HomeMy WebLinkAboutBloom for the 199th - 2020 Annual Report Commonwealth of Pennsylvania IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
Campaign Finance Statement 342728
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 NUMBER: 2010108 REPORT FILED ON BEHALF OF: Committee
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST BLOOM,STEPHEN FOR THE 199TH COM
STREET ADDRESS 2100 LONG GAP ROAD
CITY CARLISLE STATE PA ZIP CODE 17013-8651
TYPE OF REPORT Annual
NAME OF OFFICE SOUGHT BY CANDIDATE
DISTRICT CODE PARTY CODE
DATE OF ELECTION 11/2/2021
DATES OF REPORTING PERIOD 11/23/2021 TO 12/31/2021 Fbr Office.Use Only •
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AMENDMENT REPORT? NO TERMINATION REPORT? NO hs rrt
CASH BALANCE AT THE END OF REPORTING 379.58 1
PERIOD: .
CT) :Io
TOTAL AMOUNT OF FILER'S OUTSTANDING 0.00 0 .—
DEBTS ORLIABILITIES AT THE END OF C:»
REPORTING PERIOD: ,
AFFIDAVIT SECTION
PARTI-
If statement is filed on behalf of a Political Committee or Candidate'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.
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3 I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID
. g 3 NOT EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
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3 3 Ora SWORN TO,/!ND SUBSCRIBED BEFORE ME THIS '!20/^� �
9 3. n n s 2 • day of �� 20 2(
o,O K T a �VCJ✓� SIGN TURE OF PERSON SUBMITTING REPORT
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,CT`D„ o Z SIGNATURE PRINTED NAME
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P n - I b 23 2oZ 2 -i 1 9 19 5C
',.,w v Z 4Y COMMISION EXPIRES Mp, DAY YR.
w- o AREA CODE DAYTIME TELEPHONE NUMBER
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a I 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 MBE THIS� /� f
. \�_ -- day of CLI JACC 20 7,l
7 -E 0 I.,(NATURE OF PERSON SUB�In1llG REPORT
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SIGNATURE " PRINTED NAME
1( I 5 I 2,6 l ' . `7r--) .- oi - 1436
MY COMMISION EXPIRES MO. DAY YR.
AREA CODE DAYTIME TELEPHONE NUMBER
Department of State.Bureau of Commissions;Elections and Legislation 1/28/2021 5:04:50 PM
or ice uilding.Harrisburg,PA 17120-0020.(717)787-5280
Commonwealth of Pennsylvania-Notary Sea,
CAROL CLABAUGH-Notary Public 1
Cumberland County
My Commission Expires Oct 23,2022 I
Commission Number 1286388 ,