HomeMy WebLinkAboutSmith, Matt - 2019 2nd Friday Pre-Election IIID IIII I` _IZeset Form i�. Print Form __i)
Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be clear and legible.It should be typed)
Filer Identification Report Filed By Candidate X Committee L6bbyist -
Number (MarkX)
Name of.Filing'Committee,Candidate or
Lobbyist Matt Smith
Street Address 108 Ridgewood Dr
City Camp Hill State PA Zip Code 17011
Type of Report(Place x under report type)
1-6th Tuesday :2- 2"d Friday; 3-30 Day Post 4-6th Tuesday- 5-.2nd,Friday 6-30 Day.Post 7-Annual Special 2nd 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•D`ate To Date For Office•Use Only
Expenditures
06/11/2019 10/21/2019
.A.Amount.Brought Forward From Last-Report $ 0
B.Total Monetary Contributions and Receipts $
(From:Schedule I) 0 CO C
C.Total Funds,Available $C.
(Sum of Lines A and B) 0 r–
'D.Total.Expenditures • $
,(From:Scheduleill) 10,000 C7
E.Ending Cash Balance - • $ 0 C
(Subtract Line D from Line C)
F.
Value of In-Kind Contributions Received
(From Schedule II) $ 0
G.Unpaid Debts and Obligations $
(From Schedule IV) 0
• 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.
Sworn to and subscribed before me;this
8 day of r14� � 20 17 �"
Seas SigQaturg of Pers_ ontStibmittinp rakorr
7"- — -:1111610.01:-Notary �`/ �.. r \
•
:
Signature corrom Wea N. ,rypuWic Printed Name
t�$�T'RiZcka�•
My Commission expires (16 6 Z� phfn COUntY 2023 1�`�5 ��
MO. • DAY expire-A��-t08� Area Code Daytime Telephone Number
My Commis number 1292437
Part II-If this is a report of a Can• date's •'1.ilYYfh'!77--- ee,candidate shall sign here.
I swear(or affirm)that to the best•o 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 mei
day of 20
Signature of Candidate
•
Signature • Printed Name
My Commission expires
MO. 'DAY YR. Area Code Daytime Telephone Number
SCHEDULE
Contributions and Receipts
Detailed Summary Page
Filer Identification Number '
I
t 1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor I
f Total for the reporting period (1) $
0
12.Contributions.of$50.01.to $250.00(From
Part) and Pant)
Contributions Received from Political Committees(Part A) $ 0
All Other Contributions(Part B)' $ 0
Total for the reporting period (2) $
0
s
13.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
I4.OtherRecelpts-Refund`s,.InterestEarned,Returned Checks,ETC.(From Part E) I
` Total for the reporting period (4) $
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
.A
.b
SCHEDULE II
IN-KIND CONTRIBUTIONS AND VALUABLE THINGS RECIEVED
USE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS DURING THE REPORTING PERIOD
DETAILED SUMMARY PAGE
Filer Identification Number: "'
UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR
TOTAL for the reporting period (1) $
0
2.` IN-KIND CONTRIBUTIONS RECEIVED=VALUEOF$50.01 TO$250i001FROM PART F)
TOTAL for the reporting period' (2) $
0
3. IN-KIND CONTRIBUTION
•
TOTAL for the reporting perUTION'RECEIVED VA(jE OVER"$250.00(FROM°PART G)
$ 0
TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING $
PERIOD(Add and enter amount totals from boxes 1,2,and 3;also enter
on Page 1,Report Cover Page;Item F) 0
•
4
SCHEDULE III
Statement of Expenditures
Filer Identificatkin Number:
To Whom Paid ' Date[MM/DNYVYY] $
• :: Matt Smith 10,000
• 10/18/2019
House# Street Address Ridgewood Description of Expenditure
108 Dr
•
:;. •, ;.'„•
CityState Zip
Camp Hill PACode 17011 Contribution
To Whom Paid: ,Date OVINI/DDMYYJ $
f.,e•
House# Street Address Description of Expenditure
City.% State Zip
Code..'
To Whom Paid DatelNIM/DIVYYYY) $
}
House# Street Address , Descriptiori ofExpenditure
_
City State ZIP
Code
To Whom Paid Date[MWDO/YYYYj $
House# Street Address "DesCription of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYY) . $
4.
House# Street Address Description of
. ,
City . State Zip
Code ..
. -
To'Whom.Paid 'Date PVIM/DD/YYYY1 $ ,
i‘gl.
H'ouse# Street Address Description of Expenditure
City State Zip
1
Code
'To Whom Paid Date[IVINVOLVYYYY] $
House# Street Address Description of Expenditure 1::
aty.r State Zip
Code
ToWhom Paid Pate[MNI/DDJYYTYI S•
•kW.' ,, ,,
House# Street Address 'Descriptikin of Expenditure
City •State Zip
Code