HomeMy WebLinkAboutSmith, Matt - 2019 Annual Report COMMONWEALTH OF PENNSYLVANIA
CAMPAIGN FINANCE STATEMENT
File this in lieu of a full report only if aggregate receipts, expenditures, or
liabilities incurred each did not exceed $250.00 during the reporting period.
FILER IDENTIFICATION 0, REPORT FILED
CANDIDATE ..,)( COMMITTEE LOBBYIST
NUMBER ON BEHALF OF -
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
1170 4111' 3 r).2;41
STREET ADDRESS
/049 R...4 ,/ 77e-
CITY STATE ZIP CODE
____
TYPE OF REPORT 2:OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY etjef DATE OF ELECTION• -
(CHECK ONE) Tujt, .4 c.0....4 of"- .? 0
. .0. ' MO. DAY YEAR"
1. v(2 '
1. e;•••sfirbekok, 7/Z.04 gi /„e a.5' Zoe
6THILIESDAY
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
2. DATES OF
2ND FRIDAY REPORTING ,& TO
PRE-PRIMARY PERIOD H 7.1, 1 6 i-1 /Z. "2-,i 2 aP il
3
30 DAY . —
POST-PRIMARY
CASH BALANCE AT END CO C=P
, OF REPORTING PERIOD: $ /426. 111 1-11
6TH TUESDAY PU C,
PRE-ELECTIONT— IN.3
TOTAL AMOUNT OF FILER'S ›.• CrN
5. OUTSTANDING DEBTS OR LIABILITIES
1 bc"
=
2ND FRIDAY ..
PRE-ELECTION AT THE END OF REPORTING PERIOD: $
C) -77
E. C.)
30 DAY 1.9
AMENDMENT
POST-ELECTION YES NO
REPORT? "-II
T. —< WO
ANNUAL TERMINATION
REPORT A# , REPORT? YES Ao. NO
. .
. .
AFFIDAVIT SECTION _ ' ,
. . . .. ,
PART I -
If statement is filed on behalf of a Political Committee or Candidates's Committee, the Treasurer must sign here.
If statement is filed on behalf of a Candidate,the Candidate must sign here.
If statement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS(5250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF UE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME 71110
, pi,
2 i DAY OF .p_...a e......h Nfro" 20/7 SIGNATURE OF PERSON SUBMITTING REPORT
.-- .--.-. 77 PRINTED NAME
SIGN•10n7
i ,alth of N...:1 y, : la-Notary Seal
MY COMMISSION EXPIRES ,0 .
MO. 4.!V, • -.'I.I'. I-, '!tary Public AREA CODE DAYTIME TELEPHONE NUMBER
Daiiphin tInunty
; rmnimission expires August 06,2023
PART II - I
If statement is filed on behalf af..a.C.SEMOTAIORtibVPRTmittee, Candidate must 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 CF
JUNE 3, 1937(P.L. 1333,No.320)As AMENDED.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
SIGNATURE OF CANDIDATE
DAY OF 20_
PRINTED NAME
SIGNATURE
MY COMMISSION EXPIRES AREA CODE DAYTIME TELEPHONE NUMBER
MO. DAY YR.
Department of State • Bureau of Commissions,Elections and Legislation
210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280
USED-503(12-99)
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