HomeMy WebLinkAboutWhitcomb, Alfred - 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 Iloo REPORT FILED CANDIDATE _/ COMMITTEE LOBBYIST .
NUMBER ON BEHALF OF ill 1.
3
Y 2.
NAME F FILING COMMITTEE,CANDIDATE OR LOBBYIST
2� LoLi-t-e-c5 (v...
STREET ADOR SS
I ®L)"J c5
CITY STATE ZIP CODE
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TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) MO. DAY YEAR
1. OCI .tit Z'120CLCX C., 5 1 $ 2ez.21
' BTH TUESDAY -
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
2ND FRIDAY 2. REPOR
DATES OF
PRE-PRIMARY PERIOD
d S V/ g42l TO ap 0-7 2o2
30 DAY 3'
POST-PRIMARY L) 'C.+J
CASH BALANCE AT END d� G NJ4. OF REPORTING PERIOD: $
. 6TH TUESDAY c.L. (--+„
PRE-ELECTION {n
TOTAL AMOUNT OF FILER'S i ---
5. OUTSTANDING DEBTS OR LIABILITIES r�' -.1
PRE-ELECTIONRD FRIDAY AT THE END OF REPORTING PERIOD: $ f
30 DAY. G"}
POST-ELECTION AMENDMENT YES NO 1/4:9
REPORT?
7. W
ANNUAL TERMINATION .--'t
CIN
REPORT REPORT? YES NO
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 RECEIPT.Ce • zURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($25O i 0)A 6H EPORT IS,TO THE BEST OF M KNOWL GE AND BELIE ,T UE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE , THIS 'yF'Pd�f/nnnn���
n pJ�J MyCo,b � d� IGNATURE OF PERSON SUBMITTING REPORT
DAY OF �V,/ ) y
c.//� NATURE •�1G��t. 406,G64'//).sP m.f-72.40
PRINTED NAME
MY COMMIS ION EXPIRES• I -1 a '• •;ii,? (7 5 2 6 - ` 9 4."
MO. DAY YR. o66 o,i ,'-EA CODE DAYTIME TELEPHONE NUMBER
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
DSEB-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280