HomeMy WebLinkAboutWestern Cumberland County Republican Club - 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 ' 93-4. �`-0 3/ wry REPORT FILED ' CANDIDATEI.
COMMITTEE J� ''LOBBYIST `3
NUMBER /L7�/G•J•�G/i U ON BEHALF OF /
NAME OF LING E,CANDIDATE OR L YIST
�,u)e COMMFery ;umber ?ci1 (ôuicy & ib t1 i C vh
STREET ADDRESS
/783 /no Orftla
YIRo6tO4
CITY STATE Pi)- ZIP CODENett)h() I 702ii D--
TYPE OF REPORT NA OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) MO. DAY YEAR
BTH TUESDAY 1. U. ✓ ( DA,1
PRE-PRIMARY. FOR OFFICE USE ONLY
MO. DAY YEAR
YEAR MO. DAY YEAR
PPRIMA
PRE-PRIMARY 2. PE ODTING 10 I ci a I TO [ 1 a,: zt
. /\
30 DAY s.
CM
POST-PRIMARY r
CASH BALANCE AT END 1� / „. • ;=
6TH TUESDAY
4. OF REPORTING PERIOD: $ p2GY �i L�� `-1. •
C"."1
PRE-ELECTION" I " f l
el
TOTAL AMOUNT OF FILER'S t
2ND FRIDAY S. OUTSTANDING DEBTS OR LIABILITIES :. , I
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ . i**.3
13
✓ 30 DAY- C^
POST-ELECTION AMENDMENT `
REPORT? YES NO X
7. / `
ANNUAL TERMINA
REPORT REPORT?
YES NO 7L ---4
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 Contribu " , .obbyist,the Lobbyist must sign here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPT •R DISBU NTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDI ATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250 :IQ AND THIN •q IS,TO THE BEST OF MY K 0 EDGE AND BELIEF,TRUE,CO'- ' T AND OMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS ���i��qP., ri f /�/�
„(/n/(1/I1 DAY OF J(��')^O�/' - �'0* q/S, y SIGN: 0 PERSONP SUB' ITTI,:tTrO-
ir
l� / /j`�9 PRINTED NAME
SIGNATURE . �,, p�C[�
MY COMMISSION EXPIRES . ,Lys 1� 20� •66 1�MO. DAY YR. AR ODE -7 9: TELEPHONE UMBER
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 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.
Department of State • Bureau of Commissions,Elections and Legislation
DSEI3-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280