Loading...
HomeMy WebLinkAboutWarner, Brock - 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 , TCANOfl)ATEI i 1. NUMBER ON BEHALF OF . n CONMRIEE. LOBBYIST OF RUNG COMMITTEE,CANDIDATE OR LOBBYIST G�- W rn 6,/ STREET ADD fi ZIP CODE cmwAPI ! �bJU — J�� 7 M �c,� I�sS TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY (CHECK ONE) , I M0. DAY YEAR ...6TH TvesDnr -:1. S,�uerS , - TwP Sc.Qe�)/Isv� off- 0 1 2o45 `PRE-PRIMARY FOR OFFICE USE:ONLY MO. DAY YEAR MO. DAY 2ND R- -2ND FRIDAY 2. DATES OF IMARY REPORTING 05 17� Zoly TO 30 DA OG VO I� 30 DA3'/ PERIOD POST-PRIMARY �l CASH BALANCE END V O t ©0 6TH.TUE30AY °' OF REPORTING PERIOD: $ PRE{LECTION TOTAL AMOUNT OF FILER'S 5. OUTSTANDING DEBTS OR LIABILITIES PRE-EL CTI AT THE END OF REPORTING PERIOD: $ --20' 00 PRE-ELECTION 6. 30 DAY POST-ELECTION. AMENDMENTYESNO REPORT? . . ANNUAL TERMINATION REPORT. REPORT? YESNO AFFIDAVIT SECTION 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. SWOTO AND SUBSCRIBED BEFORE ME THIS DAY OF TO SIGNATURE OF PERSON SUBMITTING REPORT �I PRINTED NAME /� MY COMMLEWL /� 7 7 790 I NOlery PUOIk tbltf�TO. D YR. AREA CODE DAYTIME TELEPHONE NUMBER PA 11 My Commission Expires OM 7,2017 If statemen Is I ate'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 AREA CODE DAYTIME TELEPHONE NUMBER YR. DSEB-503(12-99) a?