Get Political Committee Registration 1999-2024

COMMONWEALTH OF PENNSYLVANIA POLITICAL COMMITTEE REGISTRATION STATEMENT THIS REGISTRATION STATEMENT IS BEING FILED ON BEHALF OF COMMITTEE DATE CONTRIBUTING LOBBYIST CHECK BELOW NAME OF COMMITTEE OR LOBBYIST INITIAL REGISTRATION ADDRESS AMENDED REGISTRATION CITY ZIP-PLUS FOUR STATE IF THIS IS AN AMENDMENT FILER ID NUMBER COUNTY CHECK ALL THAT APPLY DAYTIME TELEPHONE NUMBER AREA / NEW COMMITTEE ADDRESS E-MAIL ADDRESS NEW CHAIRPERSON NEW TREASURER IS THIS A CANDIDATE S AUTHORIZED POLITICAL COMMITTEE YES NO OTHER SPECIFY SUPPORTED CANDIDATES List below the names of candidates the committee/lobbyist intends to support or candidates who have authorized the committee to receive funds on their behalf. A committee that is not a candidate s authorized political committee may list the offices of candidates it intends to support e.g. Statewide Legislative Judicial Local All and need not list names of specific candidates. Name of Candidate s Address Office Sought Political Party/Body IF THE COMMITTEE INTENDS TO SUPPORT OR OPPOSE A BALLOT QUESTION PLEASE COMPLETE THIS SECTION* SUPPORTS THE FOLLOWING BALLOT QUESTION OPPOSES FOR OFFICE USE ONLY HOW LONG DOES THE COMMITTEE OR LOBBYIST INTEND TO OPERATE ELECTION YEAR ONLY Department of State INDEFINITELY Bureau of Commissions Elections and Legislation 210 North Office Building DSEB-500 12-99 W Harrisburg PA 17120-0029 717 787-5280 AFFILIATED AND CONNECTED ORGANIZATIONS Affiliated means 1 authorized committees of the same candidate and 2 committees including separate segregated funds established administered maintained or controlled by the same corporation unincorporated association person or group of persons including a parent subsidiary branch division dept. or local unit. Connected means an organization which is not a political committee but which directly or indirectly establishes maintains controls or administers the registrant such as a corporation an unincorporated association a membership organization a cooperative or a trade association* NAME OF AFFILIATED/CONNECTED ORGANIZATIONS MAILING ADDRESS AND ZIP CODE RELATIONSHIP TO REGISTRANT APPOINTMENT AND ACCEPTANCE OF CHAIRPERSON FULL NAME OF CHAIRPERSON AREA NUMBER I accept the appointment of chairperson of this committee until the final campaign finance report is filed or until my successor is duly chosen and the appropriate supervisor is notified* I understand the campaign finance reporting law requirements. I also understand that if I wish to resign I must do so in writing to the committee. SIGNATURE OF CHAIRPERSON DATE FULL NAME OF TREASURER SIGNATURE OF TREASURER LIST BELOW NAMES OF BANKS SAFETY DEPOSIT BOXES OR OTHER FINANCIAL REPOSITORIES NAME OF BANKS REPOSITORIES ETC. Name of Candidate s Address Office Sought Political Party/Body IF THE COMMITTEE INTENDS TO SUPPORT OR OPPOSE A BALLOT QUESTION PLEASE COMPLETE THIS SECTION* SUPPORTS THE FOLLOWING BALLOT QUESTION OPPOSES FOR OFFICE USE ONLY HOW LONG DOES THE COMMITTEE OR LOBBYIST INTEND TO OPERATE ELECTION YEAR ONLY Department of State INDEFINITELY Bureau of Commissions Elections and Legislation 210 North Office Building DSEB-500 12-99 W Harrisburg PA 17120-0029 717 787-5280 AFFILIATED AND CONNECTED ORGANIZATIONS Affiliated means 1 authorized committees of the same candidate and 2 committees including separate segregated funds established administered maintained or controlled by the same corporation unincorporated association person or group of persons including a parent subsidiary branch division dept. or local unit. Connected means an organization which is not a political committee but which directly or indirectly establishes maintains controls or administers the registrant such as a corporation an unincorporated association a membership organization a cooperative or a trade association* NAME OF AFFILIATED/CONNECTED ORGANIZATIONS MAILING ADDRESS AND ZIP CODE RELATIONSHIP TO REGISTRANT APPOINTMENT AND ACCEPTANCE OF CHAIRPERSON FULL NAME OF CHAIRPERSON AREA NUMBER I accept the appointment of chairperson of this committee until the final campaign finance report is filed or until my successor is duly chosen and the appropriate supervisor is notified* I understand the campaign finance reporting law requirements. .