HomeMy WebLinkAboutGurgiolo, Melanie - 2021 Annual Report 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 $250.00 during the reporting period.
FILER IDENT$F1CATION 1110. REPORT FILED ilk
CANDIDATE )‹
NUMBER ON BEHALF COMMITTEE LOBBYIST
OF
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
m Q_LANi % L
STREET ADDRESS
4 3 A..(z_k_.,i f•-) c-Tp pj (2_.0 Ao
_
CITY STATE TIP CODE
CAMP /4 ILL_ PA i -iot1 —
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) MO. DAY YEAR
CAIMP 111%A- SC,14-6 - .0%ft tcr`k D /,. ) 1
6TH TUESDAY t
PRE-PRIMARY FOR OFFICE USE ONLY
MD. DAY YEAR MO. DAY YEAR
2ND FRIDAY 2. DATES OF
PRE-PRIMARY REPORTING 1 1 23 2._I TO 1 2._ 3)
PERIOD
1 C)
P....
4=0
IV
3
30 DAY P..
POST-PRIMARY CO
CASH BALANCE AT END
D M 722'
6 4. OF REPORTING PERIOD: $ =
TH TUESDAY r— A)
me-eLecnotv Xs• C'
TOTAL AMOUNT OF FILER'S =
5.2ND FRIDAY • OUTSTANDING DEBTS OR LIABILITIES 0 D --0
PRE.ELECTION AT THE END OF REPORTING PERIOD: $ C) 2C
0 .0.
s. C ••
30 DAY
POST.ELECTION AMENDMENTYES NO y
REPORT? 12
7,...J.
ANNUAL TERMINATION
REPORT 7..... REPORT? YES `X. NO
AFFIDAVIT SECTION
PART I-
If statement is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here. 2 2
If statement is filed on behalf of a Candidate,the Ca .'. - - — ign here.
If statement is filed on behalf of a Contributing Lobb st,,*e Lob..• st must sign here. 5 0
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEME 't9 IABILIT,E:NCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPO-, 1, THE ••••(r MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
syvoR AND SUBS.-BED BEFORE ME THIS 3
0 i MAW- 6 t 0
Y 0 4 Ai _ 2 I/A F.. I fi a SIGNATURE CIF PERSON SUB ING REPORT
IIAMITAMEW 7 1)\4 e tCCLIA,\SL LiL1/C&(0 R
"h.el./lea 7/1 A ani W MN C
' PRINTED NAME U SI,''1 U
MY COMMISSION EXPIRES 17 06' agi2/ l', 7- q7.5 7
m . DAY YR. C./ 4 13 F EA CODE AVMS TELEPHONE NUMBER
01
PART II-
If statement is filed on behalf of a Candidate's Author,edlommire, 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 CF
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 MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
Department of State a Bureau of Commissions,Elections and Legislation
DSEB-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280
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