HomeMy WebLinkAboutRepublican Principles for Cumberland - 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 '. I. 2. - 3.
NUMBER ON BEHALF OF CANDIDATE COMMITTEE." LOBBYIST.
NAME OF FILING COMMITTEE,CANDIDATE OR LOB( rtncA/2)1e
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CITY ZIP CODE
l e''C' h t V S V)U r[i STATE
IY 19 )144 Il /F
TYPE OF REPORT NAME
��OF OFFICE SOUGHT BY CANDIDATE DISTRICT ���
RIJCTpppNO. PARTY DATE OF ELECTION
V
(CHECK ONE) n d€c l e,,r/\ 1 // MO. DAY YEAR;...
6TH TUESDAY`...
PRE-PRIMARY; FOR OFFICE::USE.ONLY
.. :MO. ,.DAY. YEAR .MO. ...DAY ' :.':YEAR:.
2ND'FRIDAY.i:':,':' 'aDATES OF
PRE-PRIMARY.. :: REPORTING ' 1 "�//�
V l TOa 3( 21
PERIOD
30 DAY • '. 3'
POST-PRIMARY : .. $�
CASH BALANCE AT END c r.s
6TH TUESDAY 4' OF REPORTING PERIOD: $ .
PRE-ELECTION . m
TOTAL AMOUNT OF FILER'S 0 o %O
ZHn'FRmi►v 5. OUTSTANDING DEBTS OR LIABILITIES sg y g o vo ›* N
PRE-ELECITON; AT THE END OF REPORTING PERIOD: $ CO
s. ^ia
30 DAY. ENT
rC
POST ELECTION > AMENDMREPORT? YES NO X Ire
` /
REPORT TERMINATIONPORT . YES NO 3( 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 Candid ,the Candidate must sign here.
If statement is filed on behalf of a Contri .� Lobbyist,the Lobbyist must sign here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECE S OR DIS t S NTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($2 .00)AND Y IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CO AND MPLETE.
SWORN TO AND SUBSCRIBED BEFORE M IS,0,,, C�,O'p�f'Do,7* Xt
IC 0 0i '1'6
a DAY ON *)is ss/o74 ��dq/ SIGNAT OF PE UBM/tt��Il �E
. ie,' j� d , ��K
- l'',,�G40 o'')- ',Yoh /� /I(! c
.ram 0, Wk.. d W v YPRINTED R 7 d47sod PRINTED NAME
4MY COMMISSION EXPIRESc .._4EA
MO. 'y a° o66•jOzs AREACODE 7 DAYTIME TELEP 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 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)