HomeMy WebLinkAboutDawber, Richard - 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 IDENTIFICATION ' - REPORT FILED
NUM
ONSEKALFOF CANDIDATE
BER COMPMEE'. LOBBYIST
NAME OF FILM ONMITTEE,CANDIDATE OR LOBBYIST
c of
STREET A&REW
CITU STATE IIP CODE
c°L-'Q111CJZU �?/f /705 —
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY
(CHECK ONE) -MO. OAY
STM TUESDAY
PRE-PRIMARY ''' FOR OFFICE USE ONLY -
MO. DAY YEAR -.MO. pAY YEAR
2ND FRIDAY 2' DATES OF I= O
PRE-PPoMARY REPORTING /Q �a /'I TO "Stlf
PERIOD Cu
-30:DAY - - 3. rTT rT1
s3 C7
.':.POSTAPoMAAY
- '-.- CASH BALANCE AT END
6TH TUESDAY 4. OF REPORTING PERIOD: $
PRE-ELECTION 'T7
TOTAL AMOUNT OF FILER'S
5. OUTSTANDING DEBTS OR LIABILITIES TV
2ND FRIDAY AT THE END OF REPORTING PERIOD: $
. PRE-ELECTION C�
30 DAY
POST-ELECTION AMENDM„��D� YES NO
7.
"ANNUAL TERMINATIONIV
-
...REPORT' REPORT?- YES NO
AFFIDAVIT B
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 TNG THE REPORTING PERI DILATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST KNO DGE AND LIEF,T ,COR CT AND COMPLETE.
3SR TO AND SUBSCRIBED BEFORE ME THIS � �----
DAV OF 2Q� SIGNATURE OF PERSON SUB tRING REPORT
PRINTED NAM
MY COMMISSID� AL 717 f
BETHI011a O. DA YR. AREA CODE DAYTIME TELEPHONE NUMBER
Nola PBDIiD
PAR 11 _�11RLISLE BOR :.
If Ste M CotnlRilsion EIIWTBB Qct 7.2017
o a andidate's Authorized Committee, Candidate must sign here.
1 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)