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HomeMy WebLinkAboutGuido, Robin - 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 IOENIFICATION REPORT FILED CANDIDATE. COMMITEE. . NUMBER ON SEHALF OF LOBBYIST, NAME OF FILING 00 M DATE OR TIBI © fiMn. STREET ADDRES,L IVIL CITY bu- 4 L SLATE ZIP LODE / 70/3 TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE IDISTRICTNO. JPARJ,(CHECK ONE) //(�/� Sp MD. DAY YEAR 6THTUESDAY Il v &H LCZ , l PRE-PRIMARY FOR OFFICE USE ONLY MO. DAY YEAR M0. DAY YEAR: 2ND FRIDAY 2' DATES OF PREPRIMARY REPORTING D I I /r TO D•S 0 J PERIOD J 30 DAY POSTW RIMARY : CASH BALANCE END - 6TH.TUESDAY I °' OF REPORTING PERIOD: $ PRE-ELECTION ' TOTAL AMOUNT OF FILER'S e. OUTSTANDING DEBTS OR LIABILITIES 2ND FRIDAY PRE-ELECTION AT THE END OF REPORTING PERIOD: $ „ - 6. _ 30 DAY ' POST-ELECTION. AMENDMENTREPORT? YES NO 7 ANNUAL TERMINATION REPORT REPORT? YES NO AFFIDAVIT SECTION PART I- If statement is filed on behalf of a Political Committee orCandidates'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 Lobb, the Lobbyist must sign here. I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED ING THE REPORTING PERIOD INDICATED ABOVE DID NOT EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY Ot EDGE At E ,TRUE,CORR CT AND COMPLETE. SWORN TO AND SUBSCRIBED BEFORE ME THIS 1s / l DAY OF "Low 20JS SIGN E'OF P ARSON SUBMm�i REPORT �l/L PRINTED NAME Iu IMPAL �y3"�c3D5` MV COMMISSION FIRES YEISAY E MIR19 M�tly P" YR. AREA ODE DAYTIME TEL HONE NUMBER No PART II - W CanlMEffon EIIPNEE Jal tA,2019 If statement is file on ea of a Candi7aWs 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 MV COMMISSION EXPIRES MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER DSEB-503(12-99) �'