HomeMy WebLinkAboutFriends of Jeffrey Filler - 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 REFORT FILED ON BEHALF OF ' CANDIDATEI. COMMITTEE Y\ LOBBYIST 3,
NUMBER -
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST C
i,-P�l j f or .t 1&i y ri,l ie/`
STREET ADDRESS
f e D, ,g,,x Loa
CITY STATE ZIP CODE
CA Ivy J-ll.f) P�9 I1oa( —
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) MO. DAY YEAR
l '1. e9(5- eY a r �l�fI f .�EN1 I) oa
6TH TUESDAY
PRE-PRIMARY FOR OFFICE USE ONLY
MO. I DAY YEAR MO. I DAY I YEAR
2ND FRIDAY 2' DATES OF 99 1
PRE-PRIMARY PER OD NG I D C1J )1 I TO ,2 D lo� ?'
30 DAY 3. ( ''`'
POST-PRIMARY-•
CASH BALANCE AT END 1 1 3- D y
67H TUESDAY 4. OF REPORTING PERIOD: $ ri
PRE-ELECTION C'")
TOTAL AMOUNT OF FILER'S f-"' I
5. OUTSTANDING DEBTS OR LIABILITIES n' D. D D
2ND FRIDAY -V' CO
PRE-ELECTION AT THE END OF REPORTING PERIOD: $' C7
i
30 DAYPOST-ELECTION X ' AMENDMENT YES NO X b k••
REPORT? w .
7 yy�/ '.. N.)ANNUAL TERMINATION YES NO J� cr
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.
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 L.••yist must sign here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS•R tABIUTS'NCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY COLLARS(S250.00)AND THIS REPORT I ,T QTH OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
SWO TO AND SUBSCRIBED BEFORE ME THIS H _E r� -
` �'k'g. fig � li zt
OYOF _ 2 g al!) >~. 3r SIGNATURE OF PERSOIa SUBMITTING REPORT
3�� � �Dy nGL
St RE I� Pr i l% PRINTED NAME
MY COMMISSION EXPIRES
12.1- S oi4.2'f r7o 98 3 7
MO. DAY YR. w n *W'. • CODE DAYTIME TELEPHONE NUMBER
Gj
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 BUMF 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
DSEB-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280