HomeMy WebLinkAboutSmith, Debra - 2017 2nd Friday Pre-Primary Commonwealth of Pennsylvania
--- CAMPAIGN FINANCE REPORT PAGE 1 OF
(COVER PAGE)
(NOTE: This report must be clear and legible. It may be typed or printed in blue or black ink.)
Filer Identification , • Report t• 2.
3.
Number: Filed By: CANDIDATE, COMMITTEE LOBBYIST
Name of Filing Committee Candidate or Lobbyist:
Street Address:
78 Cour► ►' C Oath get_d ,
City: State: Zip Code:
Cpm kta
7d�1 -
TYPE OF U 8TH TUESDAY 1 2N0 FRIDAY 2. 30 DAY 3. AMENDMENT
REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY 'REPORT? J YES NO
6TH TUESDAY 4. 2ND FRIDAY 5' 30 DAY s• TERMINATION
(place X to PRE-ELECTION PRE-ELECTION POST ELECTION REPORT? YES ` NO
the right of ANNUAL 7. YEAR FILING METHOD
PAPER t< DISKETTE
report type) REPORT 46/7 ( ) CHECK ONE
Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County
Number Code Code Code
MO. DAY YEAR
OTE
T y Z(
(SEE INSTRUCTIONS FOR CODES)
FOR OFFICE USE ONLY
MO. DAY YEAR.. MO. DAY YEAR
Summary of Receiptsc-3 o
and Expenditures from:
poo,
ZOG 201-1 To 5 4I °r) G -
A. Amount Brought Forward From Last Report $ — rn j
Tl -�
B. Total Monetary Contributions and Receipts (From Schedule I) $ D f
uT
C. Total Funds Available (Sum of Lines A and B) $ p
C s --v
D. Total Expenditures (From Schedule III) SLI 1000 r__) •
E. Ending Cash Balance (Subtract Line D from Line C) $ r✓.)
-< .c-
F. Value of In-Kind Contributions Received (From Schedule II) $ -..--
G. Unpaid Debts and Obligations (From Schedule IV) $
AFFIDAVIT SECTION
PART I - If this is a Committee:report, treasurer sign here. If this is a Candidate report, candidate sign here.
I swear (or affirm) that this report, including the attached schedules, on paper or computer di 'ett-, are o the •-st of my knowledge and belief true,
correct and complete. ,
Sworn to an�^subscribed before me this
I '1 fin' -
day of l/120 % /
/ / ignatur-. of son S •fitting Report
j14/14,61-44-44", .,,, ,...-
nature Printed Name
My commission expires OCT Oq ai q 7—y�/411 7i i,7,77 7y
MO. DAY YR. Area Code Daytime Telephone Number
PART II - If.this is a report of a Candidate's Authorized Committee, candidate shall sign here. ,, •
I swear (or affirm) that to the best of my knowledge and belief this political committee has n. /violated any • visions of the Act of June 3, 1937
(P.L. 1333, No. 320) as amended.
Sworn t•iAd subscribed b=fore me this "Irie
•
fi(/) day of L A 20 .7 I4.
.i ) 1 •
-
Sign., a o ndicfi,W
mature Printed Name
My commission expires O q
/� ?j7 �,�/ f 7 7 7- 771 780/
COMMONWEALTH OF PENNSYNANIA DAY YR. Area Code rnQ i'iRRAIdfR'ZP'AF'''h Gcvl tANI,
NOTARIAL SEAL NOTARIAL SEAL
Amanda L. Miller, Notary Public Amanda L. Miller, Notary Public
Watts Twp., Perry ColDltpartment of State • Bureau of Commissions, Elections and Legit lation Watts Twp., Perry County
My Commission Expires 3O .Rap;tiff'Ff ice Building • Harrisburg, PA 17120-0029 • (717) 7891yT>u 8®nisslon Expires Sept. 9, 2019
MEMBER PENNSYLVANIA ASSOCIATION OF NOTARIES M�PEENNSYLVANIA ASSOCIAT;ON OF-NOT RtE
DSEB-562 (7-99)
PAGE OF
SCHEDULE III
STATEMENT OF EXPENDITURES
'I'
Name of Filing Committee or Candidate Reporting Period
‘ 2A fik S114 )77-4 . From 03"*ZI-c20i/To ti
To Whom Paid MO YEAR AmourIt
ve-4 '/'6(\f S c-070 oLt ,2c) 1 0
Mailing Address Descr ipt or of Expenditure
are s
City State Zip Code (Plus 4)
To Whom Paid DAYEAi Amount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid ',''YEAR',1 Amount
P $
Mai ling Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid , '11404,t,7. YEAR Amount
$
Mai ling Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid ML4tilW ; YEWAmount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid MO A vEA;,1 Amount
Mailing Address Description of Expenditure
•
City State Zip Code (Plus 4)
To Whom Paid Mig10;,' DA YEAR Amount
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid '.''.0A7Y Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
PAGE TOTA..
Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. $ Li/6
DSEB-502 (7-99)