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Home My WebLink AboutSmith for Sheriff - 2021 30-Day Post-Primary II II Reset Form Print Form 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) 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 05/04/2021 06/07/2021 A.Amount Brought Forward From Last Report $ 2,759.24 B.Total Monetary Contributions and Receipts $ (From Schedule I) 100.1117. C.Total Funds Available $ - —o (Sum of Lines A and B) 2,854.35 C/ C—. D.Total Expenditures $ (From Schedule III) 2,118.72 — E.Ending Cash Balance $ • (Subtract Line D from Line C) 740.63 C F.Value of In-Kind Contributions Received $ 0 -"t' To ( :gm Schedule II) 0.00 C C) o G npaid Debts and Obligations $ — o w i -m Schedule IV) 7,000.00 ,_C C g= 0 c NOS c Affidavit Section >, o .r5 . 1-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here. 'c�o S n $ ,_•ar(or affirm)that this report,including the attached schedules on paper,is to the best/771/1 of myknowledge and lief true,correct and complete. > o °p " ',Z U ai (>',rn to and subscribed before me this N_v "> E c� c � q'..�, C m (oar- fr771 day of June 20 21 o.-a axi o . / Signature of Person Submitting report o E p — �r I. Wayne M.Pecht r Q . N o. c , Printed Name Tomo ch E c S re 34f, E E a f% . o c E ommission expires 1 0 � 717 761-4540 Qv E—t o a MO. DAY YR. Area Code Daytime Telephone Number a 9rEr l 0 •-o II-If this is a report of a Candidate's Authorized Committee,candidate shall sign here. o2 cfl%I -•'ear(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 d h.. -nded. �. c m, a A,c O th •ao E 2 o 11 m•,c..�,rn to and subscribed before me this m— ,i1VoliA.- --%-.1.--" v m E ei day of June 20 21 c m m a c m na ure of Candidate 0Zmel1c A. /i . l � g o p.0 c n Jody S.Smith i-Q =.o g c Sig 2 e Printed Name T 3 0 U E EfvlaCommission expires 10 IS. 2121( 717 226-1444 E10 c E U n MO. DAY YR. Area Code Daytime Telephone Number E ). E io $ V SCHEDULE I Contributions and Receipts Detailed Summary Page Filer Identification Number 1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (1) $ 0.00 2.Contributions of$50.01 to $250.00(From I Part A and Part B) Contributions Received from Political Committees(Part A) $ 0.00 All Other Contributions(Part B) $ 100.00 Total for the reporting period (2) $ 100.00 I3.Contributions Over$250.00(From Part C and Part D) I Contributions Received from Political Committees(Part C) $ All Other Contributions(Part D) $ 0.00 Total for the reporting period (3) $ I4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) I Total for the reporting period (4) $ 0.11 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) 100.11 PART B All Other Contributions $50.01 TO$250 Use this Part to itemize all other contributions with an aggregate value from $50.01 TO$250 in the reporting period. (Exclude contributions from political committees reported in Part A.) Filer Identification Number: Full Name of Contributor Date[MM/DD/YYYY] $ William and Deborah Piper 05/18/2021 100.00 House# . Street Address Date[MM/DD/YYYY] $ 241 Kerrsville Road City State Zip Code Date(MM/DD/YYYY] $ Carlisle PA 17015-9410 Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date(MM/DD/YYYYj $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date(MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ I City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date(MM/DD/YYYY] $ House# Street Address Date(MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ full Name of Contributor Date[MM/DD/YYYY] $ 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/DD/YYYY] $ Mechanicsburg PA Code 17055-0040 0.11 05/312021 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#i 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 III Statement of Expenditures Filer Identification Number: To Whom Paid Date[MM/DD/YYYY] $ Hot Frog Print Media 118.72 05/06/2021 House# Street Address Description of Expenditure 118 West Allen Street City State Zip Mechanicsburg PA Code 17055 Stickers To Whom Paid Date[MM/DD/YYYY] $ Jody Smith 2,000.00 05/25/2021 House# Street Address Description of Expenditure 26 Goodhart Road City State Zip Shippensburg PA Code 17257-9771 loan repayment To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYYj $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY) $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY) $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY) $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] $ 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 Jody Smith Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 26 Goodhart Road [MM/DD/YYYY] 02/25/2021 City Shippensburg State Zip PA Code 17257 4,000.00 Description of Debt Loan Name of Creditor Jody Smith Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ 26 Goodhart Road [MM/DD/YYYY] 01/11/2021 City State Zip 3,000.00 Shippensburg PA Code 17257 Description of Debt Loan Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip - Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ • [MM/DD/YYYY] City State Zip Code Description of Debt