HomeMy WebLinkAboutGerow, Charlie - 2022 6th Tuesday Pre-Primary 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 ' CANDIDATE I f COMMITTEE LOBBYIST
NUMBER 2 0 Z2C a Z.38 ON BEHALF a /�\
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
1/h G..r f'C Cs/-OLD!
STREET ADDRESS
CITY STATE ZIP CODE
/gee,44a-OA e 6 v e5 /� l 7a So
TYPE OF REPORT NAME OF OFFICE SOUGH BY CANDIDATE DISTRICT NI,.PARTY , DATE OF ELECTION
(CHECK ONE) 01y,�/' Lv`•` MO.,/ DAY YEAR
6TH TUESDAY 1
G--01— h cov Jk 1-4/J U.7. /7 Zs' -2+
PRE-PRIMARY Y. FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
2ND FRIDAY 2. DATES OF
PRE-PRIMARY REPORTING 0!` TO v3 Zv Z ' C.'"'C.'"'PERIOD 41 7�«l11, (.
30 DAY 3. "� 1,3
POST-PRIMARY m ,
CASH BALANCE AT END rYl t7
XI 70
6TH TUESDAY 4. OF REPORTING PERIOD: $ f— 1
PRE-ELECTION ' Cri
TOTAL AMOUNT OF FILER'S
2ND FRIDAY 5. OUTSTANDING DEBTS OR LIABILITIES -0
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ C"a ;,.9:
Q IN)6. C
30DAY AMENDMENT --
POST-ELECTION REPORT? YES NO ✓ -
7. J�
ANNUAL TERMINATION 11
REPORT REPORT? YES NO /G
AFFIDAVIT SECTION
PARTI-
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
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE.CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
DAY OF 20 SIGNATURE OF PERSON SUBMITTING REPORT
SIGNATURE PRINTED NAME
MY COMMISSION EXPIRES
MO. DAY YR. AREA CODE DAYTIME TELEPHONE 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 COMM I HAS N T VIO 0 ANY PROVISIONS OF THE ACT OF
JUNE 3, 1937(P.L. 1333.No.320)AS AMENDED.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
3/ DAY OF „`�v 2�y_ SIGMA R ANDIDATE
a\
��"� W�a"SB PRINTED NAME
SIGNATURE �5�VI2S`a- ob�,c 71 MY CO ISSION EXPIRES O ei•�0j4 AREA CODE ��+
m ;30' r`v' f � 2p23 DAYTIME TELE HONE NUMBER
ry ° Go St06,
'� cyors Oa�P�,w s Pugh 24Sl
Deparlmv,tcdPS vyt0 u of Commissions,Elections and Legislation
OSEB-S03(12.99) 2100 i 50 • Harrisburg,PA 17120-0029 • (717)787-5280
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