HomeMy WebLinkAboutCommittee to Elect Shelly Capozzi - 2019 2nd Friday Pre-Election II fi
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Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be clear and legible.It should be typed)
Filer Identification 833397394 Report Filed By Candidate Committee `/ Lobbyist
Number (Mark X) n
Name of Filing Committee,Candidate or
Lobbyist Committee to Elect Shelly Capozzi •
Street Address 1655 Holly Pike
City Carlisle State PA Zip Code 17015
Type 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"a Friday Special 30 Day
Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election
1 _ X
Date Of Election Year Amendment Termination
(MM/DD/YYYY) 5/21/2019 2019 J I Report X Report
•
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
6/11/2019 10/21/2019
A.Amount Brought Forward From Last Report $ 1674.79
B.Total Monetary Contributions and Receipts $
(From Schedule I) 0 C) ..
C.Total Funds Available $
•(Sum of Lines A and 8) 1674.79 C
D.Total Expenditures $ 0
(From Schedule III)
E.Ending Cash Balance $ C)
(Subtract Line D from Line C) 1674.79 C7
C)
F.Value of In-Kind Contributions Received $ C
(From Schedule II) 0 C3
2:
G.Unpaid Debts and Obligations $ 0 -I (J7
Co
(From Schedule IV)
Affidavit Section
Part 1-If this is a Committee report,treasurer sign here.If this• .••'date report,candidate sign here.
I swear(or affirm)that this report,including the attached • educes o= .:per,is to the best my knowledge and belief true,correct and complete.
Sworn to11,4.,-c_
AAA and subscribed before me this
day of k,�r .i 20at3. •E g. i
I 1 *�//�,J,1�'] /l = 1 i�, A4 _Signature of/PCjp[(rio�n/y4ibmitting report
1 ' Signature s o 2, Printed Name
a n
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My Commission expires .lam• 1 t prCbr-7 ' o , a .
MO. DAY YR. r Area Code Daytime Telephone Number
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Part II-If this is a report of a Candidate's Authorized Committee,can.'. •shall sign here.
I swear(or affirm)that to the best of my knowledge and belief this ' cal 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
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I �,� n�! t ,?�� S h Signatur of�nclidate
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Signature l o g n Printed Name
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My Commission expires � W> �2 �11 / �/- /Z6 6,
MO. DAY YR. 'o o Area Code Daytime Telephone Number
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Reset Form Print Form
II11 1._____ _ __
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 833397394 (Mark X) n
Name of Filing Committee,Candidate or
Lobbyist Committee to Elect Shelly Capozzi
Street Address 1655 Holly Pike
City Carlisle State PA Zip Code 17015
JType 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 2n°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) 11/05/2019 2019 Report Report
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
06/11/2019 10/21/2019
A.Amount Brought Forward From Last Report $ 1647.67
B.Total Monetary Contributions and Receipts $
(From Schedule I) 0
C.Total Funds Available $ G a
(Sum of Lines A and B) 1647.67 ..o
D.Total Expenditures $
1-fl (—)
(From Schedule III) 0 :O —+
E.Ending Cash Balance $ >. N
(Subtract Line D from Line C)
Cil
1647.67
F.Value of In-Kind Contributions Received $ "b
(From Schedule II) 0 O
G.Unpaid Debts and Obligations $ G fid:)
(From Schedule IV) 0 =---; N
ce
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 my knowledge and belief true,correct and complete.
Snwor n jo and subbed before_met this �y
,o91day of ScUth 12.e 20 /-(
. 4fAra-- .
` Sjgnaturepf P�rson,$ubmitting report
u�t� (::::0�if�nrartl,of Pennsylvania•Notary Seal G n ii�t./ /�.� Fes.
Sign ture MEGAN ORRIS-Notary publtc Printed Name
iiii /��(�
Cumberland County �� ` -5,1.5------____
My Commi io expires My Commission cion Number ires J1260066 2023an 14, 12 1
•
MO. JAY YR. Area Code Daytime Telephone Number
Part II-If this is a report of a Candidate's Authorized 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.L.1333,NO.320)as
amended.
Sworn to and subscribed before me this
�I n
s.6 day of 6e.�(J�X!* 2 Iq ,1J�A.t.QLi i Ltio �� ,
ii_'; 0 — Stie 1(.1 (ignatu�e oto afid to
Signatl;re�� Printed Name
My Commissi e>�res Commonwealth of Pennsylvania-Notary Seal -1 1 1 9 1 9— 7ao(e
MO. D N WANORRIS-Notary Public Area Code Daytime Telephone Number
Cumberland County
My Commission Expires Jan 14,2023
Commission Number 1260066
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SCHEDULE I
Contributions and Receipts
Detailed Summary Page
I Filer Identification Number I
833397394
1.Unitemized Contributions and Receipts-$50.00 or Less per ContributorI
I
Total for the reporting period (1) $
0
I2.Contributions of$50.01 to $250.00(From
Part A and Part B)
Contributions Received from Political Committees(Part A) $ 0
All Other Contributions(Part B) $ 0
Total for the reporting period (2) $
0
3.Contributions Over$250.00(From Part C and Part D)
I
Contributions Received from Political Committees(Part C) $ 0
All Other Contributions(Part D) $ 0
Total for the reporting period (3) $
0
4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E)
•I I
. Total for the reporting period (4) $ 0
',Total Monetary Contributions and Receipts during this reporting period(Add and $
enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report
Cover Page,Item B) 0