HomeMy WebLinkAboutRothman, Greg - 2022 30-Day Post-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 IDENTWICATKRI 0, REPORT FILED CANDIDATE I' Y COMMITTEE L LOBBYIST 3'
NUMBER ON BEHALF OF , /`
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST /
STREET ADDRESS CT .!�
/ G ,,..MJl,,* ,'<J
CITY STATE ZIP CODE
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C C..L.t�n... ..,b!./J ?mil / 7�5-0_.�
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CRNDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) S ..,,•e./' .)•. f 4 S. /_ :',.'W MO. DAY YEAR
6TH TUESDAY 1. err»Gr Y'r-( 41oes .""i 6/ r P.Afj OS /7 z!.'2.2
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. I DAY 1 YEAR
2ND.FRIDAY Z' DATES OF 1
PRE-PRIMARY REPORTING TO
PERIOD 05 o3 2,02.7.- Q4i O'- 201 _
30 DAY 3'
POST-PRIMARY � r"7
CASH BALANCE AT END :" s-....1
0'
6TH TUESDAY 4. OF REPORTING PERIOD: $ CO �_
PRE-ELECTION ti t";'"
TOTAL AMOUNT OF FILER'S
2ND FRIDAY 5. OUTSTANDING DEBTS OR LIABILITIES �.4
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ :<..
t4 '+,
30 DAY B. 4..--) .:
AMENDMENT
E R" TPOST-ELECTION YES NO X...O ? -
7.
ANNUAL
REPORT EO YES NO J < r
REPORT? IN)
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.
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 Y RHO+LE A ELIEF,TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
4' DAY OF . ('.9.sE - 20•Z7- - SIGNATUR O PERSON SUBMITTING REPORT
i - - + :n►a-Notary Sea)
Q., PRINTED NAME
SIGN T tOmmOn .,....,Notarll PUWiC
MY COMMISSION EXPIRES 40... , as T•I•• �-. my
MO. DAY • •' res August 08,2:..• ,ODE DAYTIME TELEPHONE NUMBER
.Y v
PART II- Commission numger 1 '
If statement is filed on behalf of a . ..,. .. s •uthorized Committee,Candidate must sign here.
!SWEAR(OR AFFIRM)THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THIS POLITICAL COMMITTEE HAS NO OLATEO ANY PROVISIONS OF THE ACT OF
JUNE 3,1937(P.L.1333,No.320)AS AMENDED.
(A)
SWORN TO AND SUBSCRIBED BEFORE ME THIS
SIG ATURE 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
DSEB-503(12-99) 210 North Office Building s Harrisburg,PA 17120-0029 • (717)787-5280
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