HomeMy WebLinkAboutFreed, David - 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 REPOIDRLFD ' CANDIDATE CONMRIEE LOBBYISr )
NUMBER ON BEHALF OF
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
�\
STREET ADDRESS
CRY STATE VP WOE
C,A-v,A e ,-f-t P4 )')61j -
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CA./NLDDIIDSATTEE�/T DISTRICT NO. PA,R////f/T��YYYEA
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(CHECK ONE) 1. �t.J\Tf/YL� n \ IVVLUF� • �J ,• DS 'ZB)R
r
.6TH TUESDAY
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY T[AR MO. OAY YEAR
2ND FRIDAY 2' DATES OF
PRE-PRIMARY PERODTING II ; �a15 TO yL 31 701
30 DAY
d
POSTC-PRIMARY' m CT
CASH BALANCE AT END
0TH TUESDAY °' OF REPORTING PERIOD: $ O M
PRE-ELECTION ; g
TOTAL AMOUNT OF FILER'S t— N
2ND-FRIDAY s. OUTSTANDING DEBTS OR LIABILITIES D < Co
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ f7
B. O T
30 DAY
POST'-ELECTION AMENDMENT
REPORT? YES NO
w
ANNUAL TERMINATION YES NO � J
.REPORT IN REPORT?
B .
PARTI -
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 AND BELIEF,TRUE,^^^CORRECT Mo COMPLETE
SWORN TO AND SUBSCRIBED�BEFORE ME THISOF
� 201
DAY OF K-rl l 20 1 V/ ' IAT1 URE OF PERSON SUBMITTING
�
COMM HS `J ��
fdo-rARIAL SF.AI, SIGNA REPRINTED
SOMI i0qw.
SID Born,Cumberland Count ' DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
mission ex ires u
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 ANO BELIEF THIS POUTICAL COMMITTEE HAS NOT VIOLATED ANY PROMSONS 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 AREA CODE DAYTIME TELEPHONE NUMBER
YR.
Department of State • Bureau of Commissions,Elections and Legislation
DSCB-503(12-99) 210 North Office Building 0 Harrisburg,PA 17120-0029 111 (717)787.5280