HomeMy WebLinkAboutJohn Shugars Campaign - 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 $250.00 during the reporting period.
FILER
NUMBER IDENTIFICATION powREPORT�LED
OF 101 :CANDIDATE t.. COMMITTEE.: LOBBYIST 3.
TX
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
`ToS campcu qn
STREET ADDRESS
3 East 15l. S hw-e-b ) l c i+ `1 S3
CRY Bc
STATE ZIP CODE
i 11 n 3pyir PA 1c7C0-7 — CfCri$
TYPE OF REPORT NAME OF OFFICSO GHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) , a 'y (S gilt
„� n M)^3-n MO. DAY YEAR
6TH`TUESDAY' `�I� Vl At91dC}16 lJ' (��
PRE-PRIMARY, ` FOR OFFICE USE ONLY
MO. DAY YEAR'. -.MO. " 'DAY ' ;':YEAR:.
2ND FRIDAY DATES OF
PRE-PRIMARY REPORTING TO O) I 2Z
PERIOD c!
30:DAY • 3.
POST-PRIMARY
CASH BALANCE AT END
6TILTUEsgAY, a. OF REPORTING PERIOD: $ "`'"'e ra
PRE-ELECTION : N
TOTAL AMOUNT OF FILER'S W C..
ZHD r m: OUTSTANDING DEBTS OR LIABILITIES r1'I 2
PRE-ELECTION::.: AT THE END OF REPORTING PERIOD: $ 33
30 DAY.. ` C.)AMENDMENT
POST-ELECTION REPORT? YES NO ')(\ C„> Mt
7. Co w
ANNUAL V TERMINATION..
REPORT REPORT? YES NO Z ,0"
1 VI.
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 , ••yist,the Lobbyist must sign here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DI-=URS . _ OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)A. •THIS REP. , TO THE BEST OF /•WLEDGE AND B EF;TRUE,CORRECT AND COMPLETE.
SWORN sal-TO AND SUB RIBED BEFORE ME THIS oC° o"I'o 'P
DAY 0 _ • ° 0/`°�i ,Ks AATURE O�F�'PERSON$ ING -61
� f SI//� -- RE -I ;6ojr •G PRINTED NAME
MY COMMISSION EXPIRES 1�/� 1, �( 3 o66jojj / 713 -- 59d�3
MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
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 BEUEF 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.
DSEB-503(12 99) (..141-
'X