HomeMy WebLinkAboutSilcox, Nathan - 2015 Annual Report 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 I
NUMBER
ON BEHALF OF ` CANDIDATE COMMITTEE LOBBYIST
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
STREET ADDRESS
'I D- 7 A-)V iS_N-;,
CITY STATE IIP CODE
V\.,2 C,4'I (..5,3`2-e
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE IDISTRICT NO. PARTY
(CHECK ONE) �. p D o+J '-Y"bL.v aL'L `T' o MO. DAY YEAR
(� 6TH TUESDAY GJMM.LtiF pw tom_, T� II 3 2C 1,5-
( PRE-PRIMARY FOR OFFICE USE ONLY
j 2. DATES OF MO. DAY YEAR M0. DAY YEAR
2ND FRIDAY REPORTING TO
PRE-PRIMARY PERIOD
30 DAY s.
POST-PRIMARY
CASH BALANCE AT END N
' 6TH TUESDAY 4_ OF REPORTING PERIOD:
PRE-ELECTION
TOTAL AMOUNT OF FILER'S
y2ND FRIDAY 5. OUTSTANDING DEBTS OR LIABILITIES - --
PRE-ELECTION AT THE END OF REPORTING PERIOD: '
6. LS
30 DAY
POST-ELECTION AMENDMENT YES NO
REPORT?
ANNUAL 'TERMINATION
' REPORT REPORT? VES NO
AFFIDAVIT SECTION
`PART 1- -
If statement is filed on behalf of a Political Committee or Candidates's Committee, the Treasurer must sign here.
I tement is filed on behalf of a Candidate, the Candidate must sign here.
= tement is filed on behalf of a ContributinoLobbyist, the Lobbyist must sign here.
} j YEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
Z u O EED TWO HUNDRED AND FIFTY DOLLARS(S250.00)AND THIS REPORT:S,TO THE BEST OF CN KNOWLEDGE AND BELIEF,TRUE, CORRECT AND COMPLETE.
=_ r
a v c O 5 SWORN TO AND SUBSC BED BEFORE ME THIS
m� H v i CIT' DAV OF `- tlay L-' ZQ SIGNATURE OF PERSON SUBMITTING REPORT
S Y:
*IAT. ♦ '1 OJ+L�"�H"�iv� S t_C y�C
-�
w _ SGNA�TyURE 7
PRINTED NAME
p E E > MV COMMISSION EXPIRES I D 27- l L L+ i't [ -2 6-�
< u : MO. DAV YR. AREA CODE DAYTIME TELEPHONE NUMBER
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If statement is filed on behalf of a Candidate's Authorized Committee, Candidate must sign here.
I SWEAR(OR AFFIRM)THAT T07HE BEST OF MY KNOVREDGE AND BELIEF THIS POUTiCAL CClvll,ATTEE HAS NOT VICLATED ANY PROVISIONS OF THE ACT OF
JUNE 3,1937 (P.L. 1333, No. 320)AS AMENDED. ..
"r•'''y SWORN TO AND SUBSCRIBED BEFORE ME THIS - -'
_ - SIGNATURE OF CANDIDATE
DAV OF 20
PRINTED NAME
SIGNATURE
MY COMMISSION EXPIRES MO. DAV VR, AREA CODE DAYTIME TELEPHONE NUMBER
Department of State • Bureau of Commissions, Elections and Legislation
DSEB-503 n7-991 210 North Office Building 9 Harrisburg,PA 17120-0029 • (717)787-5280