HomeMy WebLinkAboutSilcox, Nathan - 2015 2nd Friday Pre-Primary a
CAMPAIGN FINANCE STATEt;._NT
File this in lieu of a full report only if aggregate receipts, expenditures, or
liabilities incurred each did not exceed $50.00 during the reporting period.
FILER IDENTIFICATION REPORT RL a }
NUMBER ONOEHALF OF ' CANDIDATE COMMITTEE LOBBYIST
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
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STREET ADDRESS
11•t2'J t ,J J452 F.x SC' 0Q_'0-7_
CITY STATE ZIP LOOE
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TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY F
(CHECK ONE) MO. DAY YEAR
6TH TUESDAY I STar-[. �4$'Q'EiE.�TATI V>✓ �� 1 20
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. OAY YEAR
2ND FRIDAY z' DATES OF
PREPRIMARY REPORPERIOD
1 I I 1 i0 4
12-0
30 DAY 3
POST-PRIMARY
CASH BALANCE AT END o
6TH TUESDAY 4_ OF REPORTING PERIOD: $
PRE-ELECTION
TOTAL AMOUNT OF FILER'S
2ND FRIDAY
s. OUTSTANDING DEBTS OR LIABILITIES
-
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ O
6.
30 DAY AMENDMENT
POST-ELECTION REPORT? YES NO _
ANNUAL TERMINATION
REPORT REPORT? 'IES
IO
F
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(5250.00)AND THIS REPORT IS,TO THE BEST CF MY KNOWLEDGE AND BELIEF,TRUE.CORRECT AND COMPLETE,
SWORN TO AND SUBSCRIBED BEFORE ME THIS
DAY OF 20 SIGNATURE OF PERSON SUBMITTING REPORT
PRINTED NAME
SIGNATURE
MY COMMISSION EXPIRES
MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
PAR II -
If ment is filed on behalf of a Candidate's Authorized Committee, Candidate must sign here.
V
% r
U •SWEAR(OR AFFIRM)THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THIS POLITICAL COMMITTEE HAS NOT VIOLATED ANY PROVISIONS OF THE ACT OF
NTi o uNE 3, 1937(P.L. 1333,No. 320)AS AMENDED.
q O A
SWORN TO AND SUBSCRIBED BEFORE ME THIS
i �.$ Y, Q.I-{-I �-..f/ ���l(/�.�����, SIGNATURE OF CANDIDATE
t U x U DAY OF Q 2015
A O C 1 • "--� V F.,I.-r 11 >,J SEL.. C EJ'i
[2 � • L - ,�QJ� PRINTED NAME
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C u E s
SIGNATURE vAT, -'T �) 1.--) & -4 Cf _ e
1C p BIY COMMISSION EXPIRES /V G Z ZU 17 AREA CODE DAYTIME TELEPHONE NUMBER
E U w MO. DAY YR.
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Department of State • Bureau of Commissions,Elections and Legislation
DS60-+n1 n'99) 210 North Office Building 9 Harrisburg,PA 17120-0029 • (717)787-5280