HomeMy WebLinkAboutSmith for Sheriff - 2021 2nd Friday Pre-Primary liiiReset Form I Print Form 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) _
Name of Filing Committee,Candidate or
Lobbyist Smith for Sheriff
Street Address
301 Market Street
City Lemoyne State PA Zip Code 17043
Type of Report(Place x under report type) I
1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday 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
X
Date Of Election Year Amendment Termination
(MM/DD/YYYY) 05/18/2021 2021 Report Report
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
03/30/2021 05/03/2021
A.Amount Brought Forward From Last Report $
1,759.06
B.Total Monetary Contributions and Receipts $ • r�.a
(From Schedule I) 1,000.18 �-
tT1
C.Total Funds Available $ rri xa-
2,759.24 �J -"C
(Sum of Lines A and B) r... 1
D.Total Expenditures $ Z" cm
(From Schedule III) o.00
J
E.Ending Cash Balance $
(Subtract Line D from Line C) 2,759.2a 0 -^"
F.\alue of In-Kind Contributions Received $ i'U�,
N (Frost Schedule II) 0.00 ---1Cfl
_< CO
G.UEpaid Debts and Obligations $
13 a si($ofi Schedule IV) 9,000.00
Z d a.o co g Affidavit Section
.2 m 5 is�r '-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here.
> o o 0I ay egr(or affirm)that this report,including the attached schedules on paper,is to the best of my kn wledge and b of true,correct and complete.
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'� ��y �,(� k Signature of Person Submitting report
Ta a 3 n• [Jytil .'✓\ ��i Wayne M.Pecht
U'� a� Sig sat a Printed Name
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E—, Icy fimmmission expires 6 (/ p2 717 761-4540
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rn art I, f this is a report of a Candidate's Authorized Committee,candidate shall sign here.
z,o Rswe•o 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
.a alrig mod.
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m �-g:Ng co and subscribed before me this CS
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C 03 7 U r' N NS yt t \ (AL
TZ U u., day of May 20 21 v'"'l(,cl/,� \_�(��J\
c=c.,- o y II// ^ �n D / D Signature of Candidate
.Z a) x o i`° iF 1L� ��/!�K��f Jody S.Smit
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• p a d o > Signs ur, '/ Printed Name
--< = o `" " to DCo 1r9 717 226-1444
m m U a/f-lcimission expires
v E E if MO. DAY YR. Area Code Daytime Telephone Number
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SCHEDULE I
Contributions and Receipts
Detailed Summary Page
Filer Identification Number
11.Unitemized Contributions and Receipts-$50.00 or Less per Contributor
Total for the reporting period (1) $
0.00
I2.Contributions of$50.01 to $250.00(Prom
Part A and Part B)
Contributions Received from Political Committees(Part A) $
0.00
All Other Contributions(Part B) $
0.00
Total for the reporting period (2) $
0.00
I3.Contributions Over$250.00(From Part C and Part D)
Contributions Received from Political Committees(Part C) $ .
1,000.00
All Other Contributions(Part D) $
0.00
Total for the reporting period (3) $
1,000.00
4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) I
Total for the reporting period (4) $
0.18
Total Monetary Contributions and Receipts during this reporting period(Add and $
enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report
Cover Page,Item B) 1,000.18
PART C
Contributions Received From Political Committees
Over$250.00
Use this Part to itemize only contributions received from Political Committees
with an aggregate value over$250.00 in the reporting period.
Filer Identification Number:
Full Name of Date[MM/DD/YYYY] $
Contributing Committee Friends of Greg Rothman 04/05/2021 1,000.00
House# Street Address - Date[MM/DD/YYYY] $
P.O.Box 1471
City State Zip Code Date[MM/DD/YYYYj $
Camp Hill PA 17001
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYYJ $
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
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:
Full Name Members 1st Federal Credit Union
House# 5000 Street Address Louise Drive,P.O.Box 40
City State Zip Date[MM/OD/YYYY] $
Mechanicsburg PA Code 17055-0040 03/31/2021 0.18
Receipt Description
Interest
Full Name
House# Street Address
City State Zip Date[MM/DD/YYYY] $
Code
Receipt Description
Full Name
House#' Street Address
City State Zip Date[MM/DD/YYYY] $
Code
Receipt Description
Full Name
House#' Street Address
City State Zip Date[MM/DD/YYYY] $
Code
Receipt Description
Full Name
House# Street Address
City State Zip Date[MM/DD/YYYY] $
Code
Receipt Description
Full Name
House# Street Address
City State Zip Date[MM/DD/YYYY] $
Code
Receipt Description
SCHEDULE IV
Statement of Unpaid Debts
Use this Section to itemize all unpaid debts and obligations which are outstanding a t the end of the reporting period.
Filer Identification Number.
Name of Creditor Jody Smith Outstanding Balance of'Debt
House# Street Address DATE DEBTi1NCURREb $
26 Goodhart Road (MM/DD/YYYY)
02/25/2021
City Shippensburg State PA Code 17257 tip 4000.00
Description of Debt
Loan
Name of Creditor Jody Smith Outstanding Balance of Debt
House# StreetAddress DATE DEBT INCURRED $
26 Goodhart Road rMM/DD/YYYYI
01/11/2021
City Shippensburg State PA 17257 5.000.00
Description of Debt
Loan
Natrie-of Creditor Outstanding Balance of Debt
House Street Address DATEiDEBTINCURRED $
[MM/PD/YYYY)
City - State Zip
Code.
Description of Debt
Name of Creditor Outstanding Balance of Debt
House It Street Address DA'IEbtBt $
[ M/oohs
city -State . Zip
Code
Description of Debt _ J
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED- $
[MM/DD/YYYY]
Y State Zip
Code
'Description of Debt
'Name of Creditor Outstanding Balance of Debt
House# I5treet Address DATE DEBT INCURRED $
IMM/DD/YYYY)
City State Yip
Code
Description of Debt