HomeMy WebLinkAboutGerow, Charlie - 2022 2nd Friday 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 ' REPORT FILED , CANDIDATE I X COMMITTEE 7 LOBBYIST I
NUMBER ON DENA.,OF
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
CA Pi,4L s 6,!...f toGA"
STREET ADDRESS
5/? L S G 4...riot-s /Ril
CITY STATE ZIP COOE
/liGC,i4i Rio a/4.1b`/-y /,91 i 7a Sa-
TYPE OF REPORT NAME OF OFFICE SWAT HY CANDIDATE DISTRICT NO. ,,,PARTY DATE OF ELECTION
(CHECK ONE) li,`4„�Iti MO. DAY YEAR
1. 6-I✓•-•-ri.IJ� OP p..irV s' i -, zd1z.
BTHTUESDAY
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
2NDFRIDAY 2. DATES OF
REPORTING TO
1 �
PRE-PRIMARY
ll L/ ,7 2. 'z" 't- � O 1. �lyj�L
PERIOD Q -?
30 DAY 3' --
POST-PRIMARY J . .1
CASH BALANCE AT END (/f/ CO
6TH TUESDAY 4. OF REPORTING PERIOD: $ rt i 23 m
PRE-ELECTION I"'
TOTAL AMOUNT OF FILER'S )", I
s• OUTSTANDING DEBTS OR LIABILITIES cri
PR0 FRIPRE-ELECTIONDAY
AT THE END OF REPORTING PERIOD: $ - C'3
B (7)
30 DAY AMENDMENT YES NO Al 6
POST-ELECTION REPORT? .."Z
� ry
ANNUAL ' TERMINATION YES NO JL -
REPORT REPORT?
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
PRINTED NAME
SIGNATURE
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 COMMITTEE77/-1.
HAS NOT VIOLAT O).NY PROVISIONS OF THE ACT OF
JUNE 3,1937(Pl. 1333,No.320)AS AMENDED. s
r
SWORN TO AND SUBSCRIBED BEFORE ME THIS � '--"�—
� yy� SIQNAT x CANDIDATE
fir
DAY OF ��! i 20?Z- C�/g ��C G' QI�I.A
/ gyp\ti,N a, { PRINTED NAME
..---
MY SI N --- ate 0 - ,,L.Wei pub �'/7 L'"7 7- 9/4'/
•MMISSION EXPIRES (I,�x'{�`;" AS`T Aicx �+ 2G23 •REA CODE DAYTIME TELEPHONE NUMBER
M(oOUS 456 phit'I tiv,
V10n`
i9e per •
=• eau of Commissions,Elections and Legislation
DSEB-503 S 12-99) 210 4961 •0 . c uilding • Harrisburg,PA 17120-0029 • (717)787-5280