HomeMy WebLinkAboutRothman, Greg - 2021 2nd Friday Pre-Primary (2) 1 COMMONWEALTH OF PENNSYLVANIA
I 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 0,. REPorcrrtus3 CANDIDATE I'X mamma IL
LOBBYIST 3.
NUMBER ON BEHALF OF
NAME OF RUNG COMMITTEE.CANDIDATE DR LOBBYIST
STREET ADDRESS
/ 6114,O4dalr,e Ri
CRY STATE 'ZIP CODE
e./...40 f`1e.440 Pc ?i4 /76 6 ) —
TYPE OF REPORT NAME OF OFFICE SOU6 Ec BY CANDIDATE / DISTRICT NO. PARTY '^^'fDA7E."OFtELECTION. ,-
(CHECK ONE) 3 5 1,.J 4.41V-re f-+ ' 4 c. MO. DAY YEAR -
P.7 Trw/,YIIr 03 iS zoa.1
6TH TUESDAY i. r7`�hbra./ Afs� f9/1/ i
PRE-PRIMARY / FOR OFFICE USE ONLY
_ MO. DAY YEAR MO. DAY 1 YEAR
2ND FRIDAY 2 DATES OF
PRE-PRIMARY X REPORTI
PERIOD NG j,' -(7 2-07-1 TO v 5 L'a I i)x j
_
30 DAY g' r
POST-PRIMARY
- CASH BALANCE AT END
4. OF REPORTING PERIOD: $ ,
6THYUESDAY ,
r.
PRE-ELECTION CI' r
TOTAL AMOUNT OF FILER'S :
5• OUTSTANDING DEBTS OR LIABILITIES `"1
PRE-ELECTION RD; AT THE END OF REPORTING PERIOD: S , C-a
PRE-ELECTION
r-y
S.- ..
SO DAY AMENDMENT •
POST-ELECTION REPORT: YES NO
7 ^I :T3
ANNUAL TERMINATION TES NO
REPORT REPORT? x •.
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_ �;�,-: :,;_-�;�:�,-�_ `.;� _ - ::�=_ ":�r�AFFI DA.ll.tT�S�CfT v,:�:.: . .__...._.,,-::. . .. _ �,,,.:.. .. _
.;::��1�'��j^�...:�1�?.,..�wY�Cf<SJGi._.>��T:�S�.i•��_-�..`�L�.�'ti=;�• .•.t q. .:: r..n..:a.a.-.-_.. _. .,..._. .-...._.. .. ._..........-
PARTI-
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 Corit[ibutino Lobbyist,the Lobbyist must sign here.
I SWEAR(OR',MIRLI)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NCT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT I5,TO THE BEST OF MY IINOP ID BELIEF,TRUE.CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
G DAY OF (,>isy.G 21. Ia-Nflta-.Seal SIGNATURE P ON SUBMITTING REPORT
_ fPenTlsYl' public
f' `' :-- IMS(.11164R1
. maids linty PRINTED NAME
--"Fr ssGNaTu you lay(•�k li!C011i1ty 2023
my commissiDN EXPIRES CS G ,e° 5 Naga
t06,
MO. m ,(n\sSIO P 9umi�eT i29243z ODE DAYTIME TELEPHONE NUMBER
�ORu,AStS1D
PARTII-
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 PDUTICAL 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-SO3(12-99) 210 North Office Building 0 Harrisburg,PA 17120-0029 0 (717)787-5250