HomeMy WebLinkAboutWestern Cumberland County Republican Club - 2021 30-Day Post-Primary 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 ' 83_ Y•L s2l, ?I O REPORT FILED ' CANDIDATE I COMMITTEE LOBBYIST 1
NUMBER " ON BEHALF OF - - -
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST /,� t
u Jestecn Cu rn be c(aMcl Cu1yu
� a v/ti[//`1
STREET ADDRESS
I ? 3 illD(/ii 12l •Ta ad
CITY STATE ZIP CODE
Aiewburg r l ! 7,:zee
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) MO. DART YEAR
1O aoR1
6TH TUESDAY - -- - -
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR� ..
2ND FRIDAY DATES OF
PRE-PRIMARY 2 REPORTINGPERIOD 03 36 ao2i TO �( �j 07 _"E/a i
30 DAY X - --' - 'POST-PRIMARY (y
CASH BALANCE AT END � ig, 5' (..... t-.4
6TH TUESDAY 4. OF REPORTING PERIOD: $ % /�
PRE-ELECTION s
TOTAL AMOUNT OF FILER'S
5• OUTSTANDING DEBTS OR LIABILITIES
2ND FRIDAY AT THE END OF REPORTING PERIOD:. _$ 0
PRE-ELECTION
"Cd
6. . C
30 DAY - AMENDMENT 0
POST-ELECTION REPORT? YES NO
���...
r.
7 Na(((
ANNUAL TERMINATION YES NO `.
REPORT REPORTS .
' ;:. _.. ' '.. 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 Contributing Lobbyist,the Lobbyist must sign here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEI- •. •ISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS(S25'.0 REPORT IS,TO THE BEST OF MY KN01 EDGE AND BELIEF,TRU , ORREC D COMPLETE.
SWORN`�T-O AND SUBSCRIBED BEFORE • THIS M /, of ''� /t
/�T�l. 'NY �o� 6 SIGN RE OF PE S N SUS`) ING,Rjp�RT
/ DAY_OF i./_I'� ° . C. �� /ydnjd. G god V
.����� S�OR F4,. 0V7 46/•i�d�'fp PRINTED NAME
0
SIGNATURE g( /�.., re 7 j f`�' 3--3 -
�73— (1 r j j
MY COMMISSION EXPIRES y� 'D , 0....-. '�6�096�23 .REA CODE DAYTIME// TELEPHONECHJ /NUMBER
MO. DAY YR.
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
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.
Department of State • Bureau of Commissions,Elections and Legislation
r>SES3-5O3(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-52800