HomeMy WebLinkAboutEast Pennsboro Democratic club - 2016 30-Day Post-Primary 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 IDENTFlCATION ' REPORT
NUMBER ON BEHALF Oi FILED ' CANDIDATE ...;;BLOBBYIBT
NAML{EIF FILING COMMITTEE�,LCA,NT Dr\.]TE OR L�091rB�Y,I6T M 1 //Y'
�' l� ��J IWT)ET Lt/� i7c
STRRREFT AD0RE6
1 '
0ox C3
CITY $TAT 21O CODE —
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT N0. PARTY
(CHECK ONE) ' LOCAL
L _ „n r �` 1� �� T �,,^ MO.• DAY YEAR
6TH TUESDAY L (`•1�(` LV 1I/\ I Y II.
PRE-PRIMARY MD. DAr vEAa MO. DAv YEaa FOR OFFICE USE ONLY
2NDPRE FRIDAY Z REPORTNG Tq I� aOlFj TO
PRE-PRIMARY PERIOD V-II
Ch
30 DAY C°1
POST-PRIMARY ..,0 --2
CASH BALANCE AT END lqf 7..•. rV
6TH TUESDAY °' OF REPORTING PERIOD: $ CfY
PRE-EIECTON
TOTAL AMOUNT OF FILER'S �� O
s. OUTSTANDING DEBTS OR LIABILITIES
2ND FRIDAY
PRE-ELECTION AT THE END OF REPORTING PERIOD: $
fLY
30
POST-ELECTION AMENDMENT YES NO
REPORT?
7.
ANNUAL TERMINATION
REPORT REPORT? YES NO
AFFIDAVIT
PART I-
If statement is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here.
tement is Had on behalf of a Candidate,the Candidate must sign here.
fir;3 If tement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here.
n 3
NEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
N 3 =m EED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
r 3 =^
N*o� m SWORN TO AND SUBSCRIBED BEFORE ME THIS /
L_ 9 m rj �DAV OF /Y� 20 (6 11 SIGNATURE OF PER/SON SUBMITTING REPORT
M02 = T 11 rJ7b f'
iiQZ � SIGNA� /' � JAS PRINTED NAME y
w n? MY COMMISSION EXPIRES_ ✓1C-�) V I Y�I�R. AREA CODEDAYTIME� TELEPHONE NUMBER
C,
c
o� =P)OT11-
�¢ If 2 tement is filed on behalf of a Candidate's Authorized Committee, Candidate must sign here.
1 SWEAR(OR AFFIRM)THAT TO THE REST 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. DAV YR. AREA CODE DAYTIME TELEPHONE NUMBER
Department of State IS Bureau of Commissions,Elections and Legislation
DSEB-503(12-99) 210 North Office Building 0 Hamisburg,PA 17120-0029 IS (717)787-5280