HomeMy WebLinkAboutFriends of Nate Silcox - 2017 Annual Report 1 1 )aset Form �l'ri nt Form
Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be clear and legible.It should be typed)
Filer Identification Report Filed By Candidate — Committee `� Lobbyist
Number (Mark X) n
Name of Filing Committee,Candidate or
Lobbyist Friends of Nate Silcox
Street Address P.O.Box 882
City Camp Hill State PA Zip Code 17011
IType of Report(Place x under report type)
1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday 5-2"d Friday 6-30 Day Post 7-Annual Special 2"Friday Special 30 Day
Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election
X
Date Of Election Year Amendment Termination
(MM/DD/YYYY) 11/07/2017 2017 Report Report
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
11/27/17 12/31/17
A.Amount Brought Forward From Last Report $ 10,456.62
B.Total Monetary Contributions and Receipts $
(From Schedule I) 0 r- o
C.Total Funds Available $ --. m
(Sum of lines
nes A and B) 10,456 62 -i C_
>a
D.Total Expenditures $
(From Schedule III) 0 N
E.Ending Cash Balance $ -D
(Subtract Line D from Line C) 10,456.62 1=3 -
F.Value of In-Kind Contributions Received $ CM CM __
(From Schedule II) 0 .-
G.Unpaid Debts and Obligations $ =
(From Schedule IV) 0 -< CD
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Affidavit Section
Part 1-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,is to the best of nowledge and belief true,cor�
Sworn to and subscribed before me this
i. Cday of (5 I\t 3,.c'y 20 /C(
11
`_ice
Signature of Person Submittingreport
r• .a:�. —•on. Cria.1 fie1/4
Sipipahvr+ i J Printed Name
Commonwealth oof-Pen�n�sy�lllvania-Nota Seal
My Commission expi es MbmC.3agn Notary Public 7(1 a 3..r - 143D
MO. Iphln S, utity Area Code Daytime Telephone Number
My commission� expires-DDecember 2,2021
Part II-If this is a report of a "If - 3'4iifrlifH)u.rC�+1 f6t�1 ' .e shall sign here.
I swear(or affirm)thatIttOMOOkNI MM41PYRCI � VIlli lir t'tViltpo 0101 committee has not violated any provisions of the Act of June 3,1937(P.L 1333,NO.320)as
amended.
Sworn to and subscribed before me this ----- b-P
a day of 5cM ( 20 /5( . I E
Signature of Candidate
t p... rto,.3 SiLtJcX
Signature Printed Name
My COm i$)Sw !'g.= -c"..;\ r -- Seal `� l ' q — ZL7 F�.
Adam C. /°gner,r,•tary IN blic Area Code Daytime Telephone Number
Dauphin County
My commission expires Del-ember 2.2021
Commission number 1220364
Member,Pennsylvania Association of N018thee
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