HomeMy WebLinkAboutThomas, John - 2015 Annual Report 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 R)ENRnGT1ON RSORT FAED , CAXONATE L� COMMITTEE 1. LOBBYIST A
NUMBER ON SENMF OP
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
6TREET ADDRESS
Cm STATE ZR CODE
/ 7,1j'0TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT N0. PARTY
(CHECK ONE) 7Ol✓AIS////0 CO.r/H/SS/O NE.C� MO., DAY YEAP
8TH TUESDAY i. y A4 7E - A4R4' O/S
PPE-PRIMARY FOR OFFICE USE ONLY
MD. OAY YEAR M0. DAV YEAR
2ND FRIDAY 2' DATES OF
PRE-fROMRY REPORTDIG TO C
PERIOD I/ �y q0/, O/f C
30 DAY 3. K y CY`
POST-PRIMARY
CASH BALANCE AT END M 3>
6TH TUESDAY
<. OF REPORTING PERIOD: $ O g
PRE-ELECTION A
l
- TOTAL AMOUNT OF FILER'S p
2No FRIDAY s' OUTSTANDING DEBTS OR LIABILITIES d
PRE-ELECTION AT THE END OF REPORTING PERIOD: $
B. C
30 DAY Z C.J7
POST-ELECTION
RE
ENDMrEHT YES NO
7.
ANNUAL / TERMINATION
REPORT L' REPORT? YES HO
AFFIDAVIT SECTION
s .�a
it@ ant is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here.
N 8 ent is filed on behalf of a Candidate,the Candidate must sign here.
z It ant is filed on behalf of a Contributina Lobbvist,the Lobbyist must sign here.
LLz1
6 - (OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR UABIUTIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
O �+J(6 TWO NUNOReD AND FIFTY DOLLARS($250.00)AND TMS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
J g 3 Al FIN TO AND SU CRIBEO BEFORE ME THIS
3 ,la DAY OF 20_ SIGNATURE OFF/P/ERSOSOSN SUBMITTING REPORT
E
E
f = SIGNATURE , \ �I PRINTED NAME
O m COMMISSION EX PIR � [�� 1 1 7/7 7.i(/- /.5 7,(
F MO. DAY YTt. AREA CODE DAYTIME TELEPHONE NUMBER
PART 11 -
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 BELIEF THIS POLITICAL COMWTTEE 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. DAY 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