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HomeMy WebLinkAboutMatt Smith for Judge - 2019 30-Day Post-Primary ' Commonwealth of Pennsylvania Page 1 of /4-- CAMPAIGN CAMPAIGN FINANCE REPORT (COVER PAGE) (NOTE: This report must be clear and legible.It may be typed or printed in blue or black ink.) Filer IdentificationReport Number: i 20150040 Filed By: pl. CANDIDATE COMMITTEE X i;'LOBBYIST • Name of Filing Committee,Candidate or Lobbyist:Matt Smith for Judge Street Address: P.O.Box 961 City: Camp Hill State: PA Zip Code: 17001- TYPE OF 6T1-I TUESDAY. 1. ' 2ND FRIDAY .... 2. 30 DAY 3, AMENDMENT " REPORT PRE-PRIMARY .PRE-PRIMARY. POST PRIMARY x REPORT? YES NO X 6T1-1 4. 2ND FRIDAY 5. 30 DAY 6. TERMINATION (place X to PRE•ELECTION 'PRE-ELECTION POST ELECTION REPORT? . YES NO X the right of report type) , ANNUAL 7. YEAR FILING METHOD REPORT _� 2019 /A ( ✓ )CHECK ONE Oo PAPER X DISKETTE Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County MO. DAY' YEAR Number ' Code Code Code Judge of the Court of Common Pleas CPJ RFP 21 05 21 2019 21 (SEE INSTRUCTIONS FOR CODES) i FOR OF E'U$F0NLY •, - MO. DAY'-?,:YEAR'' , MO. DAY YEAR L.: l J Summary of Receipts poi. 05 07 2019 06 10 2019 i c_ and Expenditures from: 7.3 .% A. Amount Brought Forward From Last Report $ 1 2891.18 O B. Total Monetary Contributions and Receipts(From Schedule I) $ 7,496.00 la C. Total Funds Available(Sum of Lines A and B) $ 20 387.18 0 •- D. Total Expenditures(From Schedule III) $ 17,861.74 z fV E. Ending Cash Balance(Subtract Line D from Line C) $ 2,525.44 —< F. Value of In-Kind Contributions Received(From Schedule II) $ 1,737.04 — --' G. Unpaid Debts and Obligations(From Schedule IV) $ 10,582.04 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 diskette,are to the best oT my knowledge and belief true,correct and complete. • Sworn to and subscribed beforet ' me this �t ^/ I 9 day of 'ju.I1r�vnonweallh of Pennsylvania-Nbra[y Aaai Signature of Person Submitting Report LisaM.Tosheff,Notary Public In► r•bin County 77�,Jf 4, S —j ,' ,G.- �< ....��, A., ,,,,i. i.,,,gicIt oxpires May 1,2023 y Printed Name ommis ion numAer 1290393 My commission expires Megber,Pennsylvania A1Sd of Notaries 7/ 7 7/ z,s r`d 3 7 MO. DAY YR. Area Code Daytime Telephone Number MART li —If.this is a report of a Candidate's Authoriied'Committee, ,candidate shall.sign here, I swear(or affirm)that to the best of my knowledge and belief this political committee has not violated any provisions of the Act of June 3,1937(P.1.1333.No.320)as amended. Sworn to and subscribed before me this g7 /4 day of �y IS 20 / Signature of Candidate �yNt KIN ,,,7../..-/ Signaturep O � OF ENNSYLV Printed Name -4200 My commission expires V '1u'�"'• m 'LbtiC I 2.15MO. I' AM YMOT'' Notary Area Code Daytime Telephone Number .ST.RICKARDS'.hip County • ^City o is ion Expires Aug -.., _ DSEB-502(7.99) ii * i -. ;ureau of Commissions,Elections and Legislation e 2• : '• Office Building • Harrisburg,PA 17120-0029 • (717)787-5280 Page 2 of / SCHEDULE I L CONTRIBUTIONS AND RECEIPTS Detailed Summary Page Name of Filing Committee or Candidate Reporting Period Matt Smith for Judge From 5/7/2019 To 6/10/2019 1. UNITEMIZED CONTRIBUTIONS AND RECEIPTS-$50.00 OR LESS PER CONTRIBUTOR TOTAL for the Reporting Period 1110. (1) $ 150.00 2. CONTRIBUTIONS$50.01 TO $250.00 (FROM PART A AND PART B) Contributions Received from Political Committees (Part A) $ 0.00 All Other Contributions (Part B) $ 4,146.00 TOTAL for the Reporting Period ► (2) $ 4,146.00 3. CONTRIBUTIONS OVER$250.00 (FROM PART C AND PART D) Contributions Received from Political Committees (Part C) $ 500.00 All Other Contributions (Part D), $ 2,700.00 TOTAL for the Reporting Period ► (3) $ 3,200.00 4. OTHER RECEIPTS-REFUNDS, INTEREST EARNED, RETURNED CHECKS, ETC. (FROM PART E) TOTAL for the Reporting Period ► (4) $ 0.00 • TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURING THIS REPORTING PERIOD 'Odd and enter amount totals from Boxes ► $ 7,496.00 1, 2, 3 and 4;also enter this amount on Page 1, Report Cover Page, Item B.) ':c DSEB-502(7-99) PART A Page 3 of !4 CONTRIBUTIONS RECEIVED FROM POLITICAL COMMITTEES $50.01 TO $250.00 Use thisPart to itemize only contributions received from political committees with an aggregate value from $50.01 to $250.00 in the reporting period. Name of Filing Committee or Candidate Reporting Period Matt Smith for Judge From 5/7/2019 To 6/10/2019 DATE AMOUNT PAGE TOTAL Enter Grand Total of Part A on Schedule I, Detailed Summary Page, Section 2. $ 0.00 DSEB-502(7-99) PART B Page 4 of IS ALL OTHER CONTRIBUTIONS $50.01 TO $250.00 Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate Reporting Period Matt Smith for Judge From 5/7/2019 To 6/10/2019 DATE AMOUNT Full Name of Contributor iIWO (EAR""�( $ 125.00 David T Miller 05 08 2019 Mailing Address ,MOtf='DAY: `YEAR" $ 213 Shirley Ln City State Zip Code(Plus 4) MO, DAY` :YEAR'. $ Boiling Springs _ PA 17007- Full Name of Contributor l''IIMO IDAY111IhhYEAR1 $ 100.00 Steven A Rice 05 15 2019 Mailing Address :SMO:" .DAY; :�YEARk $ 64 Garrison Falls Dr ' City State Zip Code(Plus 4) MO;n,,) DAY, XYEAR, $ Gettysburg PA 17325- Full Name of Contributor ;'Moll I��'IDAV YEA14i6; $ 125.00 Melanie W Scaringi 05 15 2019 Mailing Address ,MO:,' rDAY: ,,9PYEARIg:, $ 243 N 27th St City State Zip Code(Plus 4) M0:. DAY; :YEAR $ Camp Hill PA 17110- Full Name of Contributor MO`: DAY' ;YEAR-` $ 250.00 Todd J Shill 05 13 2019 Mailing Address ,i MO.,: dIDAY111 IiII;im,YEAR!: $ 972 N Fairville Ave City State Zip Code(Plus 4) MO:?,- DAY ,;YEAR= $ Harrisburg PA 17112- Full Name of Contributor ''MQ:! DAY' AYE'ARS: $ 250.00 Casey G Shore 05 15 2019 Mailing Address 1M0211100 ,DAY, :YEARr. $ 445 Devon Rd City State Zip Code(Plus 4) ,,MO.• ,DAY :YEAR:'i, $ Camp Hill PA 17011- Full Name of Contributor "',MO.. DAY .YEAR: $ 100.00 Stanley A Smith 05 08 2019 Mailing Address ,MO;1''!' DAY; YEAR, $ 1833 Red Spruce LN City State Zip Code(Plus 4) SMO iDAY;m'�II�YEAR��III: $ Mechanicsburg PA 17050- Full Name of Contributor nvo' i'DAY� YEAR'l $ 125.00 Stephen F Smith 05 09 2019 Mailing Address MO + DAY ::YEAR: 455 Woodcrest Dr $ City State Zip Code(Plus 4) MOI!'md DAY" YEAR $ Mechanicsburg PA 17050- Full Name of Contributor '+iII�MO tiAY 7^(EAR.` $ 250.00 Richard C Sokorai 06 10 2019 Mailing Address .MO:. DAY,. uYEAR!, $ 15 Clearbrook Rd City State Zip Code(Plus 4) MO:, DAY: YEAR $ Newtown Square PA 19073- DSEB-502(7-99) PART B Page S of It ALL OTHER CONTRIBUTIONS $50.01 TO $250.00 Use this Part to itemize all other contributions with an aggregate value from $50.01 to$250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate Reporting Period Matt Smith for Judge From 5/7/2019 To 6/10/2019 DATE AMOUNT Full Name of Contributor MO. DAY YEAR $ 100.00 Alexander de Winter 06 10 2019 Mailing Address MO. DAY YEAR 29 Madison St City State Zip Code(Plus 4) MO. DAY YEAR• Belmont MA 02478- Full Name of Contributor MO. DAY YEAR $ 100.00 William J Fulton 05 15 2019 • Mailing Address MO. DAY YEAR 106 Walnut St City • State Zip Code(Plus 4) MO. DAY YEAR Harrisburg PA 17101- Full Name of Contributor MO. DAY YEAR $ 100.00 Hubert X Gilroy 05 09 2019 Mailing Address MO. DAY YEAR $ 211 S College St City State Zip Code(Plus 4) MO. DAY YEAR Carlisle PA 17013- Full Name of Contributor MO. DAY YEAR $ 150.00 George F Grode 05 22 2019 Mailing Address MO. DAY YEAR • 68 Greenwood Cir City State Zip Code(Plus 4) MO. DAY YEAR Wormleysburg ; PA 17043- Full Name of Contributor • MO. DAY YEAR $ 250.00 Alex Hartzler 05 15 2019 Mailing Address MO. DAY YEAR 2233 N Front St $ City State Zip Code(Plus 4) MO. DAY YEAR Harrisburg PA 17110- Full Name of Contributor MO. DAY YEAR $ 125.00 Kirsten A Jones 05 15 2019 Mailing Address MO. DAY YEAR 207 N 17th St $ City State Zip Code(Plus 4) MO. DAY YEAR $ Camp Hill PA 17011- Full Name of Contributor MO. DAY YEAR $ 250.00 Paul J Kovatch 05 15 2019 Mailing Address MO. DAY YEAR 2080 Linglestown Rd City State Zip Code(Plus 4) MO. DAY YEAR $ Harrisburg PA 17110- Full Name of Contributor MO. DAY YEAR $ 250.00 Joshua D Lock 05 15 2019 Mailing Address MO. DAY YEAR 4250 Crums Mill Rd City State Zip Code(Plus 4) MO. DAY YEAR Harrisburg PA 17112- • DSEB-502(7-99) ' • • PART B Page of ((r ALL OTHER CONTRIBUTIONS $50.01 TO $250.00 Use this Part to itemize all other contributions with an aggregate value from $50.01 to$250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate Reporting Period Matt Smith for Judge From 5/7/2019 To 6/10/2019 DATE AMOUNT Full Name of ContributorMO. DAY YEAR $ 125.00 Nola Soul, LLc 05 15 2019 Mailing Address ■MO!IDAYI IYEARI 495 N 25th St City State Zip Code(Plus 4) ■MO!IDAYI IYEARI $ Camp Hill PA 17011- Full Name of Contributor MO. crAfn $ 125.00 Laura J Butcher 05 15 2019 Mailing Address • IMO!IDAYI IYEARI 333 N 26th St City State Zip Code(Plus 4) IMO,IDAYI WYEARI Camp Hill t PA 17011- Full Name of ContributorMO. DAY YEAR $ 150.00 JoAnna Cameron 05 15 2019 Mailing Address • IMO!IDAYI&Y,EAR'• 10 Thyme Ct City State Zip Code(Plus 4) IMO!IDAYI WEAN! $ Mechanicsburg PA 17050 • - Full Name of Contributor MO. DA YEAR $ 250.00 Jim Seung H. Chon 05 15 2019 Mailing Address IMO!IDAYI IYEARI P.O. Box 7279 City State Zip Code(Plus 4) IMO,IDAYI RY..EARI $ Harrisburg PA 17113- Full Name of Contributor ral DAY YEAR $ 250.00 Lee S Cohen • 05 14 2019 Mailing Address SMO!IDAYI"YEAR' 2260 Flintlock Dr City State Zip Code(Plus 4) IMO!IDAYI WEAR' $ Hummelstown PA 17036- Full Name of Contributor iMO. DAY Y.EAR $ 125.00 Matthew J Coniglio 05 15 2019 Mailing Address IMO!IDAYI i'EARI 28 S 26th St City State Zip Code(Plus 4) IMO!IDAYI/WEARS $ Camp Hill PA 17011- Full Name of Contributor MO. DAY YEAR $ 61.00 Greg Culbertson 05 16 2019 Mailing Address IMO!IDAYI IYEARI $ 7111 Fishing Creek Valley Rd City State Zip Code(Plus 4) ■MO!IDAYI■Y,EARI Harrisburg PA 17112- Full Name of Contributor [—vim I 1Yh,EA7i 1 $ 60.00 Laura Culbertson 05 16 2019 Mailing Address IMO?r'DAY/WEAR' $ 7111 Fishing Creek Valley Rd City State Zip Code(Plus 4) !MO!IDAYI WEAR' $ Harrisburg PA 17112- • DSEB-502(7-99) • PART B Page 7 of 16 • ALL OTHER CONTRIBUTIONS $50.01 TO $250.00 Use this Part to itemize all other contributions with an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Name of Filing Committee or Candidate Reporting Period Matt Smith for Judge From 5/7/2019 To 6/10/2019 DATE AMOUNT Full Name of Contributor MO. DAY YEAR $ 100.00 Akshay D Vidyarthi 05 23 2019 Mailing Address MO. DAY YEAR $ • 7686 Paradise Heights City State Zip Code(Plus 4) MO. DAY YEAR Abbottstown PA 17301- Full Name of Contributor MO. DAY YEAR $ 250. 00 Zachary Williard 05 22 2019 Mailing Address MO. DAY YEAR 2833 Fairview Rd City State Zip Code(Plus 4) MO. DAY YEAR $ Camp Hill PA 17011- PAGE TOTAL Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 2. g 4,146.00 DSEB-502(7-99) PART C Page 6 of j CONTRIBUTIONS RECEIVED FROM POLITICAL COMMITTEES OVER$250.00 Use this Part to itemize only contributions received from political committees with an aggregate value over$250.00 in the reporting period. Name of Filing Committee or Candidate Reporting Period Matt Smith for Judge From 5/7/2019 To 6/10/2019 DATE AMOUNT Full Name of Contributing Committee MO. DAY YEAR $ 500.00 Protecting PA PAC 05 20 2019 Mailing Address MO. DAY YEAR P.O. Box 811 City State Zip Code(Plus 4) MO. DAY YEAR $ Mechanicsburg PA 17055- PAGE TOTAL Enter Grand Total of Part C on Schedule I, Detailed Summary Page, Section 3. $ 500.00 • • DSEB-502(7-99) PART D Page of )ic ALL OTHER CONTRIBUTIONS • OVER$250.00 Use this Part to itemize all other contributions with an aggregate value of over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Matt Smith for Judge From 5/7/2019 To 6/10/2019 DATE AMOUNT Full Name of Contributor MI MI YEAR $ 400.00 Deborah Beutler 05 08 2019 Mailing AddresslM03MAW ILYEAR $ 67 Linda Dr City State Zip Code(Plus 4) M0. IDAY4 WEAR' Mechanicsburg PA 17050- Employer Name Occupation Information Requested Employer Mailing Address/Principal Place of Business Full Name of Contributor ItTAVA PEAA $ 500.00 Raymond M Bily 05 15 2019 Mailing Address MO. I AYi L AR1 $ 89 Pebble Ridgew Rd City State Zip Code(Plus 4) 1CMb t 1 A 4'FEAR! Warrington PA 18976- Employer Name Occupation Self employed Attorney Employer Mailing Address/Principal Place of Business 1243 Easton Road, Suite 200, Warrington, PA 18976 Full Name of Contributor . 1MtTIAY YEAA $ 250.00 Jonathan W Crisp 05 14 2019 • Mailing Address IV Oil AY71YEARI $ 250. 00 7547 Lakeside Ave• 05 15 2019 City State Zip Code(Plus 4) 11M Olt 1DAY7 NEAR Harrisburg PA 17112- Employer Name Occupation Crisp and Associates, LLC Owner Employer Mailing Address/Principal Place of Business 3540 N. Progress Ave, Suite 209, Harrisburg, PA 17110 Full Name of Contributor 676NEAR $ 300.00 Gary L Eichelberger 05 09 2019 Mailing Address ]fM b7 DAY 1LYEAR' $ 606 S Arch St City State Zip Code(Plus 4) IM051DA` llt? AR1 $ Mechanicsburg PA 17055- Employer Name Occupation Cumberland County Commissioner Employer Mailing Address/Principal Place of Business 1 Court House Sq, Carlisle, PA 17013 Full Name of Contributor SMO. 1DAYl NEAR $ Jeffrey R Elliott 05 15 2019 500.00 Mailing Address IMO*1Il5IN71 IYEARt 331 Daniel St City State Zip Code(Plus 4) IM--0DAIS IItYEAI 1< $ Wernersville PA 19565- Employer Name Occupation Kozloff Stoudt Attorney Employer Mailing Address/Principal Place of Business 2640 Westview Dr, Wyomissing, PA 19610 DSEB-502(7-99) • PART D Page /O of IC ALL OTHER CONTRIBUTIONS OVER$250.00 Use this Part to itemize all other contributions with an aggregate value of over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period Matt Smith for Judge From 5/7/2019 To 6/10/2019 DATE AMOUNT Full Name Brian Wf Contributor OMO. ICDSY�'�YEAR $ 500.00 Perry 2019 Mailing Address IMO,UAW'►Y.EAR1 3030 Beverly Rd City State Zip Code(Plus 4) MO 1DAY1 ►YEAR1 Camp Hill PA 17011- Employer Name Occupation Grover, Perry & Shore Attorney Employer Mailing Address/Principal Place of Business 2411 N Front St, Harrisburg, PA 17110 PAGE TOTAL Enter Grand Total of Part D on Schedule I, Detailed Summary Page, Section 3. $ 2,700.00 • • DSEB-502(7-99) PARTE Page )1 of t4- OTHER RECEIPTS REFUNDS, INTEREST INCOME, RETURNED CHECKS, ETC. Use this Part to report refunds received, interest earned, returned checks and prior expenditures that were returned to the filer. Name of Filing Committee or Candidate Reporting Period Matt Smith for Judge From 5/7/2019 To 6/10/2019 PAGE TOTAL Enter Grand Total of Part E on Schedule I, Detailed Summary Page, Section 4. $ 0.00 • • • DSEB-502(7.99) • Page Pt, of SCHEDULE II IN-KIND CONTRIBUTIONS AND VALUABLE THINGS RECEIVED USE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS DURING THE REPORTING PERIOD. Detailed Summary Page Name of Filing Committee or Candidate Reporting Period Matt Smith for Judge From 5/7/2019 To 6/10/2019 1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED VALUE OF $50.00 OR LESS PER CONTRIBUTOR TOTAL for the Reporting Period 111100 (1) $ 0.00, 2. IN-KIND CONTRIBUTIONS RECEIVED—VALUE OF $50.01 TO $250.00(FROM PART F) TOTAL for the Reporting Period pip. (2) $ 0.00 3. IN-KIND CONTRIBUTIONS RECEIVED—VALUE OVER$250.00 (FROM PART G) TOTAL for the Reporting Periodr. (3) $ 1,737.04 TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING PERIOD (Add and enter amount totals from Boxes 1, 2, $ 1,737.04 and 3;also enter on Page 1, Report Cover Page, Item F.) DSEB-502(7-99) SCHEDULE II Page J3 of 14 PART F IN-KIND CONTRIBUTIONS RECEIVED VALUE OF $50.01 TO$250.00 Name of Filing Committee or Candidate Reporting Period Matt Smith for Judge From 5/7/2019 To 6/10/2019 DATE AMOUNT Enter Grand Total of Part F on Schedule II, In-Kind Contributions Detailed PAGE TOTAL Summary Page, Section 2. $ 0.00 • • DSEB-502(7-99) • Page SCHEDULE II i'7 of (Y PART G IN-KIND CONTRIBUTIONS RECEIVED • VALUE OVER$250.00 Name of Filing Committee or Candidate Reporting Period Matt Smith for Judge From 5/7/2019 To 6/10/2019 DATE AMOUNT Full Name of Conibutor CumberlandtrCountyRepublican Committee 05 DAY YEAR $ 71.34 y p 15 2019 Mailing Address "MO.D'AV -Y' "AR ' 10 9.7 5 8 Stover Dr 05 15 2019 CityState Zip Code(Plus 4) ` O. DAY M -YEAR- $ 357. 95 Carlisle IPA 117015- 05 15 2019 Employer Name of Contributor Occupation Employer Mailing Address/Principal Place of Business Description of Contribution Printing Full Name of Contributor Y Party of Pennsylvania 05 20YEAR 1, 198. 00 Republican Mailing Address MO. DAY YEAR. "YEAR` 112 State Street City State Zip Code(Plus 4) W07'DAY" 4YEAR Harrisburg PA 17101- Employer Name of Contributor Occupation Employer Mailing Address/Principal Place of Business Description of Contribution Printing and Postage Enter Grand Total of Part G.on Schedule II, In-Kind Contributions Detailed PAGE TOTAL Summary Page, Section 3. 5 1,737.04 • • DSEB-502(7-99) SCHEDULE Ill Page �� of /L STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period Matt Smith for Judge From 5/7/2019 To 6/10/2019 To Whom Paid MO. DAY YEAR I Amount RGB Politics 05 07 2019 $ 12, 650.02 Mailing Address Description of Expenditure 3031 Logan St Printing and postage City State Zip Code(Plus 4) Camp Hill PA 17011- To Whom Paid MO. DAY YEAR Amount PayPal 05 13 2019 $ 9.30 Mailing Address Description of Expenditure 2211 North First St Service fee City State Zip Code(Plus 4) San Jose CA 95131- • To Whom Paid MO. DAY YEAR Amount PayPal 05 14 2019 $ 15.10 Mailing Address Description of Expenditure 2211 North First St Service fee City State Zip Code(Plus 4) San Jose CA 95131- To Whom Paid MO. DAY YEAR Amount RGB Politics 05 20 2019 $ 5, 184 .12 Mailing Address Description of Expenditure 3031 Logan St Printing and postage City State Zip Code(Plus 4) Camp Hill PA 17011- To Whom Paid MO. DAY YEAR Amount PayPal 06 10 2019 $ 3.20 Mailing Address Description of Expenditure 2211 North First St Service fee City State Zip Code(Plus 4) San Jose CA 95131- Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. PAGE TOTAL *REFER TO INSTRUCTIONS FOR EXPENDITURE CODE NUMBERS. $ 17,861.74 DSEB-502(7-99) jSCHEDULE IV Page / 4, of / " STATEMENT OF UNPAID DEBTS Use this Section to itemize all unpaid debts and obligations which are outstanding at the end of the reporting period. Name of Filing Committee or Candidate Reporting Period Matt Smith for Judge From 5/7/2019 To 6/10/2019 Name of Creditor • Outstanding Balance of Debt DTR Consulting, LLC - $ $1, 500.00 Mailing Address DATEMO. DAY YEAR 210 Kelker St _1NCU�RED DEBT ` 06 10 2019 City State Zip Code(Plus 4) Harrisburg PA 17102— Description of Debt Professional services Name of Creditor Outstanding Balance of Debt MJM Strategies, LLC $ $3, 288.79 Mailing Address DATEMO. DAY YEAR P.O. Box 624 i DEBT INCIRED` 06 10 2019 INCU RED City State Zip Code(Plus 4) Harrisburg PA 17108— Description of Debt Commission Name of Creditor . Outstanding Balance of Debt RGB Politics $ $1, 555. 12 Mailing Address DATEMO. DAY YEAR 3031 Logan St INCU RED�, 06 10 2019 City State Zip Code(Plus 4) Camp Hill PA 17011— Description of Debt Printing and postage i Name of Creditor Outstanding Balance of Debt RGB Politics $ $3, 000.00 Mailing Address i DATEMO. DAY YEAR 3031 Logan St _INCU RED► 06 10 2019 City State Zip Code(Plus 4) Camp Hill • PA 17011— Description of Debt .. Digital media Name of Creditor Outstanding Balance of Debt Todd Krick Graphic Design $ $1, 238. 13 Mailing Address DATEMO. DAY YEAR 131 Clover Ln DEBT INCURED 06 10 2019 City State Zip Code(Plus 4) Palmyra PA 17078— Description of Debt Printing and postage PAGE TOTAL Enter Grand Total of Unpaid Debts on Page 1, Report Cover Page, Item G. $ 10,582.04 DSEB-502(7-99)