HomeMy WebLinkAboutShaffner, Bud - 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 110. REPORT FILED CANDIDATE COMMITTEE LOBBYIST
NUMBER ON BEHALF OF '
NAME OF FILING COMMITZEfE,,CrDIDATE O BYIS �`(n
STREET ADDRESS • l 1..S /✓W 4 v �2 • `L
CITY I^�VVtt STATE ZIP CODE
74E6)/VANA76 CI g 4P-S rA /246-0 —
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 - - -- --- ----
2ND FRIDAY. 2. DATES OF
PRE-PRIMARY PER 00 NG /0 /q a 1 TO ^��fir/-ill�r '-,
30 DAY 3.
0! - .
POST-PRIMARY - ..�-
CASH BALANCE AT END D
6TH TUESDAY 4. OF REPORTING PERIOD: $ �, Q
PRE-ELECTION '� N
TOTAL AMOUNT OF FILER'S : . N
5. OUTSTANDING DEBTS OR LIABILITIES
2ND FRIDAY
PRE-ELECTION
AT THE END OF REPORTING PERIOD: $
y
C) .....
30 DAY AMENDMENT Cr)POSTELECTION REPORT? YES NO '
7. -
ANNUAL . TERMINATION YES NO y
REPORT REPORT?
AFFIDAVIT SECTION
PARTI -
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 DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($25o.Oo)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLET
SWORN TO AND SUBSCRIBED BEFORE ME THIS
DAY OF 20 SIG E OF PER N SUB 1 EPORT
PO/ dei`J.N4A--
SIGNATURE P E
MY COMMISSION EXPIRES ...-
MO. DAY YR. A EA COD AYT E TELEPHONE NUMBER
PARTII-
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 KNO '_EE - D BELIEF THIS POUTICAL COMMITTEE HAS NOT VIOLAT D Y VISIONS OF THE ACT OF
JUNE 3, 1937(P.L. 1333,No.320)AS AMEND %
0
4fe°°/t
SWORN TO AND SUBSCRI ED BEFORE ME T S
�p/� �.y� �y ��ofAP SIGNATU OF C AJTE
t��DAY OF VVC.I/ / Co,„rC,i -'Sll�• 'P� 4, �j/�� �/ / r
t-�%��� ! � �/ /yrJ�i i *i a,• � ,o A 1' �J PRINTED NAME l/J
--S1GNA/�TURF l O /. JAG*6. 4145. `' e. /� O/ ! /
MY COMMISSION EXPIRES l/l/V` il O' 7 del c /L�/• 1/L/
MO. DAY YR. dv00'vb� A- ODE DAYTIME TELEPHONE NUMBER
Department of State • Bureau o , •I issions,Elections and Legislation
DSEI3-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280