HomeMy WebLinkAboutGrayson, Lisa - 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 I 3
NUMBER ' ON BEHALF OF r CANDIDATE I_/I COMMITTEE [] LOBBYIST E
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST Li sa Grayson ICY .1
STREET ADDRESS 161 S h atto Dr
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 YEAR
2021
6TH TUESDAY 1 - -
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
2ND FRIDAY. 2. OATES OF
PRE-PRIMARY vlip REPORTING 05 04 21 TO 06 07 21
PERIOD
30 DAY s. C"
POST-PRIMARY. X ',,
CASH BALANCE AT END 0 -
4. OF REPORTING PERIOD: $ z" _w
6TH TUESDAY rT"1 r--
PRE-ELECTION '";"i,,,a ;;s».
TOTAL AMOUNT OF FILER'S ""` _ _
2ND FRIDAY 5' OUTSTANDING DEBTS OR LIABILITIES -- --s
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ 0
8.
POST-ELECTION AMENDMENT YES ❑ NO Q
REPORT
7. -4 G.dT
ANNUAL TERMINATION YES [] NO a --.< l>0
REPORT REPORT?
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 L..d '.t,the Lobbyist must sign here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DIS;,RSEMEN - [ABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED AS9VE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AN• HIS REPOR7��,P�f, ..E BEST OF MY KNOWLEDGE BELIEF,TRUE,CORRECT A I PLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS ��C .NhO/,p \
/7141" O �t O
DAY OF `a `'O�6P��/�,1�y/� SIGNATURE OF PERSON SUBMITTI. RT
�/0,,�F,f, vc,e4i son
GNATURE +G�.6 s'./G10- `6/. eco PRINTED NAME
MY COMMISSION EXPIRES.,, /4 aO _3 7) 17 4(4 580-1254
MO. DAY YR. COD'- 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