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Home My WebLink AboutFriends of Nate Silcox - 2020 Annual Report tyriPennsylvania Department of State Bureau of Campaign Finance&Civic Engagement 210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) www.dos.oa.gov/campaignfinance • ra-stcamoaienfinancePpa.sov Unsworn Declaration 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), Non-Bid Contract Reporting Form (DSEB-504) 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 i en�5 o 4.16a-e_ S /Cox Reporting Cycle Name ❑ Cyde1 0 Cyde2 ❑ Cyde3 0 Cyde4 0 Cyde5 6th Tuesday 2nd Friday 30 Day 6th Tuesday 2"d Friday Pre-Primary Pre-Primary Post Primary Pre-Election Pre-Election ❑ Cyde 6 Cyde 7 0 Cycle 8 0 Cyde 9 30 Day Post-Election Annual Report 2nd Friday Pre-Special Election 30 Day Post-Special Election Part 1-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 accompanying Campaign Finance Report is true and correct. 6474kli 1/28/21 Signature of Treasurer,Candidate, or Lobbyist Date(DD/MM/YYYY) Craig Mellott Hampden Township/PA/USA Printed Name Location (City/State/Country) DSEB-502R Updated 1/22/2021 foiPennsylvania Department of State Bureau of Campaign Finance&Civic Engagement 210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) www.dos.aa.eov/campaienfinance • ►a-stcampaisnfinance@pa.gpv Part It-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 accompanying Campaign Finance Report is true and correct. 201 t Signature of Treasurer,Candidate,or Lobbyist Date(DD/MM/YYYY) r-D (2 'Si L. c o—/ nk fc k ,C %)2et v n t) 0 Printed Name Location (City/State/Country) DSEB-502R Updated 1/22/2021 II L..........?........,,1y1111 ! 111111l VI/I/illYiiM Wll Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be dear and legible.it should be typed) Filer identification Report Filed By Candidate -- Committee IX Lobbyist — _Number (Mark X) Name of Filing Committee,Candidate or Lobbyist Friends of Nate Silcox Street Address P.O.Box 882 City Camp Hill State PA ZIP Code 170i1 l 'Type of Report(Place x under report type) 1 1 6"1 Tuesday 2- 2nd Friday 3-30 Day Post-4-Gel Tuesday 5-Td 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 n n n : n n Date Of Election Year Amendment ri Termination (MM/DD/yyyy) 11/03/20 2020 Rem Report a Summary of Receipts and From Date To Date For Office Use Only Expenditures 11/23/20 12/31/20 A.Amount Brought Forward From Last Report $ 5,633.51 B.Total Monetary Contributions and Receipts $ (From Schedule I) 0 ,t. ;L .3. ;a? C.Total Funds Available S 5,633 51 C." %):. (Sum of Lines A and B) D.Total Expenditures $ 2 1 1 (From Schedule RI) 402.00 I s ;.g > 8 2 4 j E.End'mg Cash Balance S :< J (Subtract Line I)from Line C) 5,23151 • F.Value of In-Kind Contributions Received $ 0 (From Schedule II) a€`g `i �J �: lit G.Unpaid Debts and Obligations S 0 (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,induding the attached schedules on paper,is to the best of my knowledge and belief true,correct and complete. Sworn to and subscribed before me this • /) of 20 t Signature of Person Submitting report Craig Mellott Signature Printed Name • 717 234-1430 My Commission expires 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.1.1333,NO.320)as amended.SwoSworn # to and subscribed before me this p-5 —"":r""h—':."7------ ..•••••••••••• - d�of 20 •' Signature of Candidate r___ __, 1 t.7,a:u r.�.J 9- S%t r err Signature Printed Name 1 My Commission expires MO. "LO'SSS� MO. DAY YR. Area Code Daytime Telephone Number r SCHEDULE III Statement of Expenditures Flier Identification Nuintiv: I To Whom Paid < Date IMM/DDnmyl Central PA Youth Ballet 400.00 12/05/2020 House# 5 Street Address N.Orange Street D on;Of re- City Carlisle State PA Code 17013 Attendance at Event To Whom Paid • •.Dale IMM/DD/XYYYI. $ M&T Bank 2.00 12/08/2020 House Y 5528 jStreet Addrss Carlisle Pike .of:Expenditure Mechanicsburg StatCity e PA Zip a 17055 Service Charge To Whoni Paid i Date.IMM/DD/YYYYI. -S. House# Street Address qtY ` State.- Zip .Code. To Whom Paid ' Date.IMM/DD/YYYYI . $ House I Street Address Description of Expenditure .City State. Zip Code TO Whom Paid I Date IMM/DD/YYYYI S. House* Street Address' Description of Expenditure, '. • cif State Zip Code To Whom Paid Date IMM/DD/YYYYI $ House#. Street Address peI*1'10on of Expenditure City State Zip. Code To Whom Paid Date IMM/DD/YYYYI S House I Street Address ,Description of Expenditure • citY ` State. Zip Code To Whom Paid . Date IMM/DD/Y:YYYI $ House# Street Address Description of Expenditure City. ' State Zip Code ..