HomeMy WebLinkAboutRothman, Greg - 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 IDENTIFICATION 0, REPORT FILED CANDIDATE I COMMITTEE 2 LOBBYIST 1
NUMBER ON BEHALF OF
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
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STREET ADDRESS d pp
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CITY t-c // STATE VP CODE
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TYPE OF REPORT NAME OF OFFICE SOUGHT BY--``ANDIDATE �� DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) R„. � .d.e.A{i'-Tr��./� ''� � �j 11Ii'n MO. DAY YEAR
6TH TUESDAY' 1. ��i..sn.../'�+'1 /7.7rr*e..,44.)7' �7 lZ'1' // . . =a 1
PRE-PRIMARY // FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
2No FRIDAY a DATES OF
PRE-PRIMARY PERIOD NG oG a9 Zazi TO 17— 3 I test
30 DAY s' C? r....
POST-PRIMARY (t.: =f
CASH BALANCE AT END ^`a
6TH TUESDAY o.
4. OF REPORTING PERIOD: $ 03 r�..
PRE»ELECTION rn xi.
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TOTAL AMOUNT OF FILER'S
5. OUTSTANDING DEBTS OR LIABILITIES )
- E AY CD
PREELECTION PRE-ELLE AT THE END OF REPORTING PERIOD: $ C)PRETI
B. C) Z
30 DAY
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POST-ELECTION REPORTS AMENDMENT
YES NO )/ = CO
7. M
r
ANNUAL TERMINATION YES NO y
REPORT /\ REPORT? �Y -�C
• .• . . . : ' �` a' '• - l: ;. -)0 '� ,- j-r;t:�v. rJN:f�:y �' :a.• _,_.1.,r,! -, ..,:. .,:°�3_,:`�, .'.!, zy:..T; ;. 1., s ._. :4: AFEIQ' i N. •:-"19 ' > L :•; c ,: .r {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 Lobbyist must sign here.
1 SWEAR(oR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABIUTIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS(S250.00)AND THIS REPORT IS.TO THE BEST OF MY OWLS AND BELIEF TRU CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
.��' flAa '
3 DAY OF X4- 6,.Icry. E,..r��Wa as O ke-Ty` SIGNATU E 0 Rs N SUBMITTINGTI REPORT
TOO
• t WO pueht--
/ U r3 PRINTED NAME
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MY C ISSION IRES Oa slob p43110 to
� all
My Comte eel AREA CODE DAYTIME TELEPHONE NUMBER
Go�missiDr s�
PART11-
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 POLmCAL 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
DSL•13.503(12-99) 210 North Office Building • Harrisburg,PA 17120.0029 • (717)787-5280