HomeMy WebLinkAboutGuido, Robin - 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 IDENTFIGTION ' REPORT FILED ' CANDIDATE. 1 CONMRTEE 3. LOBBYIST 1
NUMBER ON BENALF OF
NAME OF FILING COM DIOATE OR L TIBT
2
STREET ADDRESS
CRY STATE ZIP CODE
I �
f
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PA
-�
(CHECK ONE) C MO. DAY YEAR
6TH ruesoaY 1 �f� �. t. J jJ ! .�
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEM MO. DAY YEAR
2ND FRIDAY 2' GATES OF
PRE-PRIMARY PERIOD -5 �,f.' ]� TO
PERIOD (/ IJ /. CU O J
30 DAY S'
POST-PRIMARY
CASH BALANCE AT END
STH.TUESDAY 4. OF REPORTING PERIOD: $ -
PRE-ELECl10N
TOTAL AMOUNT OF FILER'S
e. OUTSTANDING DEBTS OR LIABILITIES
2ND FRIDAY
PRE-ELECTIONAT THE END OF REPORTING PERIOD: $ ✓
6
30 DAY
-
POST-ElECT10N. AMENDMENT
REPORT?
EPOSYES O
Z
ANNUAL TERMINATION
REPORT REPORT? YES 0
AFFIDAVIT B
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 RING THE REPOftTIN PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KN WL/EDGE AND ftIE ,J RUE,CORRECT ND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
DAY OF I 2Q lel {GNAT Ipt OF ER /S SNHTTING RRrPPORT
_'- 01j.2l L- /7wdo
PRINTED NAME
BETHANY SALZAIRRO DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
PARTI - CARLISLE BORO;.CUMSERLA ND2 N TY
If state entAhl RSI 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 AREA CODE DAYTIME TELEPHONE NUMBER
MO. DAY YR.
DSEB-503(12-99)