HomeMy WebLinkAboutFreed, David - 2015 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 X1 COMMRTCE LOBBYIST 1
NUMBER ON BEHALF OF
NAME OF FILING COMMmEE,CANDIDATE OR LOBBYIST
1 tom^ l
STREET ADDRESS
CRY STATE vP WOE
rh L. PA
TYPE OF REPORT NAME OF OFFICE BOUGHT BY CANDIDATE DISTRICT NO. PARTY
(CHECK ONE) MO., DAY YEAR
STH TUESDAY
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. OAY YE4R_
DATES OF
2ND FRIDAY
PRE-PRIMARY REPORTING 31 ,tPi TO ZL S
PERIOD
30 DAY 3.
POST-PRIMARY
_. CASH BALANCE AT END /t
6TH TUESDAY 6' OF REPORTING PERIOD: $ V
PRE-ELECTION -
TOTAL AMOUNT OF FILER'S
s_
2ND FRIDAY OUTSTANDING DEBTS OR LIABILITIES G PRE-ELECTION AT THE END OF REPORTING PERIOD: $
'
8
30 DAY AMENDMENT
POST-ELECTION REPORT? YES NO
T
ANNUAL TERMINATION
REPORT REPORT? YES NO
AFFIDAVIT
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 LIF&LITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DO NOT
E%CEED TWO HUNDRED AND FIFTY DOLLARS($250.00)ANO THIS REPORT IS,TO THE BEST OF MY KN
OWLEDGE Mo BELIEF,TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
DAY OF ' I 2015 SIGNATAATTUUREE, l/OF PERSON SUBMITTING REPORT
PRINTED NAME
GNATU RE
MY COMMISSION EXPIRES Sonia E.Myers,IN Pu c -1 1 22,(D ,�0"I"'�
L�jdisie OrBA Ullly AREA CODE DAYTIME TELEPN NE 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 KNOWI-EDGE AND BELIEF THIS POUTICAL 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
PRINTEDNAME
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 6 Harrisburg,PA 17120-0029 IF (717)787.5280