HomeMy WebLinkAboutShultz, Sean - 2021 30-Day Post 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 10, REPORT FILED ' CANDIDATE - I.
NUMBER ON BEHALF OF .COMMITTEE:. 2. .LOBBYIST 1
NAME OF Fl COMMITTEE,CANDIDATE OR LOBBYIST
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STREET ADDRESS
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CITY E
C ,r( I s I e STATE ' 1 .2�COD.70 1 3 --- /yO
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) • MO. • DAY YEAR-' •
PRE-PRIMARY- FOR;OFFICE-USE.ONLY
.MO. -.- ..DAY• ...YEAR::. :.MO. ...DAY ' :':YEAR:.
•2ND`FRIDAY.::.:.• '2. DATES OF //�� fG
PRE-PRIMARY;.:....: REPORTING (0 ( ( 2.( TO / Z Z' Z
• 30:DAY . ' .` 3. `
POST+PRIMARY. c
CASH BALANCE AT END
6Tn uesoAY ;' 4. OF REPORTING PERIOD: $
PRE-ELECTION . d-f
TOTAL AMOUNT OF FILER'S
2Nc t-itlDAv s. OUTSTANDING DEBTS OR LIABILITIES
PRE-ELECTION:.•`• AT THE END OF REPORTING PERIOD: $
6. • ._ l.�
3O•DAY
POST-ELECTION REPORT? YES NO K - L;)
7 _
ANNUAL TERMINATION.: YES Cr
•REPORT T REPOR ; : ,
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 S OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AN HIS ,, IS,TO THE BEST OF MY KNOWLEDGE AN BEU ,TRUE CORRECT COMPLETE.
SWORN.J-TO AND SUBSC BED BEFORE ME THIS .y �FC4///'or
�D DAY OF {/Y coi ( +.tz,,,,Jy,,,, SIGNATURE OF PERSON SUBMITTING REPORT
a o S 1f
rf ny �a a.
v� +Oj Arcoon p�Gi�Ora.I : `-K✓1 Al. <1 Z
SIGNATURE �bP I6o0a loz �a/ PRINTEED NAME
MY COMMISSION EXPIRESc le&V- 1'"I 2,0 1 3 6 3 I ( qV 03-z7
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