HomeMy WebLinkAboutRussell, Cyrus - 2015 2nd Friday Pre-Election 1
0 ri COMMONWEALTH OF PENNSYLVANIA
LXD �� rd3 CAMPAIGN FINANCE STATEMENT
U 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 ' GNDIDATE
ER I CONNRTEE.. LOBBYIST
NUMBON BEHALF OF
NAME OF nUNG CO//M��MIIT�TTEE,CANDIDATE OR LOBBYIST
( 1.41 5 ei11
STREET AD EBB
0 , Wq Inut ST,
CITY STATE y� ZIP CODE
-r, S0 1'If 4s pa
TYPE OF REPORT NAME OF OFFICE S6u7mT SY CANDIDATE DISTRICT NO. PARTY
(CHECK ONE) CIJ < (� j� MO. DAY YEAR..
STH TUESDAY' .. . 1. /1 3
PRE-PRIMARY - FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAV YEAR N
2. GATES
NOF
PRE-PRIMARY REPORTING I _ lam' TO I/� I/'' I(�
PERIOD to I 14(J1 l�
30 DAY S. rT1 �
¢C=)p' a
POST-PRIMARY 7
'- CASH BALANCE AT END F
ISTN.TUESDAY 4. OF REPORTING PERIOD: $ O =�
PRE-ELECTION a
TOTAL AMOUNT OF FILER'S
2ND FRIDAY 5�/ OUTSTANDING DEBTS OR LIABILITIES ` CO
-. PRE-FLECTION /� AT THE END OF REPORTING PERIOD: $ CJn
d
30.DAY.
POST-ELECTION AMENDMENT YES NO
REPORT?'.
ANNUAL TERMINATION '
REPORT REPORT? YES NO
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 MY KNOWLEDGE AND SEUEF jRUE,CORRE�COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
DAY OF �. 'jQ� SIGNATUREpOF PERSON SUBMnT�IINN�G REPORT
N TURF YR. PRINTED
NAME AME
COMMISSIOLZARULO L/n/0OAREA CODE DAYTIME TE
LyEtP/
HONE.N-U�MBQEQRR
CARLISLE BORCUMBEFUAND CNTPAY QI
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PART 11
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 MV 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.
DSEB-503(12-99)