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HomeMy WebLinkAboutWestern Cumberland County Republican Club - 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 ,III ©/f �D// REPORT FILED , CANDIDATE I COMMITTEE LOBBYIST NUMBER ON BEHALF OF 3. NAME OF FILING COMMITTEE,CANDIDATE LOBBYIST U1 eSle-rn . U OA tr- IaYla COVA-ly 'c4Aerublicrvl Cio b STREET ADDRESS - La 8v l pv lKiral ii i C J ,,/v] J 9/ (r l q f g STATE pfi ZIP CODE /// TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION (CHECK ONE) MO. DAY - YEAR 6TH TUESDAY I. PRE-PRIMARY - FOR OFFICE USE ONLY MO. DAY YEAR MO, DAY 1 YEAR DATES OF 2ND FRIDA .. Z PE ODnNG PRE-PRIMARY I 1. aLi I` lc?TO � 3 I a 30 DAY 3' �. IV POST-PRIMARY CO L-,. CASH BALANCE AT END - .�j 33 / i r 6TH TUESDAY 4. OF REPORTING PERIOD: $ C/ V ' PREELECTION ),' .0 TOTAL AMOUNT OF FILER'S = 2ND FRIDAY 5. OUTSTANDING DEBTS OR LIABILITIES / y�J © -tp PRE-ELECTION AT THE END OF REPORTING PERIOD: $ v e. C 30 DAY' ` POST-ELECTION AMENDMENT YES NO y 4 cz x REPORT? /\ 0REPORT EROINATION `/ REPORT REPORT? YES NO X. 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 DI'.- -SEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD IN ICATED ABOVE DID NOT EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AN, _•ORT IS,TO THE BEST OF MY KNOW EDGE AND BELIEF,TRUE, O ECT AND OMPLETE. SWORN TO AND SUBSCRIBED BEFORE ME THIS Mw.''arrh IfC4,y °� c I���� DAY O �Qi1Z/ MC oogi�M�SI'/fr, 4GNAT 'S ' F P MITT G E yyQgq QQQ,, T,..4,,x.4j y,N pUb/c,0 (AA Li t� -14,,, / Y.-PRINTED NAME MY COMMISSION EXPIRES `,( l/� I� �IJ�� �, ) 7 .2../. �� ���� MO. DAY YR. •EA CODE DA IME TELEPHONE NUMBER PARTII- 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 a