HomeMy WebLinkAboutFriends of Jim Hertzler - 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 IDENTIFICATION REPORT FRED BB
' CANDIDATE I COMMITTEE LOYIST
NUMBER ' ON BEHALF OF
NAME OF FILING COMMRTEE,CANDIDATE OR LOBBYIBT
zEv bs o Tzt"\ 4e Tz�LEF,
STREET ADORERS
O1 IBC
CITY � r o L� STATE-, ZIP cODE
\1911s— —
TYPE of REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY
T.F.-Nim
ONE) T (( �/ V^ EA
STN TUESDAY CO / � 2—
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YFAR
NO,
WY YEAR
Z' DATES OF
2ND FRIDAY /�
PRE-PRIMARY PERIOD REPORTING 1 './O' TO ( 2I �O r)
30 DAY
3. Gl p� J �_ CT
POST-PRIMARY �' t To �
CASH BALANCE AT END ✓Il M D>-
SYR TUESDAY a. OF REPORTING PERIOD: $ I
PRE-ELECTION -+l
TOTAL AMOUNT OF FILER'S
5. OUTSTANDING DEBTS OR LIABILITIES
2ND FRIDAY
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ CD _
30 DAY AMENDMENT
POST{LECTION REPORT? YES NO Q
ANNUAL TERMINATION YES NO
REPORT REPORT?
SECTIONAFFIDAVIT
PARTI -
If statement is filed on behalf of a Political Committee or Candidates's Committee,the TreasuA-,
sign here. o oIf statement is filed on behalf of a Candidate,the Candidate must sign here. a rIf statement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here. o g� x1 SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD ABOVE DID NOT = tmL 'EXCEED TWO HUNDRED ANO FIFTY DOLLARS($ZSO.00)AND THIS REPORT IS,TO THE BEST OF MV KNOWLEDGE AND BELIEF,TRUE, ND COMPLETE. d o E"SWORN TO AND SUBSCRIBED BEFORE ME THISLL - g SIGNATURE OF PERSON SUBMORT = 3 DDAY OF /�R�% 2�� ((�� II '' J� c 5,/�/ (`�. � 0..)c MS �jC .'..�//�T � _ M
jsMY COMMISSION EXPIRES Y do/(1 AR�IOOE pArT1MNUMBER O
PART II- n V
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 POLITIC OMMITTEE HAS NOT VIOLATED ANY PROVISIONS OF THE ACT OF
JUNE 3, 1937(P.L. 1333,No.320)AS AMENDED.
SWORN 0 AND SUBSCRIBED BEFORE ME THIS V
�( 9�7 BICGN�rAT RE OF CANDIDATE (��j
DAY OF.lD_ 20_& r /N M S1 / . 7W R /G L�
PRINTED NAME p�
COMMOMltlEALTH P 9 /
AREA CODE DAYTIME TELEPHONE NUMBER
BETHANY SALZARUff' DA ra'
Nola
Nail"r
LO3
ARLISLE BORO;,CUMBERLAt ,ant f State • Bureau of Commissions,Elections and Legislation
OSEB ;ARL
OinDilsslon EXPiras 0•� a Building 0 Harrisburg,PA 17120.0029 • (717)787.5280