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HomeMy WebLinkAboutBienstock, Albert - 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 MENTICCATKM REPORT RED VT-CAN 'M '' / T. LOBBYIST 3. NUMBER ON•EIIALF OF V NAME OF FANG COMMITTEE,CANDIDATE OR LOIBYIST AL,BER I EA/ O C kJ ErREer ADDxess d3 ©L O/✓EE Rb CRY STATE SID CODE / 7a// —aos'd TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY (CHECK ONE) 'TO t✓/JS///P CUMMISS/O�✓EQ MO., DAY YEAR 6TH TUESDAY T' yes S C •I//MP Fn!Tod I,'E/T / / PRE-PRIMARY FOR OFFICE USE ONLY DATES OF C-) M0. DAY YEAR MD. DAY YEM 2ND FRIDAY 2. REPORTING TO C O PRE-PRIMARY PERIOD / �(' Q 2B/ / •�'.,i' PCO�.} �' 30 DAY 3. M' POST-PRIMARY CASH BALANCE AT END t 6TH TUESDAY °' OF REPORTING PERIOD: PRE-ELECTION Ir? TOTAL AMOUNT OF FILER'S n 2ND FRIDAY s' OUTSTANDING DEBTS OR LIABILITIESO O _ PRE-ELECTION AT THE END OF REPORTING PERIOD: $ •- B. 30 A POST-ELECTH)N AMENDMENT YES NO REPORT? 7. ANNUAL TERMINATION REPORT REPORT? YES NO AFFIDAVITSECTION S )ARTI- f Ent is filed on behalf of a Political Committee orCandidates's Committee,the Treasurer must sign here. 3 f " gnt is filed on behalf of a Candidate, the Candidate must sign here. z f s WIt is filed on behalf of a Contribut6 Lobbyist,the Lobbyist must sign here. z W , AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE OID NOT HUNDRED AND FIFTY DOLLARS(S250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORREC�ANO COM E. Z':6 c FIN TO AND SUBSCRIBED BEFORE ME THIS , / _ DAY OF 20�S IYTYA SIGNNAT2URE QSIPERSON SUBMITTING REPORT E d aER T //. Q/"l>o c K iO€d SIGNATURE ''"7 �`-� PRINTED NAME A1Y gMMISSION P ES t i� .l' GV� I1 7/7 f80- 7037 Y MO. DAY YR. AREA COOS DAYTIME TELEPHONE NUMBER PART II - If statement is filed on behalf of a Candidate's Authorized Committee,Candidate must sign here. 1 SWEAR(OR AFFIRM)THAT TO THE BEST OF MY KNOWLEDGE AND BEUEF THIS POLmCAL 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 M0. DAV YR. AREA CODE DAYTIME TELEPHONE NUMBER Department of State • Bureau of Commissions,Elections and Legislation DSEB-503(12-99) 210 North Office Building 0 Harrisburg,PA 17120-0029 • (717)787-5280