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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. ZU y_ E SfroQ to and subscribed before me this c�iU tt"o 'a 2 m oO x C 3Ah day of May 20 a 21 ' ... '� ��y �,(� k Signature of Person Submitting report Ta a 3 n• [Jytil .'✓\ ��i Wayne M.Pecht U'� a� Sig sat a Printed Name c o a E—, Icy fimmmission expires 6 (/ p2 717 761-4540 o § MO. DAY YR. Area Code Daytime Telephone Number r 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. Z t1 N g c m �-g:Ng co and subscribed before me this CS i 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 0. • 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 E--Iv V n 0 2 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