HomeMy WebLinkAboutCrampsie, Sean - 2015 30-Day Post-Primary COMMONWEALTH OF PENNSYLVANIA
CAMPAIGN FINANCE STATEMENT
File this in lieu of a full report only ff aggregate receipts, expenditures, or
liabilities incurred each did not exceed $250.00 during the reporting period.
PIER IDENTIFICATION REPORT FILED
NUMBER
ON BEHALF OF , GNDIDATE COMMRTEE LOBBYIST
NAME OF FILING COMMOTEE,CANDIDATE OR LOBBYIST
Lr
STREET AOOR/E55
/ a' 1
CmSTATE ZIP CODE
Car �tsit PA
1 yl'/3
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY T
(CHECK ONE) �n/•1,,, )) pD tn� M0. DAY YEAR
6TH TUESDAY 1. (,�fll)�L DQtOurh lC�C7C1 � /�tm2t7r.,'' /? S /' <
PRE-PRIMARY FOR OFFICE SUSE ONLY
MO. I DAY TEAR MO. DAY YEAR.
2ND FRIDAY 2' DATES OF ,{
PRE-PRIMARY PERIOD NG l TO o
(1/ 7
30 DAY 3 / a.` —_ VCx (/
POST-PRIMARY J
CASH BALANCE AT END
6TH.TUESDAY 4. OF REPORTING PERIOD: $
PRE-ELECTION
TOTAL AMOUNT OF FILER'S
5, OUTSTANDING DEBTS OR LIABILITIES
PRE ECTI AT THE END OF REPORTING PERIOD: $ 0
PRE-FLECTION :
6.
30 DAY
.
POST-ELECTION AMENDMENTYES NO
REPORT?-
7.
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 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,{T'RUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS /-�_,�w,,,
DAY OF .��1�.S_ 20,„2 SIGNATURE OF PERSOVN SUBMITTING REPORT
I i 1 J ,yLa Yl (r'laM�il't
PRINNTEcDf NA p
Y COMMISSIOt= L
99t NOI7ryJAP[uz-- DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
CARLISLE
BDRO;.CUMBERLANU UNIT-
PART 11 - My Commission Exptres Oct 7.2017
If stat 1 a e'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 MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
DSEB-503(12-99)