HomeMy WebLinkAbout2021 88-005 HARRY BREONZ K OF P� N
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STARE ETMCS CoMMMSION
Date: �� Z� BatamMatch #
The PA Stabs Ethics Commission has performed lwlaw of your Statement
of Financial Interests Farm flied for endar year which was to be
filed in anticipation of the M 1 � filing daadl' May g one. Phase be '-dossed
that your farm is deficient and nee s to be remised becarse the following
block(&) on the form are blank or otherwise incompiete:
Block 01
Block 02
Block 03 — The amended bax is located in this block on the far right
Block 04 A — 4
04B— .
Block 05 A —
a5B—
Block 06 —
Block Q7 — Should read (prior calandar yBa l
Block 08 —
Block 09 —
Block 10 — Lest any direct or indirect sources of income of V,300
or more (including but not fimited to employers) �� Y- k ar Ic tj 6 P'e
Block 11 —
Block 12 —
Block 13 —
Block 14 —
Block 15 —
Plaase sign and enter the currant date at the bottom of the form
Your .original filing. has. -been. retained- by the State Ethics Comrritssion. To
correct the above .deficiency{ies), please complete the e_ 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 bax
indicating that the answer is "none" Sign and current clate the Form and
return It to the PA Stain Ethics Commission, Finance Building, el North
Street, Room 309, • lianisburg, PA 1712Q-040a. The correctsellamended
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 foram was flied and snake a copy for Your records.
If you have any questions regarding this matter, please contact The State
Ethics Commission at 717-713-1 el 0 or toll free at 50D-932-0936.
Enclosure(s): A copy of your original form.
Blank form(s) for your corrections
(keep a copy for your records)