HomeMy WebLinkAbout2019 36-014 SUSAN HIGGINBOTHAMH OF PFH�
� G
O ?
U
tP� OZ
5`
�
r�rHics co��` 5
STATE ETHICS COMMSSION
Date: �- XG
BateslBatch #
36-019.
The PA State Ethics Commission has performed a review of your Statement
of Financial Interests form filed for calendar year a019 which was to be
filed in anticipation of the May 1,filing deadline. Please be advised
-that your form is deficient and needs to, be- revised because the following
- -block(s) on the form are blank or otherwise -incomplete: - --- - -
Block 01
Block 02
Block 03 — The amended box is located in this block on the far right
Block 04 A --
* 04B—
Block 05 A -
* 05B --
Block 06 --
Block 07 -- Should read (prior calendar year)
Block 08 --
Block 09 --
Block 10 -- List any direct or indirect sources of income of $1,300 _
or more (including but not limited to employers) tongf 0lp, t C &O
Block 11 -- i
Block 12 --
Block 13 --
_Block 14 --
_
Block 15—
______ Please si n and enter the current date at the bottom of the form
Your original -filing has.been retained by the State Ethics Commission. To...
correct_the above. deficiency(ies), please complete the entire. enclosed _.. .
blank form making all necessary corrections, and checking the box in
block 3 for amending a filing. If the answer to a block is "none," check the
box indicating that the answer is "none." Sign and current date the form
and return it to the PA State Ethics Commission, Finance Building, 613
North Street, Room 309, Harrisburg, PA 17120-0400. The
correctedfamended form will then be attached to the prior filing we
received.
Please also file a copy of the amended form at every other location where
the original form was filed and make a copv for your records.
If you have any questions regarding this matter, please contact The State
Ethics Commission at 717-783-1610 or toll free at 800-932-0936.
Enclosure(s): A copy of your original form.
Blank form(s) for your corrections
(keep a copy for your records)
d5��r�