HomeMy WebLinkAboutBienstock, Albert - 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 IDENTIFICATION 1 PGRT FRED ' CANDIDATE 1' / COMMRTEE LOBBYIST
NUMBER ON SERALF OF
NAME OF FILING COMMITTEE,CANDIDATE OR LOSSYAST
LBE T Afj
STREET ADDRESS
OL b /O L1EE R
CITYsrATE ZIP CODE
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY T
(CHECK ONE) TowA/SH/p LOiyA/p551e lE MO. DAY VBAR
6TH TUESDAY 1. A"fA b EA) 72,j/0
PRE-PRIMARY FOR OFFICE USE ONLY
M0. GAY YEgR MO. DAY YFA0.
2ND FRIDAY 2. DATES OF
PRE-PRIMARY PERIOD NG TO ! V N
30 DAY 3_
POST-PRIMARY O
CASH BALANCE AT END
a.
6TH TUESDAY OF REPORTING PERIOD: $ ~
TV
PRE-ELECTION
TOTAL AMOUNT OF FILER'SQT
s. OUTSTANDING DEBTS OR LIABILITIES 3s
2ND FRIDAY
PRE-ELECTIONAT THE END OF REPORTING PERIOD: $ D O S
30 DAY _
PMT-ELECTION REPORT? YES NO
C1
ANNUAL TERMINATION
REPORT REPORT? YES ✓ NO
AFFIDAVIT •
PART I-
tement is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here.
S If 10tement is filed on behalf of a Cndidate,the Candidate must sign here.
�a a o J§tement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here.
yJ d -r R(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID OT
Uf EED TWO HUNDRED AND FIFTY DOLLARS($21'50.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT _
Z 2
SWORN TO AND SUBSCRIBED BEFORE ME THIS C \
p q M UA OF 2Q�j SIGNATURE OF PIaRe SUBMITTING REPORT
t< �� `� < ,gLRE12>N• .BIE.L!_STOCK
LL SIGNATURE PRINTED NAME
ZE z MY COMMIBBK)N EXP ES D .� I 2�1� 7 `�ry
£ $E V MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
f
PA £il-
atement is filed on behalf of a Candidate's Authorized Committee, Candidate must sign here.
I SWFAR(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
Department of State • Bureau of Commissions,Elections and Legislation
DSEB-503(12-98) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)7875280
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