HomeMy WebLinkAboutBeinstock, Albert - 2015 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.
RI-ER IDENTIFICATION ' '
NUMBER A�flF OF CAND®ATE 1. COMMITTEE 3_ LOBBYIST
NAME OF RUNG COMMITTEE,CANDIDATE OR LOBBYIST
.qLB leWJ70CA'
STREET ADDRESS
6,3 0/ ,b /o.✓r�—R /
CITY STATE ZIP CODE
6-41/FT//,/-G I P 176711
,7050
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT N0. PARTY
(CHECK ONE) Toi✓,JSH/P �DA J,W�SS��YlI�� MO. DAY I YEAR
6TH TUESDAY 1. d / ' e .3'
PRE-PRIMARY FOR OF USP�ONLY
W. DAY YEAR W. DAY YEAR
2ND FRIDAY 2. DATES OF C-
G7
PRE-PRMARV. REPORTING4 a/� TO a _
PERIOD •-
lj
30 DAY 3,
POST-PRIMARY ✓ ~
CASH BALANCE AT END L;
6TH TuEsDAY °. OF REPORTING PERIOD: $ O �� J
PRE-ELECTION C
TOTAL AMOUNT OF FILER'S c-=. F�
S. OUTSTANDING DEBTS OR LIABILITIES
2ND FRIDAY
PRE-ELECTIONAT THE END OF REPORTING PERIOD: $
B.
30 DAY
POST-ELECTION AMENDMENT YES NO
REPORT? v
7.
ANNUAL TERMINATION
REPORT REPORT? YES NO
AFFIDAVIT SECTION
S If state nt is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here.
zd.
if peg- nt is filed on behalf of a Candidate,the Candidate must sign here.
If gt nt is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here.
R AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE D19lNOT
W q g O HUNDRED AND FIFTY DOLLARS($2%00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT P
E N TO SUB$CRBED BEFORE ME THIS
Aq Jb b ° 0 OF 201S SIGNATURE SON SUBMITTING REPORT
� � � � A<eL.e7• fid ,�/En/.SYO!-,t�
Z AE M SIGNATURE
)
PRINTED NAME
'b
214MMISSION EXPIRES V e -�)I zu 7/7
q 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.
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 M0. DAY YR. AREA CODE DAYTIME TELEPHONE-NUMBER
Department of State • Bureau of Commissions,Elections and Legislation T�
DSEB-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5260