HomeMy WebLinkAboutGaspich, John - 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
' REPORT FILED 1. L ON BEHALF OF CANDIDATE X COMMITTEE LOBBYIST J.
NUMBER \ I
NAME OF FIUNG1 O CANDIDATE OR LOBBYIST /q't TTr&-'
10
STREET ADDRESS 39 4/ 141 4•! P
CITY STATE ZIP CODE
°L6 /161Zr _' /1 Z7
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) 4ilieJellYrAiPeffMN/
C // / MO. DAY �YE/ARR6TH TUESDAY 5510A 4 -- Woe // 2, 2...0Z/
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
2ND FRIDAY 2. DATES OF
PRE-PRIMARY REPORTING Ol I D I 7„i,/ TO ' .31 2024
PERIOD (/ �!�
30 DAY 3'
POST-PRIMARY '
CASH BALANCE AT END $ _� -, Isiii f .
6TH tuEsnnY 4. OF REPORTING PERIOD: 1:3:3 ...
PRE-ELECTION
TOTAL AMOUNT OF FILER'S
2ND FRIDAY 5. OUTSTANDING DEBTS OR LIABILITIES
PRE-ELECTION AT THE END OF REPORTING PERIOD: $
S. ("') .4
P0O DAYT-E CO
AMENDMENT 4
POST-ELECTION YES NO
REPORT?
4 ......
ANNUAL TERMINATION YES NO
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 Lobbyist must sign here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR UABILITIES INCURRED DURING THE REP•-TING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS(S250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE ••• ., EF,TRUE,CO,:-ECT AND COMPLETE.
SWORN TO AND SUBSCRIBED OR
'ommolaih of Pennsylvania-Notary Seal4.11f / .1,,,, —'
DAY OF J Cl .leen Edward2 a,GY Public LIRE OF ON SUB T
C �p,�_ ,uphin County 1116
../��- miser 10,ZO. `/ PRINTED NAME
R f
MY COMMISSION EXPIRES 1
SIG COIT SIOn n w b-I 1387996 1 3Sd �/
MO. DAY YR. AREA CODE 7 DAYTIME(IM TELEPHONE NU ER
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 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
DSEB-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280
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