HomeMy WebLinkAboutFriends for Dave Buell - 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.
FAF.R IDENTFMWrION REPORT FRED ' CAhbID,1TE COxDOT}F,E LOa•YnT
HVNUM ON OENAtF OF
NAME OF FAAKi COMMIrtEE,CANONATE OR LO••YIST
The Friends for Dave Buell
STHETiT ADDRESS
441 Parkside Rd.
CITY STATE DPCODE
Camp Hill PA 17011 —
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDWATE DLST'RICT NO. JPARTY
(CHECK ONE) MO. DAV YEAR
6TH TUESDAY
PRE-PRIMARY FOR OFFICE USE ONLY
2ND FRIDAY
DAY YEAH YD. DAV YEAH
GATES OF
PRE-PRRMRY PEPOD NG o1 1 12014T11 O 2 31 C1�
30 DAY S' o_
POST-vwMARY CASH BALANCE AT END 5W51
OF REPORTING PERIOD: $ IT.T
6TN 4UESMY 171
EELECtroIu TOTAL AMOUNT OF FILER'S —_
2ND FRIDAY lei OUTSTANDING DEBTS OR LIABILITIES 0..
PRE-ELECTIONu AT THE END OF REPORTING PERIOD: $ y.
30 DAY AMENDMENT
POST-ELECTION AMENDMENT NO
REPORT? .C-
CD
ANNUAL TERMINATION YES
REPORT REPORT? ❑ ❑
AFFIDAVIT •
PART t-
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 Lobbvist,the Lobbyist must sign here.
I SWEAR EAR(OR AFFIRM} AGGREGATE RECEIPTS OR DISBURSEMENTS OR UAGNTIES INCURRED DURING THE REPORTING PEROD INDICATED ABOVE DIO NOT
EXCEED TWO HUNDRE AND- DOLLARS(5250.00)AND THIS REPORT IS,TO THE BEST OF EOGE BELI RUE, RECT AND COMPE.
SWORN TO A SUB IBED BE RE ME THIS
t D OF 20 1 o oolSIGNATURE OF PERSON SSUBMm1NG REPORT
TT fill l 11�� "'l
PRINTED NAME
SK: E
MY COMMISSION EXPIRES t t ',A1�� yR� t / 3 �( (J J }
MO.. COMMUNW AL1 N OF PENNSYLVANIAAREA CODE DAYTIME TELEPHONE NU "ER
"0'4"' Z'
PART R- Lisa A. Moretti, Notary Public
if statement is filed on behalf of a Lft%ftVAbtfiNe,Candidate must sign here.
is
(OR AFFIRM)THAT TO THE DEST OF MY KNOWLEDGE AND BELIEF THS POLITICAL E HAS NOT VIOLATED NY PROVISIONS OF THE ACT OF
JUNE 3,1937{P.L.1333,No..320)AS AM€NOED.
SWORN TO AND SLIBSCRIOED BEFORE ME THIS 1^
•.�-CAY OF - Y4Y 1r 20!Vl SIGNATURE OF CANDIDATE
A �✓!/
AA Vl. ( J��� e ' ir'" - "^ `•�•' - 1 ' / (}PRIMED NAME
-/ 2, - 3 3 9
MY C ^ FP AREA CODE / DAYTIME TELEPHONE NUMBER
4
rJEAY YR.
fd7 CaBaTdssfal EXOIS the
Department of State • Bureau of Commissions,Elections and Legislation
DSEB-503(12.99) 210 North Office Building • Harrisburg,PA 17120-0029 0 (717)787.5280