HomeMy WebLinkAboutFreed, David - 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 WENMCAYON REPORT FRED ' CANDRyTE COMMITTEE LOBBYIST �.
NUMBER OH BEHALF OF
HAME OF HUNG COMMITTEE,CANDIDATE OR LOBBYIST
1
STREET ADORERS
3 2-A tJ
CITY STATE IIP CODE
( w.Q tit (�A 1701 -
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY
(CHECK ONE) r�1\-�{j�( MO.• DAY YEAR
61H TUESDAY 1. ;•' � It 201c
J
PRE-PRIMARY FOR OFFICE USE ONLY
Mo. DAY YRAR M0. DAY VEAR
2ND FRIDAY 2' DgTES OF
PRE-PRIMARY ID �� .T^'! TO )I
30 DAY 3. W'> J f01 C*) O
POST-PRIMARY C
CASH BALANCE AT END M cr
5TH TUESDAY d' OF REPORTING PERIOD: $ m m
PRE-ELECTION C
TOTAL AMOUNT OF FILERS
2ND FRIDAY s. OUTSTANDING DEBTS OR LIABILITIES D w
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ p
A Os
30 BAY O
POST-ELECTION AMENDMENT YES NO
REPO"?
W
ANNUAL TERMINATIONYES NO N
REPORT REPORT?
T7
AFFIDAVIT SECTION
PARTI -
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 UAMUTIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AHD THIS REPORT IS,TO THE BERT OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSC ISED BEFORE ME THIS
C..//l, DAY 201.5 SIGNATURE OF PERSON SUBMITTING REPORT
SIGNATURE ^ PRIMED NAME
MY COM �w'YL O/��TT 616 �1 1 2—U,•30 /-)
NOT CS$AL DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
Soma In.Myers, o
PART II- Aisle Boro,Cumberland County
If statement i Eb�Ebi� t Rhi s Authorized Committee, Candidate must sign here.
1 SWEAR(OR AFFIRM)THAT TO THE BEST OF MY KNOWLEDGE ANO BELIEF THIS POLITICAL COMMITTEE HAS NOT VIOLATED ANY PROVISIONS OF THE ACT OF
JUNE 3,1937(P.L. 1333,No.320)AS AMENOED.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
SIGNATURE OF CANDIDATE
DAY OF 20_
PRINTED NAME
SIGNATURE
MY COMMISSION EXPIRES MO. DAY AREA CODE DAYTIME TELEPHONE NUMBER
YR.
Department of State • Bureau of Commissions,Elections and Legislation
DSEB-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 111 (717)787-5280