HomeMy WebLinkAboutSchin, Richard - 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 NDIpATE. . I' CONMRTEE.. LOBB\TST
NUMBOA
ER ON BEHALF OF ,
NAME OF FILING GOMMDIEE,OANDIDATE OR LOBBYIST
(ZIc F Sc4411IJ
STREET ADDRESS
7/}Cr T>'e-
c" n ^^ STATE ZIP CODE
C (f`Y9� ILL I T-T
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY a
(CHECK ONE) ^ = MO. 'DAYYEAR'
CU�N i Y ,0rm&03'/Ditk=//
�. 0-' l g
6TH TUESDAY
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR M0. DAT YEAR
2ND FRIDAY 2' DATES OF
PRE-PPoMARY REPORTING D'a df- /SPERIM
30 DAY 3.
POST-PRIMARY -
- CASH BALANCE AT END
6TH.TUESDAY °' OF REPORTING PERIOD: $
PRE-ELECTION
TOTAL AMOUNT OF FILER'S
2NDPRmar 5' OUTSTANDING DEBTS OR LIABILITIES _,
PRE-E�EcnoN AT THE END OF REPORTING PERIOD: $
6 ••
CD
3O DAY
POST-ELECTKIN. AMENDMENT YES NO
..REPORTS
7.
ANNUAL
TERMINATION
REPORT REPORT? YES NO V
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 KNOWLEDGE AN F1 TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
!)DAY OF ... JI A ISI k 20_Z 4.) SIGH NAAIT�U,n O PERSON SUBMITTING REPORT
�Zlti;Cc-L-t16c--&L�'�, /�G 6C6L� IRI C{��i�r�l F -SCff//v
—7—r—
' L '�I�-' PRINTED NAME
SIGNATURE ���{/
MY COMMISSION EXPIRES CrAM VAVMTH nF PFNNSYIVAIAA 1 �F<//— yL 7
NOTARK SEAL AREA CODE DAYTIME TELEPHONE NUMBER
WIAN 1!01111119 1
PART 11 - Notary Public
If statement is filed o I
bepwal NT ed ommittee, 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. DAV YR. AREA CODE DAYTIME TELEPHONE NUMBER
DSEB-503(12-99)