HomeMy WebLinkAboutWhitcomb, Alfred - 2021 2nd Friday Pre-Election 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 100. REPORT FILED I.
NUMBER ON BEHALF OF 1 CANDIDATE COMMITTEE.. 2. -'LOBBYIST 3.
'NAM FILI MITTEE,CANDIDATE OR LOBBYIST •
1 L C� Lh L'tCQ),,.
STREET ADDRESS
I '--- ,oa S
CITY STATE() ZIP CODE
t0\CS jC it C 76.5°
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) • MO. DAY YEAR
>6TH TUESDAY''.
PRE-PRIMARY FOR OFFICE USE.ONLY
MO. ..DAY. YEAR.:: '.MO. 'DAY ' ':YEAR..
t.m2• DATES OF 2ND FRIDAY / c
PRE-PRIMARY PERIOD NG !o �� ) d I Q 2( I::J
t"1
• 30 DAir . . .• 3. ..-I
f
Posr�rRlw►Rr; �� N.)—CASH BALANCE AT END
6TH TUESDAYi•.`.:4. OF REPORTING PERIOD: $
PRE-EL;ECTK)N . y
TOTAL•AMOUNT OF FILER'S co)
2ND IDAy 5. OUTSTANDING DEBTS OR LIABILITIES --, `A
PRE-ELECTION: AT THE END OF REPORTING PERIOD: $ � >A
•
3U DAY.
. POST-ELECTION. • AMENDIIIENT.:: YES NO
•
REPORTS:' "<'
7.
ANNUAL TERMINATION.•.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 RECEIPTS OR DI MENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AN HI IS,TO THE BEST OF MY K WLEDGE ND BELIEF,TRU ,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED
�BEFORE
'MIE THIS MFkr 044, or
•��`` DAY OF O Ci/V ki- ! �C:40� 'Yet >• SIG URE OF PERSON SUBMITTING REPORT
Jr' r °C r�A N nLr- 11�4- �6`: � .. a/ PRINTED AME`
MY COMMISSION EXPIRES - ,q /AO 66 l �� !C `t /�P
MO. DAY YR. AREA 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.
DSEB-503(12-99) 0