HomeMy WebLinkAboutNegley, Marlin - 2015 30-Day Post Election COMMONWEALTH OF PENNSYLVANIA ec (CI
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 repo ing period.
FILER IDENTIFICATION REPONT FRED CANDIDATE COYNRTEE t.
NUMBER ON BEHALF OF LOEBYIET,
NAME OF RUNS OOMMITTEE,OANDIMTE OR LOBBYIST
� I
TREET ADDRE//BB '"l
CRY STATE 21P CODE
]j"I/I Ile -Qq /7aq/ —?776—
TYPE
` 776TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DI CT NO. PARTY F
(CHECK ONE) W tel~ MD. '"' DAY. 'YEAR.:.
QfH'TUESDAY'
1.
Co�Shc� ,��cd I/ 3 l
'.PRE-PRIMARY ' FOR'OFFICE:USE ONLY
OF I MO. DAY YEAR M0. DAY YEAR..
2ND FRIDAY - 2' DATER DIG _
TO
PRE-PRIMARY PEPON �M RIOD /0 l-6 J
J CN
,30 DAY.:. _–9. a
cn
PosrwwMiUm CASH BALANCE AT END ® W
61 N.TUESDAY - 4. OF REPORTING PERIOD: $ YTS CD
PRE-ELECTION i— N
TOTAL AMOUNT OF FILERS " p
. 2ND FRIDAY - e. OUTSTANDING DEBTS OR LIABILITIES
PRE-ELECTIONAT THE END OF REPORTING PERIOD: $ D 3�
B.
0 ALT
30 DAY _ C
POSTELECTIDN ANIEINIDMYES NO w
T. f.
ANNUAL TERMINATION
REPORT REPORT?
YES NO
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.
1 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($2550.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AN ELIE/F,,TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBS�CRIBED BEFORE ME THIS —tiI/h l
�0 /
DAY OF /l�JDVQJM,�Q lZY 20 /5 ®�/f SIGNATURE OF PERSON U ING REPORT
lY�ly/l �S �lll
-� SIGNATU PBU ANN �`e11 Mww /'7/7 Sla yy `Q•
Of
MY COMMISSION '7!7 226
2;E YR. AREA CODE DAYTIME TELEPHONE NUMBER
PART 11 - CARLISLE OONO,VNMMLAW COUNTY
If statement is file on Ib>e0alinbAW§ftqM(Ku ed 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 AREA CODE
DAYTIME TELEPHONE NUMBER
MO. DAY YR.
DSEB-503(12-99) -