HomeMy WebLinkAboutBires, Connie - 2015 2nd Friday Pre-Election 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 IDENRFICATION ' PEPORT FILED i. ).
CANDIDATE CONNRILOBBY15T
NUMBER ON BEHALF OF
NAME OF FILING D.MMiT IZE,CANDIDATE OR LOBBYIST
(�v�ni� 3il�es
STREET ADDRESS
25
CITY STATE ZIP CODE
LvTA 1 -7b 1_3 —
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY
(CHECK ONE) �` '�J I /' I MO.• DAY YEAR'
6TH TUESDAY 1 ` 1�'J ✓T (� ` ( ( I S
.PRE-PRIMARY FOR OFFICE;USE ONLY
MO. DAY YEAR M0. DAY YFAR
2ND FRIDAY Z' DATES OF
PRE-PRIMARY REPORTING / TO lO I /
PERIOD �J I
7 N
30:DAY 3. O
POST-PRIMARY a Ul
CASH BALANCE AT END Q M O
6TH TUESDAY -` °. OF REPORTING PERIOD: $
PRE-ELECTION
TOTAL AMOUNT OF FILER'S tp
6.{LECTION V/ OUTSTANDING DEBTS OR LIABILITIES
PRE-ELECTION 2ND AT THE END OF REPORTING PERIOD: $
6.
30 DAY C
POST-ELECTION AMENDMENT ` YES NO ZF
REPORT? �4
T W
ANNUAL .TERMINATION
REPORT REPORT? YES NO
AFFIDAVIT e
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 EDGE A��AND COMPLETE.
SW�OORRryTO AND SUBSSCCRIBE,D BEFOR-E ME THIS L`l/fj .�1 \DAY OF ( .0 YAK L� 20SIGNATURE OF PERSONS MITTING REPORT
�67sLgmC'C � �IiPS
�7 PRINTED NAME
Y COMMISSIBEIr(rAM // 7 -761/-2-5-7 7
NOlary Public MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
PART My Commission Expires Oct 7,2017
If statement is filed on behalf of a Candidate'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. A
U
DSEB-503(12-99)