIVWALI r1 Ur rl=1VI' TI.VAIVIA CAMPAIGN FINANCE STATEMENT
File this in lieu of a full report only if aggregate receipts, expenditures, or
liabilities incurred each did not exceed $250.00 during the reporting period,
•FILER IDENTIFICATION REPORT FILED CANDIDATE ,I X 'COMMITTEE �' :LOBBYIST
NUMBER ON BEHALF OF
NAME OF FILING COMMITTEE,CANDIDATE,ORI:OBEYIST �(/J//
6 /�+7 P-47 /l 47 iK�..3L7
STREET ADDRESS
/ 6.2d"049.11- T-+-e- .`/
CITY STATE ZIP CODE
�er4��n.,�.-d0.-.p 7g /7't' '
NAME,OF OFFICE SOUGHT BY CAN (PATE '! {{}i I 11j,,I�•I,�} �+�r 1j��7-y'�r ,�v_ Yil
TYPE OF REPORT DISTRICT NO. PARTY III 1111i�UIP!1T5iGS IC,Fr51'�'�S3iKjtll
��� 41r sl )il M1.�
(CHECK ONE) /�-L rti�w 1r-r-P. I �'Ai J �" / ..,MO•..•.:. DAY. ...YEAR;_:-
:: .: . sj� 6hi,
7 �� �G // o 3 1.v x.o
:: (7SPH TUFSDAY:• ':
'.P;RE4PRPAARY ` -I. / FOR OFFICE,USE ONLY, •
•1 O. DAY' : YEAR MO, DAY YEAR
•';.2Mb FR(DI(1'r. ' . a •
REPORTING TO , '
:PR �t'RIMARY: : - PERIOD I! 7,41 z,,o2v f7/ 3/ us,Z"
PO7bPRIMARY:.-:. C.' ttr.:.y
CASH BALANCE AT END
4. OF REPORTING PERIOD v$ """
E
P$E"ECEioN•<':'. •- TOTAL AMOUNT OF FILER'S ' 0
a.
• 2OiFrtida OUTSTANDING DEBTS OR LIABILITIES I
"P.91i4LEC'fION.•.'; : ' AT THE END OF REPORTING PERIOD: $ iV
C-1
.!3C�'DAX;'.::'.:'' AMENDF181S7
FORT
POST ELEC.T30N:': YES NO x T;,711 7
7 t`.J
":
ANNUAL`:. ' •TERtMINAT1ON• YES NO A N.)• REPORT_: . '' I REPORT?
S trr." ) 4 5ui 1 I({n lul lral'1 rv,:dlc^y`�rw]d�'�`:r�,t+ar.'•tw,(s�4i�i:�� ����{'�}r 1 ��"�I�j,�II� ����F�`r��.'.^,\`�k1fif�����n41' 1
K ;it 1,t i its llii: i1.1+ .. V ',3p�7G4� 1�'�f.�1 tW1 1{ tl< ' 1�IrtL`:17�E A,11U7h it ll. i} s£.t�'{,, .1'we
PART'-
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 Contributina 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(S250.00)AND THIS REPORT IS,TO THE BEST OF MY,,KNO DGE AID BELIEF,TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS L'
7 DAY OF "1-es.n 6, 20 7' SIGNATURE OF PeRSON SUBMITtING REPORT
r • _ 01BIN Seal
PRINTED NAME
!,SIGMA colealth01 iTIM taq Public
MY COMMISSION EXPIRES 2IC40 0x.
MO- O DrSaupttln S poi t 06.2423 ItAREA CODE DAYTIME TELEPHONE NUMBER
'"` CpTf1misEk00 m13eL
i 2.92a39'
PART II- MY m laston
If statement is filed on behalf f a s Authorized Committee, Candidate must sign here.
I SWEAR(OR AFFIRM)THATkTO 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
O 20
DAY OF _._
• PRINTED NAME
SIGNATURE
MY COMMISSION EXPIRES; AREA CODE DAYTIME TELEPHONE NUMBER
Mo. DAY YR.
Zit Department of State 0 Bureau of Commissions,Elections and Legislation
1DSCI3-503(12-99) 2'10 North Office Building o Harrisburg,PA 17120-0029 o (717)787.5280
1