HomeMy WebLinkAboutCentral Cumberland Democrats - 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 110,. REPORT FILED I.
CANDIDATE 3.
NUMBER ON BEHALF COMMITTEE.; V LOBBYIST
NAME OF FI CON ,. CANDIDATE OR LOBBYIST �/) 1/�
04ocvais
STREET ADDRESS
r12/3 u/ s.S c2J i X
CITY Al STATE /1 ZIP CODE —_
L Er%Q y«_5/�vi9 24 �o`t- 1965C�
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) • MO. DAY YEAR;
;1.
..:6TH'TUESDAY' ..
•PRE=PRWARY., FOR'OFFICE;USE:.ONLY
MO. •.DAY• YEAR ..MO. .DAY ' :.'YEAR.
2ND FRIDAY '2. DATES OF
. :PLORIMARr REE:CTING / / 2oZ1 TO 1 Z 3/ 762/
• 3Onv • • 3. C)
•POST-PRIMARY.: "``'
/�
-` CASH BALANCE AT END / 6 7 r`"
� C...
4. OF REPORTING PERIOD: $ [.01 5
�
6TFI TUESDAY:' : m 2 4
PRE-ELECTIO .N ✓
• TOTAL•AMOUNT OF FILER'S CAI
•2ND•FRIDAY
OUTSTANDING DEBTS OR LIABILITIES
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ 0 1=3 -0
s. 0
t.-') MC
3O DAY CA)
. 'POST-ELECTION, .> RAME '• YES NO =
7 - 4 -
ANNUAL TERMINATION.. YES NO v
•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 LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
''ICEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLE�BELIEF,T ECT AN COMPLETE.
R SWOR TO AND SUBSCRIBED BEFORE ME THIS0
3 3 7i i I DAY OF IAAA- 2039, rS NATURE ••N SUB ING REPO
, 2ee,
/
""c')IC, PRINTED NAME
3 I o ‘SIGNATURE
i rNYYD
COMMISSION EXPIRES 'D . 14-• rS 766 820 :—3 /V
. d MO. DAY YR. AREA CODE
o sn•2. DAYTIME TELEPHONE NUMBER
wN P4fTII-
!f�t cif 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.
DSEB-503(12-99)