HomeMy WebLinkAboutStouffer, Paul - 2015 30-Day Post Election COMMONWEALTH OF PENNSYLVANIA
CAMPAIGN FINANCE STATEM
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.
FDER IDENTIFICATION REPORT FILED 1. )
NUMBER
ON SENALF OF 'CANDIDATE CONMRTEE: :LOBBYIST-
NAME OF FUND COMMME,CANDIDATE OR LOBBYIST
HAV L C . <-;Tcu FP6 �-
STREET ADDREBS p
1315 Jl,� ��!
CITY STATE ZIP CODE
euj Wu-e Pd-- I -1z•4c —
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT N0. PARTY
(CHECK ONE) l_ W, DAY YEAR'
6TH TUESDAY' 1. �V 6t 03 124,15
PRE'PR MARY FORrOFFICE:USE ONLY'
.MO. DAY, MIS
2ND FRIDAY 2. DATES OFPREPRIMARY RERIOD TO III�PERIOD `
30 air S.
(7 v
POSM1PRIMARY
CASH BALANCE AT END VT
6TH.TUESDAY -4. OF REPORTING PERIOD:
PRE-ELECTNIN I7Y O
TOTAL AMOUNT OF FILER'S
2ND FRIDAY 5. OUTSTANDING DEBTS OR LIABILITIES y
PREELECTION rrAT THE END OF REPORTING PERIOD: $ JJ
-D
30 DAY B
POST-ELECTON.' AMENDMENT
RSP0kT? YES NO C N
7. W
ANNUAL TERMINATION YES �.
...REPORT REPORT?-
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 B WLEDGE AND IEF,TRUE,CORRECT AND COMPLETE.
SINORNTP AND SUBSCRIBED BEFORE ME THIS 5 ��
lff
—DAY OF 2O �� SIG TURE OF PERSON MITTING REPORT
t� KAat_. c, S-Tb a F-Ra
PRINTED NAME
MY Comm ITfPub—kmo'
NOtefY YR. AREA CODE DAYTIME TELEPHONE NUMBER
AMPI
PA T II -My Commission 17
If s 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 MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
DSEB-503(12.99)