HomeMy WebLinkAboutBoust, Charles - 2015 2nd Friday Pre-Election COMMONWEALTH OF PENNSYLVANIA
CAMPAIGN FINANCE STATEMENT
File this in lieu of a full report only if aggregate receipts, expenditure, or
liabilities incurred each did not exceed $250.00 during the reporting period.
FRER IDENTIFICATIONREPORT FILED
�J c+.� Y CANOx1ATE
�— � 3 . COMMIDEE` LOBBYIST
NUMBER p�-O I/ - � � ON BEHALF OF
77ONG COMMITTEE,CANDIDATE OR LOQ C, S
STREET ADDRESS
,
40 �e�ti ��
CRY STATE ZIP LODE
04-w v -
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY
(CHECK ONE) / �O � MO. DAY YEAR'
STH TUFsonr 1. J�1-�id r (.(' 4 , 11 L, �"`UfAIT�.\ i , 3 :2-o/.S
PRE-PRIMARY' ` FOR OFFICEUSE ONLY
MO. DAY YEAR MO. DAY YEAR
2. DATES OF
IN
PREP MARY PERIOD NG V 011 n0, TO ) C
S V 47 - f"i�
30 DAY
POST-PRIMARY C� N
CASH BALANCE AT END �1 o
<. OF REPORTING PERIOD: $
STH TUESDAY C11O
PRE{LECTION CD O
TOTAL AMOUNT OF FILER'S
2NDFRIDAY 5. OUTSTANDING DEBTS OR LIABILITIES
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ 7
B.
30 DAY AMENDMENT ' 'y
POST-ELECTION YES NO x •.
REPORT?
7.
ANNUAL TERMINATION YES
REPORT REPORT? X
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 �NgWLEDGGEEE AND BELIEF,TRU E�/GRRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE'MME THIS
0.,Q)�\\ DAV OF .y 2015 111 SIGNATURE OF PERSON(SUB10ffrrI1N--G REPORT
�h�r jam, M T30LU� -6
-
PRINTED
7 PRINTED NAME ry
MV COMMISSj0WABftSE ! ! I 776 "' 76 (�
BETHANY SAL O, DA YR. AREA CODE DAYTIME TELEPHONE NUMBER
r Public
CARLISLE BORO:,CUMBERLAND CNTY
PAR II- My CDrnlBisslon Expires Oct 7,2017
If st d te'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
MO. DAV VR. DAYTIME TELEPHONE NUMBER
DSEB-503(12-99)