HomeMy WebLinkAboutSmith, Jody - 2021 6th Tuesday Pre-Primary 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 10. REPORT FILED 10,
CANDIDATE COMMITTEE _ LOBBYIST 3
NUMBER ON BEHALF OF
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
Jody S. Smith
STREET ADDRESS
26 Goodhart Road
CITY STATE ZIP CODE
Shippensburg PA 17257 — 9771
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) SheriffRep.
MO. DAY YEAR
6TH TUESDAY 1. Rep 05 18 2021
PRE-PRIMARY X FOR OFFICE USE ONLY:
MO.- DAY YEAR MO. DAY YEAR
2ND FRIDAY DATES OF
PRE-PRIMARY PERIODREPOR 01
01 01 21 TO 03 29 21 i;,3
30 DAY 3.
(. .
POST-PRIMARY --
CASH BALANCE AT END C....1 ,�,,
• OF REPORTING PERIOD: $ 0.00 ri -0
STH TUESDAY .:D
PRE-ELECTION. i
TOTAL AMOUNT OF FILER'S
ZND,FRIDAY.�. - OUTSTANDING DEBTS OR LIABILITIES 0.00 CI)
" AT THE END OF REPORTING PERIOD: $
e. (. —
30 DAY AMENDMENTS C" Li
POST-ELECTION' YES NO X "I,
REPORT? ".•
7. ko
ANNUAL TERMINATION YES NO X
REPORT REPORT? .
ID N.�
o
AFFIDAVIT SECTION
a o N
12;o <c, I TI-
z a T a ft s tement is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here.
co' o Ws tement is filed on behalf of a Candidate,the Candidate must sign here.
0 0 o l sbtement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here.
2 Z'O N E I NEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
C C �-
c N N a 2 EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND_BELIEF,TRUE,CORRECT AND COMPLETE.
omZ x E 1';Y11_✓
O . c > SWORN TO AND SUBSCRIBED BEFORE ME THIS ` *0l
zQ ° uNi N
m ' vNi c 1 DAY OF April 2{�_ SIGNATUR-i PERS ( MITTING REPORT
m C.) ._ E
jr
33-0, " E a JodyS. Smith
o c 0 L) a - v' PRINTED NAME
E-I o D 1 NA/T/U�RE h r- n^
V 2 2 MY COMMISSION EXPIRES +C) 0( zo2y 717 226-1444
MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
PARTII-
If statement is filed on behalf of a Candidate's Authorized Committee,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 OF
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
DSEt3-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280
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