HomeMy WebLinkAboutMallah, Karen - 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 IIIII REPORT FILED CANDIDATE COMMITTEE LOBBYIST
NUMBER ON BEHALF OF ' I. 2 3.
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
STREET ADDRESS
2203 f r kv
CITY Q N l I STATE V ZIP CODE —
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTYDATE OF ELECTION
(CHECK ONE) 1. S ` � ,, DAY YEAR
6TH TUESDAY 1 _ '/ it O i
�1
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
2ND FRIDAY 2. DATES OF
PRE-PRIMARY PER DOTING I D 1 ci 20�f 1 TO I1 (�
22- 2 2-1
'
30 DAY 3. G !i / £ .
POST-PRIMARY -
CASH BALANCE AT END
6TH TUESDAY 4. OF REPORTING PERIOD: $_4- ,„
d I .
PRE-ELECTION ,„...
TOTAL AMOUNT OF FILER'S �'-
2No FRIDAY 5' OUTSTANDING DEBTS OR LIABILITIES ;'
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ " ..
B. Ir
30 DAY t:-,
AMENDMENT
POST-ELECTION REPORT? YES NO X
7. C
ANNUAL TERMINATION YES NO —1 '
REPORT REPORT?
AFFIDAVIT SECTION
PART I-
If statement is filed on behalf of a Political Committee or Candidates's Committee, the Treasurer must sign here. w N m
If statement is filed on behalf of a Candidate,the Candidate must sign here. z" N 1i
If statement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here. o a N o
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT co' N.3 to
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KN�WI,.EDGE AND BELIEF,TRUE,CORRECT AND COMPLETE. c C j.8,N--, Z.
SWORN TO AND SUBSCRIBED BEFORE ME THIS Ave.--7 U D az
a� 7 A , Q — E a0m
2 i DAY OF /V D ✓ 2002 f i SIGNATURE O{FF�PERSON
1SUB IMNITTING REPORT • Y nr c
/ nor' 11 l / '1. 4/o l` , ax C
0 .n Iv 0
SIGNATURE PRINTED NAME £ O
To CO
U y E E
MY COMMISSION EXPIRES 2.- 26 —260 15 +.,"�I. c c O eL
MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER-'�{ O.o E U D
U E
0 ;>+ D
PART II- U
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.
ih 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-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 I (717)787-5280