HomeMy WebLinkAboutBorder, Zachary - 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 01, REPORT FILED 110,
NUMBER ON BEHALF OF
CANDIDATE '?< COMMITTEE 2 LOBBYIST
1 1
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
7achar 6 o rder
STREET ADDRESS
5/-1/ Wa. li-on StreeA-
CITY STATE PA ZIP CODE
Le,1010q1(1 i 0 3 —
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE !DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) MO. DAY YEAR
O
_TH TUESDAY 1 6oroa3k Co un cl( 1 2 le ei)
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY 1 YEAR
2 2 DATES OF
ND FRIDAY
PRE-PRIMARY REPORTING 0 i 1 oi 2.1 To 12_ 31 . ii
PERIOD
,
43 C.) e......
30 DAY c=1
r....1.
POST-PRIMARY
CASH BALANCE AT END
4 6TH TUESDAY rn OF REPORTING PERIOD: $ co -I-1
rn
33 00
PRE-ELECTION TOTAL AMOUNT AMOUNT OF FILER'S >, ......
5 2ND FRIDAY OUTSTANDING DEBTS OR LIABILITIES '"•-•
PRE-ELECTION AT THE END OF REPORTING PERIOD: S __ 0 CI
—I,
6 0
30 DAY
POST-ELECTION AMENDMENTYES NO X .*
REPORT? M
7 . —I cn
ANNUAL TERMINATION X
—.< "••••1
REPORT 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.
.tement is filed on behalf of a Contributing Lobbyist, the Lobbyist must sign here.
cil
a) .c.I. I s., EAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
Cl"?.,. „ ii< BED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY
0 ,F
02
CD SWORN TO AND SUBSCRIBED BEFORE ME THIS
Z a• 0
' 31.0 .a,, CM DAY OF r
241 GNATURE OF PERSON 4UBMITTING PORT
.al , c.31 A , 1)
•
All ,,el , TO E , / .- i"
,-,;- ,c)(13 2 'V.!1 . _413 ILAN/Niel!
PRINTED NAME
c0c0E r if SIGNATURE
c E 03 CD =
AD 03 7.-. .trz C
•••••• Z 0:. a _ MY COMMISSION EXPIRES 861 Al 07a-5 c---r-qs'
0 a) .0 &c, z,- MO. DAY YR. AREA CODE DAYTIME TELEPHONE NU ER
(D. 0:1 03
g 2 gi •tatement is filed on behalf of a Candidate's Authorized Committee, Candidate must sign here.
E ct 8
0
0 I 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
DSI:B-503(12-)91 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280
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