HomeMy WebLinkAboutBosha for State Senate - 2016 30-Day Post Election Cc MMM WEAL i}i 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:dtiring the reporting period,
NUMBER DN•BERALFCF ....- ATE.:•- �.OMMET7EE:.< :IL:086YIS1i
NAME OF FILING compariEE,CANDIDATE:Int TiST
a. --r-or --- 41r.e._ -Szokak4
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Zip CODE,�nai
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-TYPE OF REPORT NAMEI1(Of OFFICE SOUGHT
BY
CANDIDATE DISTRICT NO. PAR'' DATE O • V .
•
OF ELECTION t
•
(CHECK UNE} 3 0 I �V J
i G`Tti TUESDAY
:.:.P_RE-PRIMARY::.i:.:::.. : .:.: . . ...
r
'< FDR OFFl6E':LtSE ONLY
.MO.' Ili DAY YEAR-= .RD "DAY 'YEAR:- .. .. ..
2ND AIDAY .:.. DATES OF
.,;::-PRE}PRIMARY:''".': .REPOR;iNG 16 2..4. zot. ° a 22 1 T
3O oAY::.h_.._::::... 3,
•t,!POST-PRIMAiii
CASH BALANCE AT ENO • 05 a_<2_:91.
6TH TUESDAY a' OF REPORTING PERIOD:
'PRE-ELECTION"`_
TOTAL AMOUNT OF FILER'S
,.,. •sOUTSTANDING DEBTS OR LIABILITIES
,,,,264-6.10,.:.-.---, •
PRE=SLECTIOT7 AT THE END OF REPORTING PERIOD'. ;b. 0 '`)
.)(
,-y3QDAY —..
:'::'POST-ELECTION -.REPFOinepNT,. .YES.: ---- ------ ---- — ---- ---- ---..—..---
`;:REPORT- .. NO --
gEPtIRT2' rQ 3
•-) _ .-
t3
AFFIDAVIT SECTION
PART(T.
—
If statement'is filed on behalf.of a Port Committee orcandldates's Committee,the Treasurer truest sign 17 0-0.,
if stateti�ent`ls filed'on behalf of a Candidate,the Candidatemust sign:here_
If state nent.is filed on behalf of a Contributing Lobbyist,the Lobbyist r uist sign here.
i'SWEAR(ORAFFIRM)THAT THE AGGREGATE Rgerets OR.DISBURssuennE OR LIABILITIES CNDURRED.ACFRI .TtE RTOI. .ERIO Oi xIGATCD,ABOVE DID:NGT
EXCEED,TWO HUNDRED AND.FIFTY DOLLARS($250.00)AND THIS REPORT IS.TO THE BEST OF MY ,.'• i -•. BEkE E;ir MELT AND'COMPLETE.,
SWORN TO MD SUBSCRIBED BEFORE ME THIS
�nd
:D / SIGNAWRE.AF N. ''DAYOF I.4 ar 20 16 N. TING REPORT
hC.r. - aacu�n Ca�l�[
CNATDCTf PRIAIT'ER NAME. Y. .•
NIYY OO ricer EXF,IRES C6 - •
Cl - c9O I 1 . // 1._ -) - 0.::::
COMMONWEALTH OF PENNSYLVANI#�- AT YR. `•ARE E DAYTIME TELEPHONE NUMBER
NOTARIAL SEAL
idi Laganin, Notary Public
a
-candidate's Authorized Comm e,Candidate must sign hereMyc s AtEsjit a f9of
MEMS". •
1 5 AR:(ORAFFIR[YL TtIAT OF MT KNOWLEDGE AND SELZ7 THIS POITTIO t cipiaignizr}As'NC*VIOLATED'A*PnOYiSCowsOFTHE AL:r OF
JUNE.3;'1937"(P.L..1333,M6.3244 AS Moi8RIEI3r,
SWORN TO AND SUBSCRIBED BEFORE ME THIS
SIGNATURE OF CANDIDATE
•DAY OF' 20 •
•
PmNTEb:NAME
SIGNATURE.
MY COMMISSION EXPIRES'. . AREA CODE DAYTIME TELEPHONE NUMBER
MR DAY YR.
Department of States Bureau of Commissions,Elections and Legislation
.t EB-4{3 !249) 211:i North Office.Building • Harrisburg,PA 1712O0029 • (717)787.5280