HomeMy WebLinkAboutCommittee to Elect Shelly Capozzi - 2019 30-Day Post Election IIIII IC .1-7 V11Il ,,,,,,i-,TVn-,7
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
Type of Report(Place x under report type) ,
1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6thTuesday 5-2"d 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) 5/21/2019 2019 Report X Report
Summary of Receipts and From Date To Date For Office Use Only
Expenditures -
10/22/2019 11/25/2019
A.Amount Brought Forward From Last Report $ 1674.79
C-1 N.
B.Total Monetary Contributions and Receipts $ -y v-
(From Schedule I) 0 t3LI a.
C.Total Funds Available $ rn
(Sum of Lines A and B) 1674.79 r —
D.Total Expenditures $ 0 CD
CD
(From Schedule III) ,,
E.Ending Cash Balance $ C .
(Subtract Line D from Line C) 1674.79 C C ,
F.Value of In-Kind Contributions Received $ _ ..
(From Schedule II) 0 • - --< CC)
G.Unpaid Debts and Obligations $ 0 -
(From Schedule IV)
Affidavit Section
Part 1-If this is a Committee report,treasurer sign here.If this is a Ca •'-. - -port,candidate sign here.
I swear(or affirm)that this report,including the attached schedu -s of papj to the best of my knowledge and belief true,correct and complete.
Sworn and subscribed before me this I (24zJ
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1hh'T1f� ^ �� .�
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' !u day of 20 al Q g-4
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,n, /(�, A/ IG E g i Signature
of Person Submitting report
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Signature 3 R Printed Name
My Commission expires kb. I i. L7 „°iLL .. ( 96 141 V,/2— ,
MO. DAY YR. ,.- :, Area Code •Daytime Telephone Number
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Part II-If this is a report of a Candidate's Authorized Committee,candid.'a sbaMsign here. ,i
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. S
I
Sworn to and subscribed before me this S i
dayof Of 20 al ViVil
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My Commission expires b. !4 A901.5n'� ' -7,7 7 7 9- Z�6
MO. DAY YR. "'! 'rea Code Daytime Telephone Number
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111111 r Reset Form J Print Form
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)
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- 2"d Friday 3-30 Day Post 4-6th Tuesday 5-2nd Friday 6-30 Day Post 7-Annual Special 2h°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) 11/5/2019 2019 Report Report
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
10/26/2019 11/25/2019 C) ry
A.Amount Brought Forward From Last Report $ .r..
1647.67 t,, c
B.Total Monetary Contributions and Receipts $ C.)
(From Schedule I) 0 � I
C.Total Funds Available $ ilV
1647.67
(Sum of Lines A and B) .,O
D.Total Expenditures $ C) MC
(From Schedule III) 0 C W
C
E.Ending Cash Balance $ s= N
(Subtract Line D from Line C) 16a7.67 -<
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.'...ed schedules on paper,is to the best of my knowledge and belief true,correct and complete.
Sworn tq and subscri ed before me this 'non,,4re�� � /)p/� •
aI? day of 20 - �o��`,srirdni v J-,"
C' /(/t ALM— c0„"rrra��f�� ryp°bk sow Signature/e f/ ofPerson/� Z lie
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Signature
/� /� ""ba,zn r�?o Printed Name
�'
My Commission expires 1 D�(/�`3 �a6 I3 7/2 P�/— 7 7 S _.
MO. DAY 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
plid day of , r C 'd
620 / Mo*,"leeG:47
f,ce4�'?g ti `* S aa� fe4d io
Signature ,s ik SPrinted Name
,
My Commission expiresw.//Q..4. i -O23 "1 i
6��I� "1 I ) ci 1 q--1 au(,
MO. DAY YR. Area Code Daytime Telephone Number
SCHEDULE
Contributions and Receipts
Detailed Summary Page
I Filer identification Number I
833397394
1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor
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)
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
SCHEDULE II
IN-KIND CONTRIBUTIONS AND VALUABLE THINGS RECEIVED
USE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS DURING THE REPORTING PERIOD
DETAILED SUMMARY PAGE
Filer Identification Number:
833397394
I1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR
TOTAL for the reporting period (1) $
2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) I
TOTAL for the reporting period (2) $
I3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G)
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) 0