HomeMy WebLinkAboutSmith, Karen Overly - 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
NUMBER ON BEHALF OF CANDIDATE X COMMITrEE LOBBYIST
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
Karen Overly Smith
STREET ADDRESS
855 Oak Oval
CITY STATE ZIP CODE
Mechanicsburg PA 17055
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY IliirOF :TION
(CHECK ONE) Upper Allen Twp.Commissioner Democrat Mo. '", 1M
EAR":-'
MO. DAY YEAR
11 02 2021
';-'GTH'TUESDAY_
PRE-PRIMARY.. DATES OF M0. DAY YEAR MO. DAY YEAR FOR OFFICE USE ONLY
REPORTING
! 2• PERIOD 05 04 2021 TO 06 07 2021
- 2ND, FRIDAY,
:..PRE-PRIMARY
;.;'.30 DAY 3. CASH BALANCE AT END OF REPORTING PERIOD:
POST-PRIMARY )( $ 0
&TH ruesoaY TOTAL AMOUNT OF FILER'S c"" r
, PRE ELECTION :,
OUTSTANDING DEBTS OR LIABILITIES s
No FRIDAY • AT THE END OF REPORTING PERIOD:$ 0
PRE-ELECTION I
AMENDMENT
"r30 DA :' J• REPORT? 0 *0
,'POST-ELECTION'': C)
TERMINATION 0
ANNUAL REPORT? W
REPORT
AFFIDAVIT SECTION
PART I -
If statement is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign
here. ,
If statement is filed on behalf of Candidate t e Candidate must sign here.
If statement is filed on behalf of a Con ri ing Lobbyist,the Lobbyist must sign.here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS -
- (cA QN� 0\},..z,A94.77. cI DAY OF ,,, ( SIGNATURE OF PERSON SUBMING ORT
4 IP
4 % P
‘441,27 i 0 '
c% /'Gi�'bts ��sri
K�R�.N v �L ) 1"1T
/CO�F,d�Y�f`dui PRINTED NAME
SIGNATURE %4, v 6, G6/.4
MY COMMISSION EXPIRES , , _
OiVN\ , go, -36o066?O,� w )1414.
MO. •DAY' YR. AREA CODE DAYTIME TELEPHONE NUMBER
PART II -
a