HomeMy WebLinkAboutYoung, Michael - 2015 2nd Friday Pre-Election 011 19.,
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.
PEER IDENRFICATION ' REPORT FILED , T �. �.
NUMB ER
ON BEHALF OF CANDIDATECOMLHTTEE.. LOBBYIST
NAME OF FILING COMMITTEE,CANDNATE OR LOBBYIST
,/)I r r- I- o t,A/
STREET ADDRESS
35Z /I'<1 T-Ncff� lhvh L ,La
CITY
V v C W V/LLC STATE 1 171;2y /ZIP CODE -
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT N0. PARTY �iiiiiiiiiIq
(CHECK ME) //'1/�/� ` MD. - DAY YEAR.'
STH TUESDAY 1. C< T (J Tq
PRE-PRIMARY FOR OFFICE.USE ONLY
MO. DAY .YEAR MD. OAV YEAR
2ND FRIDAY Z' DATES OF
30 DAY
REPORTING TO
PER OD
30'DAY 3'
LLLI
POST-PRIMARY.
CASH BALANCE AT END
6TH TUESDAY
a. OF REPORTING PERIOD: $ C o
'.
PRE-ELECTION ✓ CI'f
TOTAL AMOUNT OF FILER'S 1`11 C-)
6. OUTSTANDING DEBTS OR LIABILITIES Z) .7
PRE-EL CR AT THE END OF REPORTING PERIOD: $
PRE-ELECDON
6.
30 DAY DO.
AMENDMENT
PORT-ELECTH]N. REPORT? YES NO
T.ANNUAL
c
REPORT TERMINATION. YES NO N
REPORT?
AFFIDAVIT SFCTION
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 KNOWLEDG NO BELIEF,TRyE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIIS.B�BIp LZ/ Ly
'r1 Dl DAY OF ! Uf�tS /y, SIGNATURE OF P(ER50/,rS�UBMITTING /PORT
NOTIIPI 5 / 7 1 /L h 4 C/ �!/(."/ C
BIGNA PRINTED NAME
MY COMMISSION P1985USLE 5080.CUMBERLAND is
My om • fn�t,2019 �� 4,L
AREA LODE DAYTIME TELEPHONE NUMBER
PARTII -
If statement is filed on behalf of a Candidate'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)