HomeMy WebLinkAboutCamp Hill Republican Comnmittee - 2015 Annual Report COMMONWEALTH OF PENNSYLVANIA
CAMPAIGN FINANCE STATEMENT
File this in lieu of a full report orriy if aggregate receipts, expenditures, or
liabilities incurred each did not exceed $250.00 during the reporting period.
FB6f NENTIFlTdT10N REPdR FRFD LAND®ATE. ' I' wNumE>?.. I.oaensr '.
NDNEER , ON BFNALF OF
NAME OF FILING CDMM ,CNNI(DATE OR LOBBYIST
STREET ADDRESS + 1,,
CRY STATE ZIP CODE
�It hail —c2
TYPE OF R4RT NAME OF OFFICE BOUGHT BY CANDIDATE T17T NO. PART ..^T L
(CHECK ONE) MO. MDA YEAR
1 113 12015
--61H TUESDAY :!.
PREPRIMARY. FOR OFFICE USE ONLY
2ND FRIDAY 'Z" DATES OF
PRE-PRUARYREPOF
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p lk
30 DAY - 3. ��11
POST-PRIMARY
CASH BALANCE AT END �' 1
6TH TUESDAY C OF REPORTING PERIOD: $ C) t 1
PRE-EI.ECTmN, TOTAL AMOUNT OF FILER'S
2NaFRIDAY 6. OUTSTANDING DEBTS OR LIABILITIES
PRE-ELECTION..- AT THE END OF REPORTING PERIOD: $ M
COMMOIN A OrP- ANI
-$OOwY - - 6. _ - :L' NO IAL SEAL
POST-ELEciLON AMENOME! ` YES No ELI ETH ATKINS,Notary Pu Ife
Ha DTwg;.LUmberland CoirRy
REPORT,ANWAI-
. R TERMINATION YES No my I issioR`-xpiTDs May 13, 019
B . SECTION
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 COntributino Lobbyist,the Lobbyist must sign here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR UA014ITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,
TRUE,CORRECT AND COMPLETE. _
SWORN TO AND SUBSCRIBED BEFORE ME THISex /7' f f
—2 DAY OF -r 1411 20,L SIGNATURE OF PEV SUBMITTING���N��
REPORT
fir ME
SIGNATURE
��22 `, / TPR�R�IT.EgyD NAME �+{Y
MY COMMISSION EXPIRES 0-57 )3 2-W S3 /.,,..,J 7- 3
MO. DAY YR. - AR CODE DAYTIME TELEPHONE NUMBER
PART 11-
If statement is filed on behalf of a Candidate's Authorized Committee, Candidate must sign here.
I SWEAR(OR AFFIRM)THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THIS POLITICAL CQMMRT¢HAS NOT WOLATED 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 AREA CODE DAYTIME TELEPHONE NUMBER
MO. DAY W.
DSEB-503(12-9)