HomeMy WebLinkAboutBrewbaker, Jessica - 2015 30-Day Post 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 IREN11FlC/,T/pN
NUMBER 201500215 ��pPp D"M°DATE IX CprorreE i LOBBYIST '"
NAME OF HUNG CONMRTEE,CAIIDMTE OR weann
Jessica Brewbaker
STREET ADDRESS
815 Wellington Drive
CT STATE BP CODE
Carlisle I PA 17013
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DIeTNCT No. PARTY
(CHECK ONE) MO. DAY YEAR
STH TUESDAY 1. Court of Common Pleas R 111
3 1 201
PRE-PRNIARY FOR OFFICE USE ONLY
MO. I DAY I YEAR YO. pAY YFAR
2ND FRIDAY 2' DATES OF
PRE-PRIMARY REPORTING ' TO
PERIOD 10I 20 15 11 23 15
30 DAY 3'
POST-PRIMARY
CASH BALANCE AT END Q
6TH TUESDAY A' OF REPORTING PERIOD:
PRE-ELECTION
TOTAL AMOUNT OF FILER'S1 p
O
S.
2xDFp1DAr OUTSTANDING DEBTS OR LIABILITIES
PERIOD: AS ITIES Yn n
AT THE END OF REPORT - ''
PREELECTION `'
1 y T
30 DAY --
AMENDMENT -'
Posy-ELEcnoH X REroRr7 YES
ANNUAL `
TERMnanoN .' +....-
REPORT REPORT? YES
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 Loist,the Lobbyist must sign here. ; g
I SWEAR(OR AFFIRM)THAT TME AG(.REGAT'_ftFLFIPTS OR DISBURSEMENTS CR LIARLR:- NIX, OURNG THE REPORTING PEPNOO INDICATED ABOVE DID NOT
EXCEED Two HLNCRED AND RFTY OOL:.ARS(S2SO.00)ANC TRIS REPCRi i5.TO SEUEF.TRUE,COHRECT AND COMPLETE" 222_ p1
SWORN TO AND SUBSCRIBED BEFORE ME THIS C-D 1 a �� Z
M� 11 IA i c-
C \ 3
3U DAY OF b NATURE OF PERSON SUBMITTING REPORT
I�o.ieRrn[\� G� 20 " �
l(� \ ) �f--� 55\C� �G Lam- Sap
—�— 1GNATURE PRINTED NAME I
MY COMMISSION EXPIRES po aq ac-j/Co `'11—I L{.{ $-- 22 Z �
a. DAY YR. AREA CODE DAYTIME TELEPH UMBER S S
c5 D
PART II - Z�,�
If statement is filed on behalf of a Candidate's Authorized Committee, Candidate must sign here. OLPI
1 SWEAR(OR AFFIRM)THAT TO THE BEST OF MY K A.ECGE AND RE IF-TMIS POLMCAL C f&% =c-HAS HOT VIOLATED ANY?ROVISICNS 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 A_
DSEB-503(12-99) 210 North Office Building a Harrisburg,PA 1712"029 • (717)787-5280