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Home My WebLink AboutFriends of Nate Silcox - 2021 30-Day Post-Primary inPennsylvania Department of State • Bureau of Campaign Finance&Civic Engagement 210 North Office Building,Harrisburg,PA 17120 • 717.7875280(Option 4) www.dos.pa.gov/carnpalgnfirrance • ra-stcampaignfnai1ceeoa.eov Unsworn Declaration in Lieu of Sworn Statement for Campaign Finance Reports Note: Per Act 2020-15, which was signed into law on April 20, 2020 and allows for unworn declarations, Campaign Finance Reports(form DSEB-502), Campaign Finance Statements in lieu of full reports (form DSEB-503), Non-Bid Contract Reporting Form (DSEB-504) and Independent Expenditure Reports(form OSEB-505)need not be n?tarized.Instead,the filer may file with each report or statement the corresponding version of this form signed by the required individual(s). This particular form is to be used only for Campaign Finance Reports.This form must be signed by hand where a signature is required. Name of Filing Committee, Candidate, or Lobbyist �YI e_vvoL.S O c kY SA- I CC)C Reporting Cycle Name 0 Cycle 1 0 Cyde 2 LLCyde 3 0 Cycle 4 0 Cyde 6h Tuesday 2 d Friday 30 Day 6th Tuesday 2"d Friday Pre-Primary Pre-Primary Post Primary Pre-Election Pre-Election ❑ Cydefi ❑ Cyde 7 ❑ Cycle 8 0 Cycle 9 30 Day Post-Election Annual Report 2"d Friday Pre-Special Election 30 Day Post-Special Election Part 1-If this form is submitted with a Committee report, the treasurer must sign here. If this form is submitted with a Candidate report, the candidate must sign here. if this report is submitted with a report by a contributing lobbyist, the lobbyist must sign here. I declare under penalty of perjury under the law of the Commonwealth of Pennsylvania that the accompanying Campaign Finance Report is true and correct. 6/17/21 Signature of Treasurer,Candidate,or Lobbyist Date(DD/MM/YYYY) Craig Mellott Hampden Township/PA/USA Printed Name Location (City/State/Country) DSEB-502R Updated 1/22/2021 TriPennsylvania Department of State Bureau of Campaign Finance&Civic Engagement 210 North Office Building,Harrisburg,PA 17120 • 717.7875280(Option 4) www.dos.oa.eov/cacroatenftnance, • ra-stcamnaignfinancet)of.eov Part 11-If this form is submitted with a report by a Candidate's Authorized Committee, the candidate must sign here. 1 declare under penalty of perjury under the law of the Commonwealth of Pennsylvania that the accompanying Campaign Finance Report is true and correct. r �52 it-7 Jz t Signature of Treasurer,Candidate,or Lobbyist Date(DD/MMIYYYY) t l s..61,4z0.2 17 S i t_L t+rv? —rt) s.Atf f A Printed Name Location(City/State/Country) DSEB-502R Updated 1/22/2021 II1. tt700i�an\�■ I • ':Nltt V.. Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be dear and legible.It should be typed) Filer Identification Report filed By Candidate Committee . M Lebbylct Fi Number (Mark X) Name of Filing Committee,Candidate or friends of Nate Silcox Lobbyist Street Address PA.Box 882 City Camp Hitt State pA ZIP Cede 1701i 1 Type of Report(Place x under report type) J 1-6t Tuesday 2-2"r Friday 3-30 Day Post 4-6ti'h�N S-Zi may, 6-30 Day Post 7-Animal Special r Frday SpeCat130 Day Prefrimary Pre-Primary Primary Pre-Election Pre-Election Election • Pre-ElectionPost-Election 1-1 ❑ CI ❑ El CI Elu Termination (MM /riri) o5/18/2021 YearDate Of Election 2021 Amendment f Report El Summary of Receipts and From Date To Date If II For Office Use Only , Expenditures 05/03/2021 06/07/2021 A.Amount Brought Forward From Last Report S 763.61 • B.Total Monetary Contributions and Receipts $ (From Schedule I) 0 c) .. C.Total Funds Available $ �=; +2 (Sum of Lines A and B) 763 61 -.. D.Total Expenditures ' $ t c.._ 1 (From Schedule ill)) 0 E.Ending Cash Balance ' $ • ...1 (Subtract e D from Line C) 7u;3.61 Lhi c -0 F.Value of In-Kind Contributions Received ' $ (From Sdtedule II) 0 0 6.Unpaid Debts and Oblations $ CY iV (From schedule lN) 0 -.-; �.Y, Affidavit Section Part 1 If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here. I swear(or affirm)that this report,including the attached schedules on paper,is to the best of my kit Ir;dgP and belief true,correct and complete. Sworn to and subscribed before me this AtigFI of 20 • E. Signature PrirttO i Name My �n expires _ 717 234-1430 MO. DAY YR. Area Code Daytime Telephone Number Part it-If this is a report of a Candidate's Authorized Committee,candidate shall 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 lune 3,2937(P.L.1333,NO.320)as amended.Sworn to and subscribed before me this t)cSf^ ZO � 7 Signature of Candidate b-.) 41�1-, (7. 1oc-p5! signature Printed Name My Commission moires t7 60 / — Z MO. DAY YR. Area Code Daytime Telephone Number