HomeMy WebLinkAboutCentral Cumberland Democrats - 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 IDENTIFICATION ji> REPORT FILED 11) CANDIDATE , I COMMITTEE _ LOBBYIST
NUMBER ON BEHALF OF
NAME OF FIT GCOMMITTEE,CANDIDATE OR LOBBYIST1 d) \�\ \)S'-/ C',.
akt
45
STREET ADDRESS
al-3 1-1 oys` t.0 v of e
CITY mt
STA ZIP CODE
cinay\tcstouv(ak �a OL- l%5b -.�
NAME OF OFFICE OUGHT BY CANDIDATE (DISTRICT NO. PARTY. %I 'i , •DATE O ELECTION
TYPE OF REPORT ..,:, ._ ..
(CHECK ONE) MO. I DAY YEAR
6TH TUESDAY
PRE-PRIMARY FOR OFFICE USE ONLY
-
MO. 1 DAY I YEAR MO. I DAY I YEAR
2ND FRIDAY 2. DATES OF I
PRE-PRIMARY REPORTING 5 ,3 as TO W I /Y I as
PERIOD
30 DAY 13'
POST-PRIMARY ,
CASH BALANCE AT END l� -"- 1--»•
a. OF REPORTING PERIOD: S �tS b t5 l
6TH TUESDAY _ Cr-7 Cm
PRE-ELECTION m
TOTAL AMOUNT OF FILER'S :r.
ZND FRIDAY 15. OUTSTANDING DEBTS OR LIABILITIES J.. CT+
PRE-ELECTIONAT THE END OF REPORTING PERIOD: S
6.
30 DAY C --=
POST-ELECTION REPORT?AmENDMENT YES NO l..,./ C.
7.
ANNUAL i TERMINATION '--1 N
REPORT REPORT? YES NO .,,�✓ („A}
•,:,, , r .-. 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 Contributi'• Lobbyist,the Lobbyist must sign here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS• 5 R" ENTS CR LIABILITIES INCURRED DURING THE P,EPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED T•.VO HUNDRED AND FIFTY DOLLARS(S250.0. AND-HI = 'T 1S.TO THE BEST OF MY KIiO:•'EDGE A•'• .'LIEF,TRUE.C• AND COUP'ETE.
SWORN TO AND SUBSCRIBED BEFORE ME IS At 41eC ,4.6 , rp • \ /
/�/ DAY OF Jj •_•� C%%i1��Y 4fl7Y - �- N/TU-E OF PER SUBMIT ING REPORT
SI T 4, 4.'4 `. 46 PRINTED NAME
MY COMMISSION EXPIRES I Li o MO. DAY Y ` ,�6ob66 (
?pla AR • ODE DAYTIME TELEPHONE NUMBER
PART II-
If statement is filed on behalf of a Candidate's Authorized Corn ittee, 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 v AREA CODE DAYTIME TELEPHONE NUMBER
MO. DAY YR.
Department of State • Bureau of Commissions, Elections and Legislation
USEI3-50.(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280