HomeMy WebLinkAboutSmith, Debra - 2017 2nd Friday Pre-Election COMMONWEALTH 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 during the reporting period.
FILER IDENTIFICATION , REPORT FRED ' 2. i.
NUMBER ON BEHALF OF ..CANDIDATE: _COMMITTEE;:; iLOBBYtST;:.
NAME OF RUNG COMMITTEE,CANDIDATE OR LOBBYIST
Debra Mo SmttA (26h« S'tri±L
STREET ADDRESS
785 eDuh club paw
CITY STATE ZIP
Camp Ha'(( PR CODE
)76/ I
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) EayOr- or Camp lia( i / /1 pQ 4-' Ip l MO: . : ' .:DAY: :.' .YEAR:<:;
II 07 708
PREPRIMARY `:'
.; FOR OFFICE USE ONLYDATES OF
2ND PRE-PRRFIMARYIDAY 2. REPORTING /�y/ 06 20(7 To 10 23 2017
PERIOD `'1�
3O DAY ' C7 TV
POST PRIMARY • C7..- C
CASH BALANCE AT END `-a
OF REPORTING PERIOD: $ 0p I3
6rk TuEsnar.'::<'> rn (
PRE-ELECTION -"'1
TOTAL AMOUNT OF FILER'S -
PRE-ELECTION
5 ppp OUTSTANDING DEBTS OR LIABILITIES CO v
PRE.ELtcnON: .: X AT THE END OF REPORTING PERIOD: $ a c0
6• (L)
30 DAY AMENDMENT N
POST-ELECTIONREPORT?.::. YES NO Q
ANNUAL TERMINATION YES NO x < D0
REPORT REPORT? '`
AFFIDAVIT SECTION
PARTI-
If statement is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here. z , o
If statement is filed on behalf of a Candidate,the Candidate must sign here. > . o N Z
If statement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here. >- a 0 0)LL
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I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT Z J D m
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST• • ,•� GE AND BELT-. ,TRUE CO 'ECT AND COMPLETE. a lefl0 w
PIM TO AND SUBSCRIBED BEFORE ME THIS � A, / / ` LL -r 9i E
P 7 DAY OF [l ro b 20 1 7 SIG TURE OF -S . SUBMITTING REPORT F=. Q W -c
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PRINTED NAME (/� E
?LIRE q 71 7 ,7 / - 2-6,/ ` 0 0 (:,
MY COMMISSION EXPIRES J/I P. 1 ,O 0 / ! (D c U
MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER 0 Q=- w
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PART II-
If statement is filed on behalf of a Candidate's Authorized Committee,Candidate must sign here. w a
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I SWEAR(OR AFFIRM)THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THIS POLITICAL COMMI f 0 . T'.ANY PR>! IONS OF THE ACT OF 5 (.3 of LL
JUNE 3, 1937(P.L. 1333,No.320)AS AMENDED. //�� � Cl)} -o n, o
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SWORN TO AND SUBSCRIBED BEFORE ME THIS Lu W =' a
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',GRA OF ID - II- . o
27 DAY OF OC r) �P. ' 20.E O Q. E h
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�— �/ / PRINTED NAME I- Q C a
d �,�r �l‘7 w Z IgE I
S NATURE _ a
MY COMMISSION EXPIRES .�L)rL2 I A o�, 0 AREA C DE AYTIME EPHONE NUMBER Z •o w
MO. DAY YR. CL O
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V dDSEB-503(12-99) I