HomeMy WebLinkAboutMcDermott, John - 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.
FAER IDENTIFICATION ' REPORT FILED ' CANDIDATE 1 1. ).
NUMBER ON BEHALF OF CD.,TEE LOBBYIST
MANIC OF RUNG COMMRTEE,CANDIDATE OR LOBBYIST
%� w
STREET ADDRESS (
COY STATE ZIP CODE
PC-.-, I joss -
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY
(CHECK ONE) MO. DAY I 'YEAR
6TH TUESDAY.. 1. ��, L�"•.Q Ir
PRE-PRIMARY- FOR OFFICE SUSE.ONLY
MO. DAY YEAR MO. OAV YEAR:
2ND FRIDAY 2' DATES OF
PRE-PRIMARY REPORTING
PERIOD
30 DAY 3.
POST-PRIMARY
CASH BALANCE AT END
6TH.TUESDAY A' OF REPORTING PERIOD: $ -,-
PRE-ELECTION
TOTAL AMOUNT OF FILER'S ` ' -
2ND FRIDAY B. OUTSTANDING DEBTS OR LIABILITIES
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ r-'-
EePO'A
CA
AMENDMENT
REPORT? YES NO
Z
TERMINATION YES NO � q M
REPORT?
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,TRUE,CORRECT AND COMPLETE.
WO TO AND SUBSCRIBED BEFORE ME THIS 4- C T
DAY OF .� / 20L qO� SIGNATURE OF PERSON SUBMITTING REPORT
C- PRINTED NAME
ItI `6Y 27 a4
BETHANY SALZ%L0 DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
PART If CARLISLE80R0;'CUMEERDANDCNIY
20,
If state ent i�'W ndldate'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.
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)