HomeMy WebLinkAboutFriends of Charley Hall - 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 $250.00 during the reporting period.
FIVER IDENTIFICATION ' REPORT FILED ' CANDNIATE I COYNRTEE L LOBBYIST-.
NUMBER ON BEHALF OF
NAME OF MUNB COMMRTEE,CANDIDATE OR LOBBYIST _
1�� CN � b� CN0.2c L`� NA LL
STREET ADDRESS -
-1-16 LAL T-:, c-A s7,e 2. Ave.
CITY STATE LP CODE
(�1vp (_A L A k-I1
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY
(CHECK ONE) MD. "DAY' YEAR"
1.
....6TH TUESDAY -.
PRE-PRIMARY FOR OFFICE'.USE ONLY
MO. DAY 'YEAR - M0. DAY YEAR
200 FRIDAY 2' DATES OF
PRE-PRIMARY I REPORTING I 1 I$ TO ( � / '
LJT I l
30 rnr G' PERIOD
POST-PRIMARY
CASH BALANCE AT END Q c
6TH.TUES/AY <. OF REPORTING PERIOD: $ ,• rn
PRE-ELECTION CTJ
TOTAL AMOUNT OF FILER'S a
nO
2x0FI:IDav 5. OUTSTANDING DEBTS OR LIABILITIES x
FRE�ELECTION - AT THE END OF REPORTING PERIOD: $
Z Crt
DAY
s, r1
POST-ELEGTNIN AMEND Z MENT YES NO
7.
ANNUAL .,T ION TERMINAT .- YES NO )1\1fw?
REPORT ^ TEPORT?MINAT
AFFIDAVITSECTION
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 Contributing Lobbyist,the Lobbyist must sign here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES 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 BELIEF,TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBErD��BEFORE ME THIS c,--
,- `1 C--
DAY OF aI V� -AL I 2O� SIGNATURE OF PERSON`SUBMITTING JREPORT
- It IE UP% U-
COMMOIM ee��H11OF IWIYMFM �-Y --TPRINTED NAME Y
RIIHF � \ ` t �Z�UI d qCn
BETHANY SALZARULW DA YR. AREA CODE DAYTIME TELEPHONE NUMB R
PAEllm�Zf
LE 60RO;,CUMSERLAND CNTY
If s ° DF 2 17 ' e's Authorized Committee, Candidate must sign here.
1 SWEAR(OR AFFIRM)THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THIS POLITICAL 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 MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
DSEB-503(12-99) -