HomeMy WebLinkAboutSmith, Jody - 2021 2nd Friday 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 REPORT FILED I�, 2. 3.
NUMBER ' ON BEHALF OF ' CANDIDATE 7[ COMMITTEE LOBBYIST
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) Sheriff Re MO. DAY YEAR
6TH TUESDAY 1. p 05 18 2021
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
ZND'FRIDAY 2. DATES OF ..) s.
PRE-PRIMARY X PERIOD REPORTING
03 30 21 TO 05 03 21 <' ^' V,"
'30 DAY 3. '3' ...'.-
POST-PRIMARY' r {w
CASH BALANCE AT END `'`) --'c
a. OF REPORTING PERIOD: $ 0.00 r
6TH TUESDAY �%�" �7
PRE-ELECTION _ .a:..
TOTAL AMOUNT OF FILER'S t7 ""r)
e. OUTSTANDING DEBTS OR LIABILITIES -.
2ND FRIDAY 00 --""
PRE ELi CTION AT THE END OF REPORTING PERIOD: $ 0. C„ -
C.
B. ,'2... Cr)
30 DAY -AMENDMENT ` , (,i„1
POST-ELECTION REPORT? YES NO y -+C
7.
ANNUAL TERMINATION YES NO
REPORT - REPORT?
AFFIDAVIT SECTION
To) o ' ARTI-
statement is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here.
0 . t° statement is filed on behalf of a Candidate,the Candidate must sign here.
. ,T.o g statement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here.
ID � 0 M -
c 2, 7 i� .. a I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR IJABIUTIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
es
TZ U a 7, EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
c=C C.
E Q n
c 0, R a c 9 SWORN TO AND SUBSCRIBED BEFORE ME THIS v a)Z7X �
a.,.,-
O ., c y 5th DAY OF May _ z� SIGNATURE PERSON SUBMITTING REPORT
O
=; _ .N c ° Jody S. Smith
N E E a. �IGNATUR PRINTED NAME
ri
Eg 0 MY COMMISSION EXPIR�J t 7) D0 �o��( 717 226-1444
E - MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
c.) 2 5
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
DSEB-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280