HomeMy WebLinkAboutSilcox, Nathan - 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 $250.00 during the reporting period.
FILER IDENTIF CATION 10, REPORT FILED 2. :I.
CANDIDATE X% COMMITTEE LOBBYIST
NUMBER ON BEHALF OF 110, ``
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
I.)A'1�f-e IJ S IL c—rs sL
STREET ADDRESS
I L42.`1 i p 1/4,reL2., SS '1,712-t V4�
CITY STATE ZIP CODE
-
i'V1'E A.i pIJ I.G.S C.- 0a..-.Q> PI . 1`7 O SD
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) MO. DAY YEAR
6TH TUESDAY 1. r-L.71JSht••P Com m.S.SI oIJ,5Sa. I I �' a c,i(o
PRE-PRIMARY FOR OFFICE USF,,,OpLY
MO. DAY YEAR MO. DAY I YEAR ...n .
2AY . DATES OF I
2ND PRE-PRIMARY REPORTING TO 1, r_„
PERIOD I 0 2y 7.01(c. II 28 O iC., ....,','„� C.S `$..{
30 DAY 3. t] Fl.�,.uJI�
POST-PRIMARY ,I,I L:N I
CASH BALANCE AT ENDO � C.!"1 I G ,
6TH TUESDAY 4. OF REPORTING PERIOD: $ ,y ..
PRE-ELECTION . ...re.-;..,
-» 'SSP ''-•aI
TOTAL AMOUNT OF FILER'S
2ND FRIDAY s. OUTSTANDING DEBTS OR LIABILITIES ",A,'r �;,
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ c,J"i
C:::)
6.
30 DAY AMENDMENT
POST-ELECTION >e REPORT? YES NO . /
7. X
ANNUAL TERMINATION YES NO
x
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 INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS(S250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE N ' EE AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
SD Y OF C.-tdAn - 20_16 SIGNATURE OF PERSON SUBMITTING REPORT
�. .o�.✓`- I..) S L L.C. 6�
PRINTED NAME
SIGN RE
MY COMMISSION EXPIRES l01---. / —1 t'7, (01-tQ — Z 0T-a."-
A WEALTH OFM�ENNSYL�19'•XNIA YR. AREA CODE DAYTIME TELEPHONE NUMBER
Notarial seat Public
PART II- Adam C. Wagner, Notary
If statemen iz*eirdtabt3 qu ' I•': ' uthorized Committee,Candidate must sign here.
My Commission Expires ,
I SWEAR►(tigI:,liFfifwIM 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
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