HomeMy WebLinkAboutBoust, Charles - 2015 30-Day Post Election COMMONWEALTH OF PENNSYLVANIA (L
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CAMPAIGN FINANCE STATEMENT
File this in lieu of a full report only if aggregate receipts, expepd ures. or
liabilities incurred each did not exceed $250.00 during the reporting period.
FILER2.
NUMBER IDENRFICATTON , REPORT:L O t 1I Z 336-7 ON I ENALFFF IUEO OF ' OIDA�' I.� COMMITTEE.. LOBBYIST ).
NUMB
NAM/Eg�/UNG OOMMRTEE,CANONATE" BMW
STREET ADDRESS
CRY STATE ZIP CODE
L°u1Jrl��f
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY A
(CHECK ONE) / UP Mo. DAY NEAR'
6TH TUESDAY D°r
PRE-0RWRY FOR OFFICESUSE ONLY
Mo. DAY YEAR MO. DAY -YEAR
2ND FRIDAY 2' DATES OF
PRE-PRIMA RY PPEERIOO NG TO
36 DAY 3' ✓ p
POST-PRDMRY C
CTI
-- ' CASH BALANCE AT END
-Bni_ruEsoAYi. °' OF REPORTING PERIOD: $ rr. C
PRE-ELECTION
TOTAL AMOUNT OF FILER'S t
2NDFRIDAY - 5. OUTSTANDING DEBTS OR LIABILITIES
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ -9
B O
30 T-E
.AMENDMENT'.' l
POS - LECTION. _ REPORT?MT NO �l
7.
ANNUAL TERMINATION
REPORT REPORT?. YES —]i
J�
AFFIDAVIT r
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.
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 KNIT DGE AND BELIEF,TRRUUF,,/Ef�RRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
DAY OF 201
PLI
-JIGNATUR S F PERSON Le`BSEP T
PRINTED NAME
GNN57LtlAMA
MY CO 1 7/ 7` 7 771 '- 76s
NOTARI L2ARUlb DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
acimAmy SAPART 1 - Notary PUDIW
�ARLy�LE�BORO;.CU IOERLAND CNTY
If state en In p►�INIw"Gk1 "?670frifli4a1 's Authorized Committee,Candidate must sign here.
I SWEAR(OR AFFIRM)THAT TO THE BEST OF MY KNOWLEDGE AND SEUEF 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)