HomeMy WebLinkAboutFriends of Lisa Grayson - 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 , REPORT FILED ' 1� 3�'1
NUMBER117/
ON BEHALF OF CANDIDATE COMMITTEE LOBBYIST I
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
Friends of Lisa Grayson
STREET ADDRESS PO Box 333
CITY STATE ZIP CODE
Carlisle PA 17013
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) Register of Wills 21 Rep 11 Mo 02 DAY 2YEAR
021
6TH TUESDAY 1.
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
2ND FRIDAY. 2. DATES OF PRE-PRIMARY PER 00 REPORTING
05 04 21 TO 06 07 21
30 DAY 3.
POST-PRIMARY.... S. 0 C
CASH BALANCE AT END Imo_ r
6TH TUESDAY 4. OF REPORTING PERIOD: $ 1 r -„
PRE-ELECTION T`II W
TOTAL AMOUNT OF FILER'S
2ND FRIDAY 5. OUTSTANDING DEBTS OR LIABILITIES 22,650.63 y�... .�,,
PRE-ELECTION
AT THE END OF REPORTING PERIOD: $ •-"
6. ) ««,-
30 DAY, '""'�'
AMENDMENT
POST-ELECTION REPORT? YES ❑ NO a CP
7. r CJ1
ANNUALTERMINATION YES ❑ NO I-/
REPOORTT REPORT? L�
AFFIDAVIT SECTION
PART 1-
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 Contributi r• Lobbyist,the Lobbyist must sign here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS 0? D S o NTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS(S250.00 AND THI 1k1.0-• IS,TO THE BEST OF MY KN ED AN LIEF,TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME T S �FF`4Hh
,yofo
/ /44\- DAY 0-,..... I A ! (;OvArre?nslypa SIGNATURE 0 PERSON SUBMITTING REPORT
����pis q �yNor °%a. .Cooper
i F o d'Y 1 fy` P
/ IG A//TU�RjE� On A, f- SA)G'h'`0//C wo, PRINTED NAME
MY COMMISSION EXPIRE SC\�ay'MO J NO'4 . 71600,T. 717EA ODE 422-4457
DAY DAYTIME TELEPHONE NUMBER
PART 11-
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 O''EDGE AND BELIEF THIS POLITICAL COMMITTEE HAS NOT VIOLATED ANY PROVISIONS OF THE CT OF
JUNE 3, 1937(P.L. 1333,No.320)AS AM.,D
%
SWORN TO AND SUBSCRIBED BEFORE., THIS ,yF 004h
SIGNATURE OF CANDIDATE
DAY OF '_. L� ' �'�C, ��il,Ot:-
_,,��s.�bP s sy�� Lisa M.Grayson
t-������,�j i . �y:11,> ��d' 'Ypf d0� PRINTED NAME
I SI NATURE , 4o,4•aCOG,p�'4,...
, . 7
I 6 crd� 580-1254
MY COMMISSION EXPIRES /� i ��i•. ✓ O
MO. DAY YR. 'd�! Jta� CODE DAYTIME TELEPHONE NUMBER
160 .5<k
Department of State • Bur-: of C• missions,Elections and Legislation
DSEB-503(12-99) 210 North Office Building • .•'.burg,PA 17120-0029 • (717)787-5280
r ---- — -- __..--___._.