HomeMy WebLinkAboutCrompton, Drew - 2021 2nd Friday Pre-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.
MEAD B rn tcAT,WI to. REPORT nun I, : • I.
Num% ON BEHALF OF rArmmAHY: COW1oTP�i. L'pEamr
MANE OF RING COMNIr1EE,CAMAIOATE OR LOaz l3T��++
pc'E+�f, Grro�T�OZ•/
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SHIEST An0a= '
7/ .17✓-e-`ef AC.03'.C. 1-bl/
CITY STATE TIP CODE
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TYPE of neposr HAP4E OP OFFICE sOUCIHt SY CANDIDATE DISTRICT NO.
..-- PARTY c r.`:DATE;_OF';ELECTIONi:3i f::-
• {CHECK ONE) '.sits_ caP 4.4- }Y s 1eP tiib. • bki • Yri/17t
`si 7i-J sd".. t• e`v-,o..!•,erlW...w/IZ p Cy"1•� 50 Pe" , t! OZ Z6:.'
.PEiE-PR SEtY' _ FOR OFFICE USE ONE?
:.'•:: ,.•• MO. OAT. TEAR ' MO. DAY TEAR
T.IIpLF7tiG�1Y;• f • Z' DATES of
�PtiB-PP3fRllliYt' PERIOD REPORTING o g l n' :4.7.l T° 10 le xoW
:30 PAY. 3' r
rga•
T=PRivaieY CASH gAtANGEAT END
;f 7U1 SDAY,_ 4• OF REPORTING PERIOD: $ LO
. "' TOTAL AMOUNT OF FILER'S —I
2�No!F;emAv •• OUTSTANDING DEBTS OR LIABILITIES � .�� t�,D
*PRE-i icriaff% AT THE END OP REPORTING PERIOD: $ "„
Cn
•FPd ELISD(dtj 0. AMENDM?ENT YES NO
,AUNUAI TERMINATION Li
.REPORT ReoRT7 YE9 NO --i Ci
_..es . __. .. ... :,,..;.-. ..i?A l°IDAUiT: ECTION;•,„... r V.- . ... .r..__ . .n :..._1
PART I-
If statement Is filed on behalf of a Political Committee orCandidates'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 Contributlno Lobbyist,the Lobbyist must sign here.
I swami(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSER TS OR UUTIES INCURRED DURING-THE REPORTING PERIOD INDICATED ABOVE DID NOT I
AB1
E)(CEEO TWO HUNDRED AND FIFTY COLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE LEDGE AND BEUEF,,TRUE,CO AHD COMPLETE
SWORN TO AND SUBSCRIBED BEFORE ME THIS O( f
3.G DAY OF d L-j'.C A. ' 20 2 SIGMATl OF PERSON
^SUBMITTING REPORT
R�4DtEn Seal >� l0^^03ff'r"l
ttTt D t30iBry bttC PRINTED NAME
MY COMMI9910N EXPI OTit I` U �
°• Da sng1/5 OS,2023 AREA CODE DAYTIME reLI:PtiONE NUMBER
PART 1I-
MY CO s s( . number 1
If statement is tiled on b alf ova e's Authorized Committee,Candidate must sign here.
I SWEAR(OR AFFIRM)THAT TO THE BEST OP MY KNOWLEDGE AND BEUEP TNIS POLTOCAL 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
My nC 20^
PRINTED NAME
MY COMMISSION EXPIRES AREA(;QOE DAYTIME TELEPHONE NUMBER
MO. DAY YR.
Department of State • Bureau of Commissions,Elections and Legislation
DSEB-503(12-09) 210 North Office Building • Harrisburg,PA 17120.0029 • (717)787-5250