HomeMy WebLinkAboutArmstrong, Linda - 2021 30-Day Post Election .1 Pennsylvania Department of State
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Bureau of Campaign Finance&Civic Engagement
210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4)
,.4 www.dos.pa.gov/campaignfinance • ra-stcampaignfinanceppa.gov Unsworn Statement in Lieu of Sworn Statementfor
Campaign Finance Statements
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Note: Per Act 2020-15, which was signed into law on April 20, 2020 and allows ta unworn
declarations, Campaign Finance Reports (form DSEB-502), Campaign Finance Statem!nts In lieu
of full reports(form DSEB-503), and Independent Expenditure Reports(form DSEB-505) need not
be notarized. Instead, the filer may file with each report or statement the correspong version
of this form signed by the required individual(s). This particular form is to'be used only for
Campaign Finance Statements. This form must be signed by hand where a signature is required.
[ -12- CMG ii ommittee, Gandid:ate,CiYLobbyist
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r
Reporting Name
0 Cycle 1 0 Cycle 2 0 Cycle 3 0 Cycle 4 ❑ Cycle 5
6th Tuesday 2"d Friday 30 Day 6th Tuesday 2nd Friday
Pre-Primary Pre-Primary Post Primary Pre-Election
Pre-Election
VCycle 6 0 Cycle 7 0 Cycle 8 ❑ Cycle 9
30 Day Post-Election Annual Report 2nd Friday Pre-Special Election 30 Day Post-Special Election
Part I — If this form is submitted with a statement in lieu of full report by a political
committee, the treasurer must sign here. If this form is submitted with a statement in lieu
of a full report by a candidate, the candidate must sign here. If this form is submitted with
a statement in lieu of full report by a contributing lobbyist, the lobbyist must sign here.
I declare under penalty of perjury under the law of the Commonwealth of Pennsylvania
that the foregoing is true and correct.
_
/ l3' Zo 2 /
Signature of reasurer, Candid te, or Lobbyist Date (DD/MM/YYYY)I
n c
L I( o, '`/{ / (6 ca
l o"i (lt IN, 6)2 f 1 G yl d
Printed Name v Location Cit /State/Count
( Y rY)
DSEB-503S
Updated 6/24/2020
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 10, REPORT FILED I.
NUMBER ON BEHALF OF ,. ::GUiDIDA7E VICOMMITTEE; 2. LOBBYIST .
NAME OF FILING COM CANDIDATE OR LOBBYIST
\L N ma 34,
,. .CV. bl/k
ifIT
STREET ADDRESS Q
CM TA
C S
GS \,� I I l V ZIP CODE -
Y I •l3 I -2v 1
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) /
M0. DAY_ YEAR>'
OTH TUESDAY .' 1 C I C"e C U 11 'D-- D-
PRE-PRIMARY FOR OFFICE':USE;ONLY
E
• MO. ..DAY.
.. 2. ...�YEAR�'. .;MO. ...DAY ' :.':YEAR:.
2ND FRIDAY ' DATES OF `^� (� 1 �7
PRE-PRIMARY;:: PERIOD NG l v of a`1 TO 1 \ 22 G� I '
30'DAY
PDSPPRIMARY
CASH BALANCE AT END $ O
eTI1:TUESDAY:;''i::
4• OF REPORTING PERIOD:
PRE-ELECTION
TOTAL AMOUNT OF FILER'S •" W
2ND FRIDAY 9. OUTSTANDING DEBTS OR LIABILITIES 0 , .:
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ C-.)
30 DAY
AMENDMENT
POST-ELECTION REPORT? YES NO V
7. . .
ANNUAL '" TERMINATION.
REPORT REPORYT. '; YES NO V
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 DISBURSEMENTS OR LIABILITIES INCURRED DUR NG THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY GE AND BELIEF,TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS r
DAY OF 20 SIGNATURE OFF2
P N SUBMITTING RE
SIGNATURE PRINTED NAME
MY COMMISSION EXPIRES G
MO. DAY YR. AREA CODE DAYTIME TELEPIhmE 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)