HomeMy WebLinkAboutMorrow, Douglas - 2021 30-Day Post Election C:fii<.'Ogi E:Lr- OF PF.:\iusYtW,NIA
CAMPAIGN FINANCE STATEMENT
File this in lieu of a full report only if aggregate receipts, expenditures,or
liabilities incurred each did not exceed S250.00 during the reporting period.
FILER ID£NTIIWIOI; t> REP�:T FILET I .1.
.
NumeER .3' ,,,,AT. VCGz?s�3ST'_E I.C93riSj
ON 1 11
' NAME OF RUNG COUSSTTCE,CANP70AT5 OR LOUT ST
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STREET r.DDRcS5�
D I ., ,I '�`�\ ����
CITY (i'� ` �` STATE 2IF COL.
TYPE OF REPORT ,NAME OF OFFICE SOUGHT BY CANDIDATE !DISTRICT NO. PARTY carieg ELEO`Y'ION
(meECK ONE (l,, l (,� 1 !AG_ 1 DAY YEAR
STH TUESDAY i
PRE-PRIMARY ! FOR OFFICE USE ONLY
_ _ 1 +N3. ' DAT YE0.. ir.S. i OAy i YEa2
2ND FRIDAY � c DATES CFr G i I
PRE-PRIMARY KEPT' INN IV } i ` y 1 70 f ' '"1,a { 't
.i PcRcR1D7 l F 1 i is A
30 DAY 13' 1
POST-PRIMARY 1
4 CASH BALANCE AT END
OTNTUESOAY �`. OFREPORTiiNGPERiOD: _- - _ -`t4 - -- - - . .._- __----
DRE^FI E'TION l
TOTAL AMOUNT OF FILER'S /
2n D FRIDAv , OUTSTANDING DEBTS'OR LIABILITIES
PRE-ELECTION 1AT THE END OF REPORTING PERIOD: S �_.._
IS
i 30 DAY 11 A. f A';zEri1:l£:":•
POST LECfCN ,'v s?.FS+{7(RT7 1 YES ' NO 1
ANNUAL TERIGNAUON I YE IIII
S No /
REPORT x'ZPGRT? 1f
a
AFFICI{tVIT secnO `
e''ARTI---
'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 Contr ibut3no Lobbyist,the Lobbyist must sign here.
i SWEAR(OR,BIER'.)T:iAT THE AGGRE �.T P.F:"E:PTS ON:'S5URSF`.:c, .S F:LI,S'L ,ES I..0 UR i=G :" "T"_RE?CNJIU PER:CIL'I lD:C TE`]AEONE CS)Val'
EXCEED;ND IiUNDREC AND FIFTY DC s�PA.S(S250.00)-.NC..7,. RE ORT IS,-G -=•- '7.7_,E v e �••S c -r,?�^cc-_'}F P,'1'iC'�^:'P .=.0 =:lF.F,TRUE,S:Cit�.w'-A.;J�3'h.�i'ETE.
SWORN TO AND SUBSCRIBED BEFORE ME MS ' ( , 1 '�....--''_'�I lTJR.OF P S Si3B'..s atr.REPORT
DAY OF /+ I I hA& 0-
J PRINTED NAME
SIGNATURE
w.y 6L'�SmsssioN EXPIRES
•,y 1 i��' $ �'- 77
M . DAY YR. AREA ccrE DAYTIME TELEPHONE MASER
PART II-
If statement is filed on behalf of a Candidate's Authorized Committee.Candidate must sign here.
f SMEAR(OR AFFIRM)THAT TO THE DES-CA:fY Na^,.:'=i.£GGE AMR c__.E-TH!S P£._T;S.,.CCI.t.II,T:ES HAS NOT VICLS _O ANY PR;,..viSI:NS OF THE ACT OF
JUNE 3.1537(P.L.1333.No.320)As A,=>t;,-D.
SWORN TO AND SUBSCRIBED BEFORE AS THIS
SIGNATURE OF CANDIDATE
DAY OP , 20,
PRINTED NAME
} SIGNATURE
MY COs.MISSION EXPIRES AREA CODS DAYTIME Tn HONE NUMEER
NO. DAY YFc.
. , Department of State a Bureau of Commissions,Elections and Legislation
LDSEII-503(12-99) 210 North Office BuIiding e Harrisburg,PA 17120-3028 a (717)787-5280
nr
- Pennsylvania Department of State
Bureau of Campaign Finance&Civic Engagement
210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4)
www.dos.pa.gev/campaignfinance • ra-stcampaignfinancePpa.gov
Part 11-If this form is submitted with a report by a Candidate's Authorized Committee, the
candidate must sign here.
I declare under penalty of perjury under the law of the Commonwealth of Pennsylvania
that the acc panying Campaign Finance Report is true and correct.
/I/2 2/ LI
Signature of Treasure andidat_; or Lobbyist Date (DD/MM/YYYY)
vcit(t5 L. vv\e‘cfb\A) CkAk4e44mob' f A- us
Printed Name Location (City/State/Country)
DSEB-502R
Updated 1/22/2021