HomeMy WebLinkAboutMassey, Jim - 2016 30-Day Post Election 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 IDENTIFICATIONREPORT FILED CANDIDATE COMMITTEE LOBBYIST
NUMBER ' ON BEHALF OF 0, 3
NAME OF FILING Er CANDIDATE OR LOBBYIST^ ` (w\ t .^1 S e X
7/
STREET ADDRESS
9-'-1 @LENNRof
CITY cM� � STATE fpt... ZIP CODE —
\\--- 1
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) R
T V 1 R\E ^C FRE3-EV (SI bE vl I O1 DAY� ... YEA'0
6TH TUESDAY J` ICS/\
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
2ND
PRE-PRIMARY 2. T
PERIO �(TING I 116 TO )' g a a l6
30 DAY rr.)FRIDAY 3' (�If
POST-PRIMARY - L.-)
CASH BALANCE AT END0 I
6TH TUESDAY 4. OF REPORTING PERIOD: $ •
r;"}
PRE-ELECTION
TOTAL AMOUNT OF FILER'S
5. OUTSTANDING DEBTS OR LIABILITIES 0 ... .
2RD FRIDAY AT THE END OF REPORTING PERIOD: $ ro
�'
PRE-ELECTION
X —
30 DAY AMENDMENT
POST-ELECTION REPORT?
YES NO
7. e
ANNUAL TERMINATION YES NO
REPORT REPORT? )(//
AFFIDAVIT SECTION
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 IN •'.-ED DURING THE REPORTING PERIOD DICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST • M•KNOWLEDGE AND BELT, ,TRUE,C,6--ECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS ItaLgitill
8 DAY OF //�e20 /e SIit cGNATURE L PESO II .,SU' ING REPORT
v . ,..
L ..
PRIN DNA
MY COMMISSION : r•57.14-3f21
1( ' O. DAY. YR. AREA C DE DAYTTELEPHONE MBER
Olit
ARLISLE 001t0;CUM/ RLA$DCOUNTY
PART II - My Commission Expire*Jan 1d,2019
If stateme - -. : - - - -= - : -'s Authorized Committee, Candidate must sign here.
I 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 AREA CODE DAYTIME TELEPHONE NUMBER
MO. DAY YR.
Department of State • Bureau of Commissions,Elections and Legislation
DSEB-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280