HomeMy WebLinkAboutSmith, Debra - 2017 30-Day Post 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 plo. REPORTFILED :::CANDIDATE: -.CONMILTEE.:;' <>LOBBYIST`: 3.
NUMBER ON BEHALF OF ...
NAME OF FILO G COMMITTEE,CANDIDATE OR LOBBYIST _,t_/
D ..8r'c3 M. Shic'(�/L... (h 'I &e Smt' t)
STREET ADDRESs
73 5- C-Oc r 0/ail:). 1 oacI
CITY P . yr L( STATE PA ZIP 1 DE
TYarn
PE
1 I -
TYOF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) M or'o-r amp,_ P /L-1'(( PA DEM Mo. :DAY YEAR:..:
.-..Sm TUESDAY '::::.,: '
I1 o7 2017
•
PRE-PRIMARY FOR.OFFICE USE:ONLY
:MIO.. :;YfJUt�7. .. ..... ... :: ..
ZND FRIDAY 2. DATES OF
REPOR NG l O 2L/ TO I / 27 2
PRE-PRIMARY ] �I I 01
FUOD
C') ry
30<DAY: :. 3. c:3
o�
�� CASH BALANCE AT END cu CD
a• OF REPORTING PERIOD: $ t�
GTFI:,TUESDAY S"'>5>;:i Co rTI C7
PRE-ELECTION r� 00 I"'"
TOTAL AMOUNT OF FILER'S O. ° rn
OUTSTANDING DEBTS OR LIABILITIES
.2ND FRIDAY
PRE-ELECTION: AT THE END OF REPORTING PERIOD: $ »b
•
30 /iv C
POST-ELECTION AMENDMENT YES NO CCC��V MD
REPORTl \ -.<
CDANNUAL TERMINATION .
REPORT REPORT? YES NO .- .
. y.
AFFIDAVIT SECTION
PART I-
If statement is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here.
If statement is filed on behalf of a Candidate,the Candidate must sign here.
If statement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR UABIUTIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT ANO COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
DAY OF 20 SIGNATURE OF PERSON SUBMITTING REPORT
SIGNATURE PRINTED NAME
MY COMMISSION EXPIRES
MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
PART II-
If statement is filed on behalf of a Candidate's Authorized Committee,Candidate must sign F-re. g x o
NIDD g
I SWEAR(OR AFFIRM)THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THIS POLITICAL CO ^!�'•' •l0 D A`+j OVI • - • THE ACT OF ' O : �' O
JUNE 3, 1937(P.L.1333,No.320)AS AMENDED. / ��i E 3 '
otp. N' IA Z m
SWORN TO AND SUBSCRIBED BEFORE ME THIS j '7,41101%..5W
// //�/ < �' D
'n -7 7 ANDIDAT y 7 -D r1
LP DAY OF . wM ?/ 20_1 frI��''� / ��/ 3' m N Z
vll ide PRIINjjT���EDD N ( 3 cr Z CO .D
SIGNATU
/R
,E
, �A n^ 7/ C�jL o w m> Z
MY COMMISSION EXPIRES 0 (D / 0C' POO A� DA ME PHONE NUMBER zo 3 a.
MO. DAY YR. -nO c G
- cQ ZX070
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DSEB-503(12-99) `p;