HomeMy WebLinkAboutSmith, Jody - 2021 30-Day Post-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 X T. 3.
NUMBER
' ON BEHALF OF ` CANDIDATE 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) MO. DAY -YEAR
Sheriff Rep.
1. 05 18 2021
6TH TUESDAY
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
2ND FRIDAY 2. DATES OF
PRE-PRIMARY PERIOD REPORTING
05 04 21 TO 06 07 21
30DAY 3`, a.l r.,,y
POST-PRIMARY 7�
CASH BALANCE AT END
6TH TUESDAY 4' OF REPORTING PERIOD: $ 0.00 0.7
�"a"I
PRE-ELECTION w7
TOTAL AMOUNT OF FILER'S — �---
5. OUTSTANDING DEBTS OR LIABILITIES `..
2ND.FRIDAY 0.00 ;-
PRE-ELECTION AT THE END OF REPORTING PERIOD: $
30 DAY AMENDMENT `
POST-ELECTION YES NO ,X`
REPORT?
7. CD
ANNUAL - - TERMINATION YES NO
REPORT REPORT?
w AFFIDAVIT SECTION
zo RPA-! I-
o s2 ail•:: -tement is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here.
z 0- , 'all :tement is filed on behalf of a Candidate,the Candidate must sign here.
` .41
m =21 -t;itement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here.
1Za U o
y O TI NEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
y 2 N E,)BLEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
a 0 L d . SWORN TO AND SUBSCRIBED BEFORE ME THIS { A L��
. Q E O y 1 DAY OF June 2o21 SIGNATUR OF PERSONS M ING REPORT
a � rn c
3 " E 4' ��� A Jody S. Smith
o a E •• eNATURE PRINTED NAME
C r c., a
E MY COMMISSION EXPIRE lD (p ZO2 f 717 226-1444
0 2 , MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
PART II-
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