HomeMy WebLinkAboutSibert, Michelle - 2021 30-Day Post Election 1
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COMMONWEALTH OF PENNSYLVANIA
" CAMPAIGN FINANCE STATEMENT
' File this in iieu of a full report only if aggregate receipts, expenditures, or
liabilitiesli incurred each did not exceed$2OOA0 during the reporting period.
HU tDE IDENTIFICATION S� RFPORTF1i.>:D 0. 1C I -
NUEoIDR �9 REPOSTtFOF CANDIDATE t• COLRLD7FB ,. lD¢aYlSr 3
DMA OF FaUNG COLWRTPF,CANDIDATE ON tAEDY15Y
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M, sYATE ZIP CDaE
TYPE OF FtB'ORT NAME OF OFFICE SDUONT BY CANDIDATE 01STR1aT NO. PARTY �176WitOt214§0,(CHECK ONE) �v ce-� v� �' fit' 'dam 0.1"A'" DAY YEAR — _..•. ••..•-..._... _ ._ • • Cvanha _4.:i.:,•f . . . - .:vrv . a2» I �'`'./
PRi•PAISMY 1
A.RC-PAIAfARY FOR OFFICE USE tlN6y
• `� MO. I DAY WAR _MO. DAY _YEAR •
•`�TdO,FR1DAY •
2. DATES OF
-REPORTING ti1 TD
• *PRE-PArMAY 0 �� �
PERIOD � f� Yb /` I
• •30 D''AY 3' Cs
P0.ST=PRIIMRY CASH BALANCE AT END r" t�N
v
• erirrur sn AY n t)F REPORTING PERIOD: , ,
TOT AMOUNT OF FILER'S I T
• •s• OUTSTANDING
ANDING DEBTS OR LIABILITIES r""`
' '2tte;FiuDAY• AT THE END of R£PORTINe PERIOD: $ • .•• i
RReitiCEC'ttou ;
E. — w..-y
90 DAY E1 .AMENDMENT vss ND r ,
PDtST ELECTtoN )( REPORT?
F
ANNUAL r TERMINATION ' YES X.
No
REPO)i'r REPORT? 1�.
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PART I- ..
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If statement is flied 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.
{swam(OR AF"FnANa)THAT THE AGGREGATE,RECEWPT3 OR ENSIUREBAENTs OR UASIUTTES INCURRED DURING/HE REPORTING PERIOD IHWCATED ASOVS OLD Nor
EXCEED Tk0 HUNDRED AND FIPNY DOLLARS(.0250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF.TRUE.OCAIREOr AND CO.iPLE.
SWORN TO AND SUMscRIDED zeroes ME THIS "-.•---'-`�
` } ,, SIGN RE OF PERSON SUEf+.1TTINe REPORT
.Z•Y DAY OF Novn.� `l 20.1./,..•_ /} (lg. l
.� ,7Y -iyo�xySea 1 sPRINTEDNA NAME
/ SIGNATURE QennSyl00 publi0 -1 1 �i - �U 5
MY COIF ISS10N VPIREB • 1vR,Nua *.e �,' `4..' `• ` 4
• ,Offlt3. o•E�Atasa . nw REA CODE DAYTIME TELEPHONE NUMBER
• iloU9(�` t to lou A.t ne.2-
PART 11- 08uP LTBS p•ttya•` Q37
If Statement is filed on behalf.q r tt ROida el tfftl r t2g2 arnrnittee,Candidate must sign here•
• 1 DIY-ut(os AITIRtc)111RT TO 7i .SEST-MEY}'NO1ti.EDGE ANb BELIEF THIS FOUTiCAI.CO,DAITr B HAS NOT 41OLATE0 ANY PRO/MOM OP THE ACT OF
• Jute 3,193T(P.L.1333.No.320)AS Al,W.NDED. .
'SWORN 70 AND SUaSCRiBEU BEFORE ME THIS —
SIGNATURE OF CANDIDATE
DAY OF 20,___
• PRINTED NAME
SIGitAMURE .
•
TAY COEAMISSION EXPIRES AREA CODE • DAYTIME TELEPHONE NUMBER
•• Bto. DAY YR. '
.
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Department of Slate 0 Bureau of Commissions,Elections anti Legislation •
DSHB-Eel(T?99) 21D North Office Building o Harrisburg,PA 17120-0E29 o {717)7t17-S2B0 •• '