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Home My WebLink AboutFriends of Nate Silcox - 2020 2nd Friday Pre-Election Pennsylvania Department of State Bureau of Campaign Finance&Civic Engagement 210 North Office Building,Harrisburg,PA 17120 • 717.7875280(Option 4) www.dos.pa.gov/camoaignfinance • ra-stcempaignfinance(alpa.gov Unsworn Statement in Lieu of Sworn Statement for Campaign Finance Reports Note: Per Act 2020-15, which was signed into law on April 20, 2020 and allows for unworn declarations, Campaign Finance Reports (form DSEB-502), Campaign Finance Statements In lieu of full reports(form DSEB-503), and Independent Expenditure Reports(form DSEB-505)need not be notarized. Instead, the filer may file with each report or statement the corresponding version of this form signed by the required individual(s). This particular form is to be used only for Campaign Finance Reports. This form must be signed by hand where a signature is required. Name of Filing Committee, Candidate, or Lobbyist r'-ri eno(s op /'Ja4L Silcox Reporting Cycle Name ❑ Cyde 1 0 Cycle 2 0 Cyde 3 0 Cyde 4 Cyde 5 6th Tuesday 2"d Friday 30 Day 6th Tuesday 2nd Friday Pre-Primary Pre-Primary Post Primary Pre-Election Pre-Election ❑ Cycle 6 0 Cyde 7 0 Cycle 8 0 Cycle 9 30 Day Post-Election Annual Report 2nd Friday Pre-Special Election 30 Day Post-Special Election Part I-If this form is submitted with a Committee report, the treasurer must sign here. If this form is submitted with a Candidate report, the candidate must sign here.If this report is submitted with a report by a contributing lobbyist, the lobbyist must sign here. I declare under penalty of perjury under the law of the Commonwealth of Pennsylvania that the foregoing is true and correct. 10/22/20 Signatu of s er, an idate, or Lobbyist Date (DD/MM/YYYY) Craig Mellott Hampden Twp/Cumberland County/PA Printed Name Location (City/State/Country) DSEB-502R Updated 6/24/2020 yrifPennsylvania Department of State Bureau of Campaign Finance&Civic Engagement 210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) www.dos.pa.Rov/campaianfinance • ra-stcampaignfinance@pa.eov Part li-If this form is submitted with a report by a Candidate's Authorized Committee, the candidate must sign here. I declare under penalty of perjury under the law of the Commonwealth of Pennsylvania that the foregoing is true and correct. 0 ZZ - 2)L. 1 I Signature of Treasurer, Candidate, or Lobbyist Date (DD/MM/YYYY) SK...GOzi ec-tr-0,-AesaC101-0 ?A I ") re5 Printed Name Location (City/State/Country) • DSEB-502R Updated 6/24/2020 •* ) 110.1G7..v.i.. ■ ,.....• .11.1 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 (Mark X) X _ -Name of Filing Committee,Candidate or Friends of Nate Silcox Lobbyist . Street Address P.D.Box 882 City Camp Hill , State PA Zip Code von , fType of Report(Place x under report type) 1-6th Tuesday 2 2`d Friday 3-30 Day Post 4 6t Tuesday 5-2nd Friday 6-30 Day Post 7-Annual Special 2"O Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election 1-1 ri - x Date Of Election Year Amendment Termination (MM/DD/YYYY) 11/03/20 2020 Report I I Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 05/18/20 10/19/20 A.Amount Brought Forward From Last Report $ 6,491.05 B.Total Monetary Contributions and Receipts $ 2.00 (From Schedule I) C.Total Funds Available $ 6,493.05 (Sum of Lines A and B) D.Total Expenditures S 855.54 (From Schedule III) E.Ending Cash Balance $ 5,63751 (Subtract Line D from Line C) • F.Value of In-Kind Contributions Received $ o (From Schedule II) G.Unpaid Debts and Obligations $ o (From Schedule IV) 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 pa , to the best o my knowledge and belief true,correct and complete. Sworn to and subscribed before me this 1:::::: ----------- 1)-f 20 Signature of Person Submitting report Craig Mellott Signature Printed Name My Commission expires 717 234-1430 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 day of • "- I ""��"'� Signature of Candidate • 1 ��'%�"D of 1P.. S. L.Gd..4 Signature Printed Name .�,�rr My Commission expires 6� 62 D O MO. DAY YR. Area Code Daytime Telephone Number SCHEDULE III Statement of Expenditures IAlerldentifIation:Number . "Ta.Wlam piid . Date:[MMJDDJ.rlfril_:'$';; Central PA Youth Ballet • 225.00 07/10/2020 Voute I Street.Addre_ss N.Oran Street ri3 •Pesdption;of;Expelfdit ire: •, :. Y 8e Cky •State Zip . Carlisle PA 17013 Donation . Code .To Whom paid : Date[MM/DDIYYYYJ. .:$ Mike Regan for Senate 450.00 09/15/2020 j Expenditure`Hota'se#' PO Box811 �� :: . . . Street Crty. State Zip.. . • Mechanicsburg PA 17055 Fundraiser To Whom:Paid • :Date(MM/DDMIYYI: ..$'. M&T Bank 07/08/7.020 . 2.00 HousQ# Street Andress Desaiptiori'of Expenditure:;:.'' i. .:. . •,5528 Carlisle Pike State-: :.Zip:. .: Mechanicsburg PA WdE.': 17050 Service Fee . 'To Whom Paid :Date'[MMJDDJYYYYI`:; $.: M&T Bank O8/19/2020 2.00 _House# ... Street•flds;rest De�P�:ef :' lisle Pike ::.. . .City. Stat& `: Mechanicsburg PA 17050 Service Fee .To'Wh,orn Paid_' Date[MM/DD/Y:ri]' .$ 2.00 .• • M&T Bank 09/09/2020 House# Street Address `.Desuiption of Expenditure. :;_` :. :. 5528 Carlisle Pike State' PA 17050 Service Fee : Mechanicsburg • To Whom::Paid : Date{MMJDPJYriy1; :$:., Nathan Sllcox 174.54 10/17/2020 House#; StreeYAtM 'Description of Expenditure<. f.. 1313 King Arthur Drive l Clth: Sting. - Reimbursement for P.O.Box Renewal&Supplies Mechanicsburg PA COde 17Q50 To Whom Paid, Date[MM/D.DJYYYYl.: .$..:, House IC Street Address Description of Expenditure;::.:..' . . ' -.. , r4Y :State AP Code' . ?To'Whom.Paid: Date_[MM/DD/YYYYI •House# Street Address Description of Expenditure City; P Code.: 1` .