HomeMy WebLinkAboutCitizens for Hertzler and Rovegno - 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 MENTIFICATION REPORT FILED CANDIDATE COMMITTEE M LOBBYIST
NUMBER , ON BEHALF OF
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIBT
C�TZ�-aNS Fo�L �EKT�LE ��� 12dUEGNO
STREET ADDRESS
CITY ChIV L a1TJl STATE ^ ^ ZIP CODE
TYPE OF REPORT NAME OF OFFOE SOUGHT BY CANDIDATE DISTRICT NO. PARTY I
(CHECK ONE) 1 COO I�` f C01M ^ISSIOnlr�
6TH TUESDAY N �`( `V 111`(\l .\/+1 IVC 11 1 t 3 S
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
2ND FRIDAY 2. DATES OF `l �]I'.1T
PRE-PRIMARY PERIOD REPORTING `\ �^ ` �O I TO IZ 31 201 ca
,- _
30 DAY 3.
POSTPRIMARY
CASH BALANCE AT END
6TH ruesonr °' OF REPORTING PERIOD: $
PRE-ELECTION ,
TOTAL AMOUNT OF FILER'S
B. OUTSTANDING DEBTS OR LIABILITIES2ND FRIDAY
-'fl
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ ® =a
C
B.
30 DAY "
POST-ELECTION AMENDMENT REPORT? YES NO
W
ANNUAL IVI TERMINATION YES NO
REPORT .:REPORT?
IAI
4 "
AFFIDAVIT
PART I-
If statement is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here. y
If statement is filed on behalf of a Candidate the Candidate must sign here. w CM 3
If statement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here. > a 3
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I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE 010 NOT= u iS
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AN COMPLETE. _ A O
SWORN TO AND SUBSCRIBED BEFORE ME THIS
�(9, OR OF 2D J SIGNATURE PERSON SUBMITTING REPORT' _ 3
? Ir
/ PRINTED NAME >•
✓ SI^G[N'ATIRE a y R r�I y
MY COMMISSION EXPIRES JP/YI // 0 U D OL = z Id
MO. DAY YR. AREA 1-17E DAYTIME TELEPHONE NUMBER = y1y
f X
PART 11- Z If statement is filed on behalf of a Candidate's Authorized Committee,Candidate must sign here.
I SWEAR(OR AFFIRM)THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THIS POLITICAL CO ITTEE HAS71JLATE Y PROVISIONS OF THE ACT OF
JUNE 3, 1937(P.L. 1333,No.320)AS AMENDED. ,KTI�
SWORN TO AND SUBSCRIBED BEFORE ME THIS h$'GjI G �'✓T
DAY OF 20/1 // 1, ,V/V ITU J F 5,7 pAT�y-� '
PRIN NAME
OMMONWEAL 0 VX��
1 AREA CODE DAYTIME TELEPHONE NUMBER
BETHANY SALIARULOMo. o tte.
Notary Public
CARLISLE BORO;,CUMBERLANDEMWWtme t of State • Bureau of Commissions,Elections and Legislation
DS -503 -5Q nlisslan Expires Oct 2100/brth 0 Ice Building • Harrisburg,PA 17120-0029 • (717)787.5280.
December 12,2015
Mr. Matthew Franchak
Treasurer
Citizens for Hertzler and Rovegno
P.O. Box 8
Enola, PA 17025
Dear Matt,
This letter is my official notice that I am forgiving the remainder of the $25,000 loan that
I made to the Citizens for Hertzler and Rovegno political action committee on October 14, 2015.
If you have any questions or require more information,please let me know.
inc y,
Razd Rovegno
112 Spring Farm Circle
Carlisle, PA 17013
CC: Mr. Jim Iertzler
Mr. George DeMartyn, Chairman
Citizens for Hertzler and Rovegno
AANnoo
L- W 9191