HomeMy WebLinkAboutZambuto, Robert - 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 IDENTFICATIDN ' REPORT FILED / NDI MM �� I
NUMBER ON BEHALF OF CAIDATE. , COTTEE LOBBYIST
RAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
2i vii
STREET ADDRESS
IL460 &Ij-, Cpccr L'o lo
Cm STATE DP CODE
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY
ON
(CHECK E) LDLISHIP SU �:RV ISO �f'� lMO.•. DAY' YEAR..
'6TH TUESDAY 1. C. V I 26( 5—
PRE-PRIMARY
6( 5PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEA0. MO. DAY YEAR..
2ND FRIDAY Z`'/ DATES OF
PREPRIMARY .'1 REPORTING f,�j
PERIOD IIll` ,.�uIC TO "-'�
30 DAY
3. V:J .J 1
POST-PRIMARY
CASH BALANCE AT END
6TH TUESDAY `4. OF REPORTING PERIOD: $ V
PRE-ELECTON
TOTAL AMOUNT OF FILER'S
6_ OUTSTANDING DEBTS OR LIABILITIES
PRE-ELECTION 2ND FRIDAY AT THE END OF REPORTING PERIOD: $
6.
30 DAY
POST-ELECTION. AMENDMENT REPORT? YES NO X
T
ANNUAL TERMINATION
REPORT REPORT? YES NO X
AFFIDAVIT SE CTION
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($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
DAY OF 20 SIGNATURE OF PERSON SUBMITTING REPORT
SIGNATURE PRINTED NAME
MY COMMISSION EXPIRES
MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
PART 11 -
If statement is filed on behalf of a Candidate's Authorized Committee, Candidate must sign here.
1 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. !��6, /����
S N T AND SUBSCRIBED BEFORE ME THIS 1� �/ e�(
DAY OF
` `��I 2o—Fa SIG_ URE OF CANDIDATE
j 7, up
PRINTED NAME
oll 5go - laS 3
my MISSKNO IAtSSEAI AREA CODE
BETHANY SAL O. OA YR. DAYTIME TELEPHONE NUMBER
CARLISLE BORO;,CUMBERLANO C
MY OOMMISSIOO Expites Oct 7.2017
DSEB