HomeMy WebLinkAboutEast Pennsboro Democratic 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 DD L' ` REPORT FILED , CANDIDATE- 1 COMMITTEE 1 2 t LOBBYIST ;
NUMBER I ON BEHALF OF
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
Ei' v7NN B 0 R 0 DEMOCR 7 C CI UR
STREET ADDRESS
y. O. `BOX C
CITY �O� STATE J�41- t CODE y 6_—
TYPE OF REPORT I NAME OF OFFICE SOUGHT BY CANDIDATE iolsmRlcr NO, PARTY DATE OF ELECTION ---
(CHECK ONE) MO. DAY YEAR
1. �� 1 \ Oa a cc 1 .
sTH TUESDAY
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. I DAY 1 YEAR
2ND.FRIMAY 2. DATES REPORTING F ' I� �� 70 /� 2' �O�
PRE-PRIMARY. PERIOD J V_/C J
30 DAY 3. a'�
POST-PRIMARY ^, \a-2 !
CASH BALANCE AT END `/'a` (U7(/ � x
67Ii TUESDAY 4. OF REPORTING PERIOD: $ ) 1
PRE-ELECTION -= cD
. TOTAL AMOUNT OF FILER'S 0
Cli
s. OUTSTANDING DEBTS OR LIABILITIES
2ND FRIDAY AT THE END OF REPORTING PERIOD: $
PRE-ELECTION -'
6. =
30 DAY N
POST-ELECTION AMENDMENT YES NO ar+
REPORT? "'<
ANNUAL TERMINATION ,
REPORT J� REPORT? YES NO _ .. ..
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.
meat is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here.
,L,S AR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
1, `r.,),S,C -D TWO HUNDRED AND FIFTY DOLLARS(S25O.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
?v
g n' SWORN TO AND SUBSCRIBED BEFORE ME THIS
-/� � �'fl
z. 1-4v ^
?�`Z 0 DAY OF C`�(,. 20 O.� SIGNATURE OF PERSON..SUBMITT REPORT
< 2 W ' , W\\\\C./"v \ mil.t \li K
_.,i..A...A...,z
m N , X///� --
-2 z0 e o - ''`SIGN 7ttRE PRINTED NAME
W u I� �0�3 ___ _ `go a- OP G
' i MY COMMISSION EXPIRES �—�—
E lP MO. DAY YR. AREA COCO E DAYTIME TELEPHONE NUMBER
E
0
U
TII-
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
11SFR-503 rI7_941 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280