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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