HomeMy WebLinkAboutRothman, Greg - 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 10, REPORT FILED CANDIDATE I_40 COMMITTEE 2
LOBBYIST 3
NUMBER ON BEHALF OF '
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST !J [/,
G 1-7 /�e V'!m 1,
STREET ADDRESS
/ 61-1,nfip.c/44-r /?4,1
CITY STATE ZIP CODE
/ 70So—
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CADIDATE DISTRICT NO. PARTY /
G„u,'7f DATE OF ELECTION
(CHECK ONE) �. il' ,y 1.4 D �� ����i/{4. MO. DAY YEAR
�7+bg'4'"-A.,1 /9SS+• .3- / 7 D
e TUESDAY ��7H � O 2 L�
PRE-PRIMARY FOR OI'PJCE USETONLY
MO. DAY YEAR MO. DAY YEAR Y.:^"3
2ND FRIDAY 2' DATES OF ,-.,Tr
PRE-PRIMARY PER OD REPORTING 0 i 41 ZO't• TO G.i Oy LIUL cn
ri
30 DAY 3. XI -C
POST-PRIMARY E'""' t
CASH BALANCE AT END
6TH TUESDAY 4, OF REPORTING PERIOD: $
3 ,1
PRE-ELECTION C.)
TOTAL AMOUNT OF FILER'S 0
2ND FRIDAY 5' OUTSTANDING DEBTS OR LIABILITIES L?
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ TV
6. '-'‹ CD
30 DAY
POST-ELECTION AMENDMENT YES NO
REPORT?
7.
ANNUAL TERMINATION YES NO
REPORT REPORT? -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(S250.00)AND THIS REPORT IS,TO THE BEST OF MY KNO EDGIND TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
2 DAY OF CL 20A-7— SIGNATURE F RSON SUBMITTING REPORT
�, •, nsvl"anie Notaq Seal
--T�.� - , t�UWTG PRINTED NAME
SIy .��� .nw"' �ICkatdS.1• 'ty
MY COMMISSION EXPIRES B• 1• ,,, 4t'Tt$Iff 2023
MO. OR •'.. Y AUgUSt�' A•EA CODE DAYTIME TELEPHONE NUMBER
• OT1 exp+.s 1292A3/
OO11 btl
PART II My Commiss,o"nuts
If statement is filed on behalf .I -- •I.ate'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
USED-503(12-09) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280