HomeMy WebLinkAboutSmith, Karen Overly - 2021 2nd Friday Pre-Primary 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 Karen Overly Smith
Lobbyist
Street Address 855 Oak Oval
City • Mechanicsburg State PA Zip Code 17055
i ,
Type of Report(Place x under report type)
1-6fh Tuesday 2- 2nd Friday 3-30 Day Post 4-6inTuesday 5-2nd,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
•
Date Of Election . 11-02-2021 Year 2021 Amendment Termination
(MM/DD/YYYY) Report Report
Summary of Receipts and From Date To Date For Office Use Only
Expenditures •
01/01/2021 05/03/2021 , •
A.Amount Brought Forward From Last Report S
B.Total.Monetary Contributions and Receipts S 465.05
(From Schedule I)
C.Total Funds Available S 465.05 r�'
.--
(Sum of Lines A and B) , ; - .
1 .i
D.Total Expenditures S 365.05 ` • -
(From Schedule Ill) •_ i
E.Ending Cash Balance S loom oC•
(Subtract Line D from Line C) L.
.
F.Value of In-Kind Contributions Received S -'
(From Schedule II) <- co
G.Unpaid Debts and Obligations S
(From Schedule IV) -< N
Affidavit Section
Part 1-If this is a Committee report,treasurer sign here.If this" • . •• report,candidate sign here.
I swear(or affirm)that this report,including the attached sche1 uleton pal. ,is to the be t o my knowledge and b 'et true,corry,t and complete.
Sworn to and subscribed before me this rr�� 3 a. si 0,A u 5 '�
3�� l day of ! 20Uf( lic t 3
Signature of Person Submitting report
Karen Overly Smith
• gn ure _Akin.—� li• g g Printed Name
717 795-4445
My Commission expires V-CAN. 14-. Ca.5 g g
MO. DAY YR. w N x.N Area Code Daytime Telephone Number
N T
0 p
Part II-If this is a report of a Candidate's Authorized Committee, i.•• -. I 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 20 _
n---- ---------------- 1 • Signature of Candidate
Signature Printed Name
My Commission expires
MO. DAY YR. Area Code Daytime Telephone Number
SCHEDULE I
Contributions and Receipts
Detailed Summary Page
Filer Identification Number
1.Unitemized Contributions and Receipts-8 50.00 or Less per Contributor
Total for the reporting period (1) S
2.Contributions of 8 50.01 to 8 250.00(From
Part A and Part B)
Contributions Received from Political Committees(Part A) S
All Other Contributions(Part B) S
Total for the reporting period (2) S
3.Contributions Over 8 250.00(From Part C and Part D)
Contributions Received from Political Committees(Part C) S
All Other Contributions(Part D) S 465.05
Total for the reporting period (3) S 465.05
4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E)
Total for the reporting period (4) S
Total Monetary Contributions and Receipts during this reporting period (Add and S
enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report
Cover Page,Item B)
PART A
Contributions Received From Political Committees
S 50.01 TO S 250.00
Use this Part to itemize only contributions received from Political Committees
with an aggregate value from S 50.01 TO S 250.00 in the reporting period.
Filer Identification Number
I
Amount
Full Name of Contributing Date[MM/DD/YYYY] S
Committee
House# Street Address Date[MM/DD/YYYY] S
City State Zip Code Date[MM/DD/YYYY] 8
Full Name of Contributing Date[MM/DD/YYYY] S
Committee
House# Street Address Date[MM/DD/YYYY] 8
City State Zip Code Date[MM/DD/YYYY] S
Full Name of Contributing Date[MM/DD/YYYY] S
Committee
House# Street Address Date[MM/DD/YYYY] 8
City State Zip Code Date[MM/DD/YYYY] S
Full Name of Contributing Date[MM/DD/YYYY] S
Committee
House# Street Address Date[MM/DD/YYYY] 8
City State Zip Code Date[MM/DD/YYYY] S
Full Name of Contributing Date[MM/DD/YYYY] S
Committee
House# Street Address Date[MM/DD/YYYY] S
City State Zip Code Date[MM/DD/YYYY] 8
Full Name of Contributing Date[MM/DD/YYYY] S
Committee
House# Street Address Date[MM/DD/YYYY] S
City State Zip Code Date[MM/DD/YYYY] -8
PART B
Ail Other Contributions
850.01 TO 8 250
Use this Part to itemize all other contributions with an aggregate value from
S 50.01 TO S 250 in the reporting period.
(Exclude contributions from political committees reported in Part A.)
Filer Identification Number:I
I
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] S
Full Name of Contributor Date[MM/DD/YYYY] ' 'S
House# Street Address Date[MM/DD/YYYY] 8
'City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributor Date[MM/DD/YYYY] S
House# Street Address Date[MM/DD/YYYY] 8
City State Zip Code Date[MM/DD/YYYY] S
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] 8
City State Zip Code Date[MM/DD/YYYY] 8
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] S
City State Zip Code Date[MM/DD/YYYY] S
full Name of Contributor Date[MM/DD/YYYY] S
House# Street Address Date[MM/DD/YYYY] 8
City State Zip Code Date[MM/DD/YYYY] 8
•
I •
PART C
Contributions Received From Political Committees
Over S 250.00
Use this Part to itemize only contributions received from Political Committees
with an aggregate value over S 250.00 in the reporting period.
I Filer Identification Number:
1
Full Name of Date[MM/DD/YYYY] 8
Contributing Committee
House# Street Address Date[MM/DD/YYYY] S
City State Zip Code Date[MM/DD/YYYY] S
Full Name of Date[MM/DD/YYYY] 8
Contributing Committee
House# Street Address Date[MM/DD/YYYY] 8
City State Zip Code Date[MM/DD/YYYY] 8
Full Name of Date[MM/DD/YYYY] 8
Contributing Committee
House# Street Address Date[MM/DD/YYYY] 8
City State Zip Code Date[MM/DD/YYYY] 8
Full Name of Date[MM/DD/YYYY] S
Contributing Committee
House# Street Address Date[MM/DD/YYYY] S
City State Zip Code Date[MM/DD/YYYY] S
Full Name of 'Date[MM/DD/YYYY] 8
Contributing Committee
House# Street Address Date[MM/DD/YYYY] 8
City State Zip Code Date[MM/DD/YYYY] 8
Full Name of Date[MM/DD/YYYY] 8
Contributing Committee
House# Street Address Date[MM/DD/YYYY] 8
City State Zip Code Date[MM/DD/YYYY] 8
•
,
PART D
All Other Contributions
Over S 250.00
Use this Part to itemize all other contributions with an aggregate value over S 250.00 in the reporting period.
(Exclude contributions from political committees reported in Part C)
Filer identification Number:
Full Name of Contributor Karen Overly Smith Date[MM/DD/YYYY] 8 100.00
03/24/2021
House# 855 Street Address Oak Oval Date[MM/DD/YYYY] S 365.05 •
04/30/2021
City Mechanicsburg State PA Zip Code 17055 Date[MM/DD/YYYY] S
Employer Name Occupation retired
Employe(Miliiig:Address/
Principal Place of;Business
Full Name of Contributor Date[MM/DD/YYYY] S
House# Street Address Date[MM/DD/YYYY] S
City State Zip Code Date[MM/DD/YYYY] S
Employer Name Occupation
Employer Mailing Address/
Principal Place of Business
Full Name ofContributOr. Date[MM/DD/YYYY] 8
House# Street Address Date[MM/DD/YYYY] 8
City State Zip Code Date[MM/DD/YYYY] 8
Employer Name Occupation
Employer Mailing Address/
Principal Place of Business
Full Name of Contributor Date[MM/DD/YYYY] S
House# Street Address Date[MM/DD/YYYY] S
City State Zip Code Date[MM/DD/YYYY] S
Employer Name Occupation
Employer Mailing Address/
Principal Place of Business
PART E
Other Receipts
REFUNDS, INTEREST INCOME, RETURNED CHECKS, ETC.
Use this Part to report refunds received,interest earned,returned checks and prior expenditures that were returned to the filer.
Filer Identification Number.
I
Full Name
House# Street Address
City State Zip Date[MM/DD/YYYY] 8
Code
Receipt Description
Full Name
House# Street Address
City State Zip Date[MM/DD/YYYY] S
Code
Receipt Description
Full Name
House# Street Address
City State Zip Date[MM/DD/YYYY] 8
Code
Receipt Description
Full Name
House# Street Address
City State Zip - Date[MM/DD/YYYY] S
Code
Receipt Description
Full Name
House# Street Address
City State Zip Date[MM/DD/YYYY] S
Code
Receipt Description
Full Name
House# Street Address
City State Zip Date[MM/DD/YYYY] 8
Code
Receipt Description
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:
I1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF 850.00 OR LESS PER CONTRIBUTOR
TOTAL for the reporting period (1) S
2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF 850.01 TO 8250.00(FROM PART F)
TOTAL for the reporting period (2) S
I
3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER 8250.00(FROM PART G)
TOTAL for the reporting period (3) S
TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING S
PERIOD(Add and enter amount totals from boxes 1,2,and 3;also enter
on Page 1,Report Cover Page,Item F)
SCHEDULE II
PART F
In-Kind Contributions Received
VALUE OF S 50.01 TO S 250
Filer Identification Number:
Full Name of Contributor Date[MM/DD/YYYY] S
House# Street Address Date[MM/DD/YYYY] 8
City State Zip Code Date[MM/DD/YYYY] S
Description of Contribution
Full Name of Contributor Date[MM/DD/YYYY] S
House# Street Address Date[MM/DD/YYYY] S
City State Zip Code Date[MM/DD/YYYY] S
Description of Contribution
Full Name of Contributor Date[MM/DD/YYYY] S
House# Street Address Date[MM/DD/YYYY] S
City State Zip Code Date[MM/DD/YYYY] S
Description of Contribution
Full Name of Contributor Date[MM/DD/YYYY] 8
House# Street Address Date[MM/DD/YYYY] S
City State Zip Code Date[MM/DD/YYYY] S
Description of Contribution
Full Name of Contributor Date[MM/DD/YYYY] S
House# Street Address Date[MM/DD/YYYY] S
City State Zip Code Date[MM/DD/YYYY] S
Description of Contribution
SCHEDULE II
Part G
In-Kind Contributions Received
VALUE OVER$250
Filer Identification Number:
Full Name of Contributor Date[MM/DD/YYYY] S
House# Street Address Date[MM/DD/YYYY] S
City State Zip Code Date[MM/DD/YYYY] S
Employer Name Occupation
Employer Mailing Address/Principal Description
Place of Business of
Contribution
Full Name of Contributor Date[MM/DD/YYYY] S
House# Street Address Date[MM/DD/YYYY] S
City State Zip Code Date[MM/DD/YYYY] S
Employer Name Occupation
Employer Mailing Address/Principal Description
Place of Business of
Contribution
Full Name of Contributor Date[MM/DD/YYYY] S
House# Street Address Date[MM/DD/YYYY] S
City State Zip Code Date[MM/DD/YYYY] S
Employer Name Occupation
Employer Mailing Address/Principal Description
Place of Business of
Contribution
Full Name of Contributor Date[MM/DD/YYYY] S
House# Street Address Date[MM/DD/YYYY] S
City State Zip Code Date[MM/DD/YYYY] S
Employer Name Occupation
Employer Mailing Address/Principal Description
Place of Business of
Contribution
•
SCHEDULE III
Statement of Expenditures
I Filer Identification Number:
I
To Whom Paid USPS Date[MM/DD/YYYY] S 22.00
03/29/2021
House# 702 Street Address E.Simpson St Description of Expenditure
City I Mechanicsburg State PA Zip 17055 postage
Code
To Whom Paid Zippity Print Date[MM/DD/YYYY] 8 179.32
04/05/2021
House# 1600 Street Address E.23rd St Description of Expenditure
City Cleveland State OH Zip 44114 door hangers
Code
To Whom Paid Giant Date[MM/DD/YYYY] 8 6.38
04/13/2021
House# 255 Street Address Cumberland Parkway Description of Expenditure
CitY Mechanicsburg State PA Zip 17055 envelopes
Code
To Whom Paid Just Yard Signs Date[MM/DD/YYYY] 8 84.75
04/21/2021
House# 2235 Street Address Mercator Dr Description of Expenditure
City Orlando State FL Zip 32807 signs-invoice 17329
Code
To Whom Paid Just Yard Signs Date[MM/DD/YYYY] 8 72.60
04/26/2021
House# 2235 Street Address Mercator Dr Description of Expenditure
City Orlando State PA Zip 32807 signs-invoice 17362
Code
To Whom Paid Date[MM/DD/YYYY] 8
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYY] 8
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYY] 8
House# Street Address Description of Expenditure
City State Zip
Code
SCHEDULE IV
Statement of Unpaid Debts
Use this Section to itemize all unpaid debts and obligations which are outstanding at the end of the reporting period.
Filer Identification Number:
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED S
[MM/DD/YYYY]
City State Zip
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED S
[MM/DD/YYYY]
City State Zip
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED S
[MM/DD/YYYY]
City State Zip
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED S
[MM/DD/YYYY]
City State Zip
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED S
[MM/DD/YYYY]
City State Zip
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED S
[MM/DD/YYYY]
City State Zip
Code
Description of Debt