HomeMy WebLinkAboutYoung, Michael - 2015 30-Day Post Election �cl
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 REPORT FILED - L -
NUMBER ONBEHALFOF , CANDCANDIDATECOMMITTEE3... 'LOBBYIST ).
NAME OF FILINGCOMMITTEE,CANDIDATE OR LOBBYIST
'q e L OIfIV�1
ADDRESS
5 Ac)7T
CRY STATE VP CODE
A49W11)LLe- M )7;]LY/
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY
(CHECK ONE) MO. 'DAYYEAR.--
. STH TUESDAY': �. VV• T "•"'L{
PRC-PRIMARY FOR OFFICE.USE:ONLY
.MO. I
//D�A/YY 1YEAR
MD. OAY ' YEAR-
MS
2N6 PRWAY 2. RD F '� Ul 1 J
PRE-PRARY
PERIOD
TO \1
1
30 DAY 3' O C
POST-PRIMARY CASH BALANCE AT END O o
6TH.TUESDAY a. OF REPORTING PERIOD: $ t
PRE-ELECTION
- TOTAL AMOUNT OF FILER'S
2RD-.FRmnY - 5. OUTSTANDING DEBTS OR LIABILITIES
,PRE.ELECrON - -. AT THE END OF REPORTING PERIOD: $ D
3O DAY
POSTLECT-
AMENDMENT .A�•, O
KIN.' .:REPORT? ' YE"
NO
7.
ANNUAL '' REPORT?TERMINATIO
REPORT N 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 ANO FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AID BELIEF,TRUE,CORRECT AND COMPLETE.
SWORN AND SUJIIIS1C/RISE�D/B�(E�F1{O-RREE ME
THIS 'w f ��
DAY OF J �L kk 1 hg 1p20lLF - SIGNATURE'�01:PERSON UBMITTING EPORT
7/7 PRI NAME
ALI
MY COMM
QNAw NOTARIAL E 7�9^3j�
NDtay Public MO. D YR. AREA CODE DAYTIME TELEPHONE NUMBER
PA II-My Commission EapUee Oct
7,2017
If
tat men Is I e on be a of a Candidate's Authorized Committee,Candidate must sign here.
1 SWEAR(OR AFFIRM)THAT TO THE BEST OF MY KNOWLEDGE AND BEUEF 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 M. AREA CODE DAYTIME TELEPHONE NUMBER
DSEB-503(12-99)