HomeMy WebLinkAboutSmith, Matt - 2019 30-Day Post-Primary 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 110, REPORT FILED L' I,
3.
NUMBER ON BEHALF OF CANDIDATE, X' COMMITTEE LOBBYIST
MAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
. /14,14 sh.,hzi
. STREET ADDRESS
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fe...A.,
CITY STATE liZIP CODE
CA„,„,.. 4 '17 / 442 /7 e>// —
TYPE OF REPORT NAME 6F OFFICE SOUGHT BY CANDIDATE 'DISTRICT NO. PARTY J ....,... • DATE OF ELECTION '..
(CHECK ONE) 3 "..,pi i r, df 41,..... .Covr-/- ‘-'• MO. DAY YEAR
6-rli TUESDAY
, - 1. 4r eq,""*1.04.2 / /,....La IA 17.4e1.1 - aa,5 -1. 1 2x7/7
PRE•PRIIAART . FOR OFFICE USE ONLY •
MO. 1 DAY YEAR MO. DAT ! YEAR
2. ' DATES OF
2ND FRIDAY .
REPORTINGTO C, r.)
PRE-PRIMARY. 0
- PERIOD OS° 0 1 2.01? Cit. fa Zell ...... .
.... %.4)
= 30 DAT 3* ...
.:I1 ....
POST-PRIMARY. , V C
CASH BALANCE AT END ',1
--....
6TH TUESDAY,
4. OF REPORTING PERIOD: $.---70----- ,.7.3 ....-
' ro
PRE-ELECTION
• TOTAL AMOUNT OF FILER'S
5. -
2NO.FRIDAY OUTSTANDING DEBTS OR UABILITIES
P
' ,
PRE-ELECTION " AT THE END OF REPORTING PERIOD: $ C)
0
40..
. .5. = ..
_
•30 OAY Z.:
AM
POST-ELECTION ENDMENT YES
Pa
REPORT?
NO ....4
.-.<
T.• '
• ANNUAL TERMINATION
REPORT . • .REPORT? YES NO "IC
,„1 • ,
• 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 s,A,EAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCLIRREO DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS(5250.00)AND THIS REPORT IS,TO THE BEST"OF MY KNOWLEDGE Al-ID EEL ,CORRECT AND COMPLETE.
CTIOON TO AND"auoaortIOCD BEFORE ATE THIS
,friJ7
i G, DAY OF 3—tl0)-4... 2O/, SI ATURE OF PERSO SUBMITI1M1 REPORT
. s./0104%P% 1.4- •
OA I
Cfr— PRINTED NAME
SIGNATURE
•N... eNk•-'"4 N.... , pubvic ri
MY COMMISSION EXPIRES e>.:7,30_._-_„,4„. . .4:. 1,;O:a*1 cv
-•= •c.,GOO''
%I.S* • 08.\-10.‘‘ I 06,2"4qE' CODE DAYTIME TELEPHONE NUMBER
00k3G1 A u.st) IQ, A.,..tiatiSs_
114a"1
PART II - OW° . .011E/'9"e5
• ossl
If statement is filed on behalf o an.;•.:. - s Authorized Committee,Candidate must sign here.
:SWEAR(OR AFFIRM)THAT TO THE BEST CF NY KNOVA.ECC AND BELIEF THIS POUTIC.AL 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
SIGNATURE OF CANDIDATE
DAY OF 20_
PRINTED NAME
SIGNATURE
I. MY COMMISSION EXPIRES
AREA CODE DAYTIME TELEPHONE NUMBER
MO. DAY YR.
Department of State • Bureau of Commissions,Elections and Legislation
,
USELS-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280