HomeMy WebLinkAboutFriends of Kathy Silcox - 2019 30-Day Post Election iii ISisaiamilimianiffiesimai
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 X ' Lobbyist
Number (Mark X)
Name of Filing Committee,Candidate or
Lobbyist Friends of Kathy Silcox
Street Address PO Box 882
City Camp Hill State PA Zip Code 17011
Type of Report(Place x under report type)
1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6ti'Tuesday S 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
io
Date Of Election Year AmendmentTer1...a i ii- -
(MM/DD/YYYY) 2019 Report a eport' -'''''-'
X414 ; _..._.._.
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
10/22/19 11/25/19
A.Amount Brought Forward From Last Report $ 50.00
B.Total Monetary Contributions and Receipts $ C) o
(From Schedule I) o.00
—
C.Total Funds Available $ Fr„- `i'
50.00 (::::•(Sum of Lines A and B) 1
D.Total Expenditures $ r`
(From Schedule III) 50.00
E.Ending Cash Balance $ CI
(Subtract Line D from Line C) 0.00 "v
CD =
J
F.Value of In-Kind Contributions Received $ C D N
160.00
(From Schedule II) ":
G.Unpaid Debts and Obligations $ ... _
C.1.1
(From Schedule IV) 0.00
Affidavit Section
Part 1-If this is a Committee report,treasurer sign hereQIf this is a cariidate report,candidate sign here.
I swear(or affirm)that this report,including the attach sched gegfpaper,is to the best of my knowledge and lief true,correct and complete.
co
Sworn to and subscribed before me this >s 5 _ /t/C7)7Zi''� N'�"� Z j NCO
, day of Dec-ember 20 19 Z J o_.L 8 o
j -_`--_/// `/ u- w m c Signature o Person Submitting report
L (,• o r....
Wayne M.Pecht,Esquire
L Signature O Q oPrinted Name
V- JZm= CC Gl• Q
10 22 2021 g c m g ¢ 717 234-2401
My Commission expires Q O J
MO. DAY YR. Z Z G m Z Area Code • Daytime Telephone Number
Part II-If this is a report of a Candidate's Authorized CmitCeecdate shall sign here.
I swear(or affirm)that to the best of my knowledge a O belief tiliwlEtical committee has not violated any provisions of the Act of June 3,1937(P.L.1333,NO.320)as
amended. 0w
Sworn to and subscribed before me this
day of December 2019
b--
/ Sig of Candidate
1l.y L. ii Q,.• Kathryn H.Silcox
Signature Printed Name
My Commission expires 10 22 2021 717 731-0868
MO. DAY YR. Area Code Daytime Telephone Number
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
Amy L.Haines,Notary Public
Susquehanna Twp.,Dauphin County
My Commission Expires Oct.22,2021
MEMBER,PENNSYLVANIAASSOGIATION OF NOTARIES
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:
Friends of Kathy Silcox
1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR
TOTAL for the reporting period (1) $
I2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F)
TOTAL for the reporting period (2) $
160.00
3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) I
TOTAL for the reporting period (3) $
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) 160.00
SCHEDULE II
PART F
In-Kind Contributions Received
VALUE OF$50.01 TO$250
Filer identification Number:
Friends of Kathy Silcox
Full Name of Contributor • Date[MM/DDJYYYY] $
Friends of Nate Silcox 11/10/19 160.00
House# Street Address ; Date[MM/DD/YYYY]- $
PO Box 882
City State Zip Code Date[MM/DD/YYYY] $
Camp Hill PA 17011
Description of Contribution literature
Full Name of Contributor I Date IMM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Description of Contribution
Full Name of Contributor Date[MM/DDJYYYY] $
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Description of Contribution
Full Name of Contributor Date[MM/DDJYYYY] $
House# Street Address I Date(MM/DD/YYYY] $
City State j Zip Code Date[MM/DDJYYYY] $
" I
I _
Description of Contribution
Full Name of Contributor Date[MM/DDJYYYY] $
House# Street Address Date(MM/DD/YYYY] $
City — State Zip Code Date[MM/DD/YYYY] $
Description of Contribution
SCHEDULE III
Statement of Expenditures
Filer identification Number:
Friends of Kathy Silcox
To Whom Paid •: Date[MM/DD/YYYY] $
Proven Leaders for Hampden 50.00
11/10/19
House# Street Address Description of Expenditure
1005 Baythorne Drive
City State Zip
Mechanicsburg PA Code 17050 literature
To Whom Paid ; Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid • Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid i Date[MM/00/YYYY] $
House# Street Address ! Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYYJ $
House# Street Address ; Description of Expenditure
City State Zip
' Code
To Whom Paid Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid I Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State
p
Code