HomeMy WebLinkAboutFreed, David - 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.
FILER IDENTIFICATION , REPORT FILED ' CANDIDATE COMMITTEE 4OBBYIST
NUMBER ON BEHALF OF
FUME OF FILING COMMITTEE,CANDIDATE OR LORBYIST
I /d�
STREET ADDRESS
32y N . -G Ste.
CRY STATE ZIP CODE
cj�" PA
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY T
(CHECK ONE) AR
6TX TUESDAY
J 5.1 1 c Al1byl law MO. DAY YE1II 1 1, 1 '2.,S-
PRE-PRIMARY
o•SPRE•PRMAARY FOR OFFICE USE ONLY
MO. DAY YEAR Mp. DAY YEAR
2ND FRIDAY Z' DATES OF
REPORTING TO ^ -
PRE-PRIMARY PERIOD S S ZDlT p GOTS i"T
30 DAY 3. --- -
POST-PRIMARY
CASH BALANCE AT END
6TH TUESDAY °' OF REPORTING PERIOD:
PRE-ELECTION
TOTAL AMOUNT OF FILER'S O
3, OUTSTANDING DEBTS OR LIABILITIES
2ND FRIDAY AT THE END OF REPORTING PERIOD: $ -
PRE-ELECTION
L.a
30 DAY
POST-ELECTION AMENDMENT YES NO
T
REPORT?
ANNUAL TERMINATIO{ YES NO
REPORT REPORT?
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 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.
SWORNYO AND SUBSCRIBED BEFORE ME THIS ��•�1`�,',^-II
DAY OF 20%J SIGNATURE OF PERSON SUBMITTING
REPORT
PRINTED NAME
SIGNATURE
MY
NOTARIAL S
Y YR. AREA CODE DAYTIME TELEPHONE NUMBER
C
PART it Carlisle Boro, Cumberland County
If stater karmLy fig6wdidate's Authorized Committee,Candidate must sign here.
I SWEAR(OR AFFIRM)THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THIS POLITICAL.COMMITTEE HAS HOT 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 ZO
PRINTED NAME
SIGNATURE
MY COMMISSION EXPIRES AREA CODE DAYTIME TELEPHONE NUMBER
MO. DAY YR.
Department of State • Bureau Of Commissions,Elections and Legislation
DSEB-503(12-99) 210 North Office Building 9 Harrisburg,PA 17120-0029 • (717)7 1,_(I