HomeMy WebLinkAboutNagy, Josh - 2021 30-Day Post-Primary IIIReset 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 x Committee Lobbyist
Number (Mark X)
Name of Filing Committee,Candidate or
Lobbyist Josh Nagy Office For:Lower Allen Township Commissioner OTH/REP/21
Street Address 925 Shelter Ln
City Camp Hill State PA Zip Code 17011
Type of Report(Place x under report type)
1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday 5-2"d Friday 6-30 Day Post 7-Annual Special 2"d Friday Special 30 Day
Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election
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 $ 1230.20
B.Total Monetary Contributions and Receipts $ �-
(From Schedule I) 0 c1 =
C.Total Funds Available $ 7.3 _"`
(Sum of Lines A and B) 1230.20 >, 1
CO
D.Total Expenditures $
(From Schedule ill) 381.94 ,
E.Ending Cash Balance $ Q
848.26
(Subtract Line D from Line C)
F.Value of In-Kind Contributions Received $ '•-"
(From Schedule II) 0
G.Unpaid Debts and Obligations $ 900,C0
(From Schedule IV)
Affidavit Section
Part 1-If this is a Committee report,treasurer sign here.If •'. a.•. ,didate report,candidate sign here.
I swear(or affirm)that this report,including the attach.•sciedule:•• paper,is to the best of myir knowl e and belie,c rrect a complete.
Sworn to and subscrib d before me this As. `i\ or
or d of 20 Jl
� lI i % 4 S ignatu f Person Submittingil ort
'I. Signature •`+ ) J `Pr Name
s•
11'14 My Commission expire • ! oa S %, t 9. 5 70 q 3 ci" i g/6
MO. DAY YR. `S-► 1 8 Area Code Daytime Telephone Number
Part II-If this is a report of a Candidate's Authorized Committee, .ndid. -' a I sign here.
I swear(or affirm)that to the best of my knowledge and belief this••itical 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
day of 20
Signature of Candidate
Signature Printed Name
My Commission expires
MO. DAY YR. Area Code Daytime Telephone Number
SCHEDULE I
Contributions and Receipts
Detailed Summary Page
Filer Identification Number
1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor I
Total for the reporting period (1) $
0
2.Contributions of$50.01 to $250.00(From
Part A and Part B)
Contributions Received from Political Committees(Part A) $ 0
All Other Contributions(Part B) $ 0
Total for the reporting period (2) $
0
3.Contributions Over$250.00(From Part C and Part D)
Contributions Received from Political Committees(Part C) $ 0
All Other Contributions(Part Co) $
0
Total for the reporting period (3) $
0
t4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From r;. C)
/1 Total for the reporting period (4) $
0
:;.-s.:....,,.--,, .:,.,,.-;:..“.:.,......",:.._�._p--uu,i,s.;.is r4perting period(Add and $
enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report
0
Cover Page,Item 8)
SCHEDULE III
Statement of Expenditures
Filer Identification Number:
To Whom Paid Date[MM/DD/YYYY] $
Chipotle 41.58
05/18/2021
House# Street Address Description of Expenditure
3216 East Trindle Rd
City State Zip
Camp Hill PA Code 17011 Food For Volunteers
To Whom Paid Date[MM/DD/YYYY] $
Panera
05/18/2021 28.15
House# Street Address Description of Expenditure
1500 Camp Hill Mall
City State Zip
Camp Hill PA Code 17011 Food For Volunteers
To Whom Paid Date[MM/DD/YYYY] $
Panera 16.03
05/18/2021
House# Street Address Description of Expenditure
1500 Camp Hill Mall
City State Zip Food For Volunteers
Camp Hill PA Code 17011
To Whom Paid Date[MM/DD/YYYY] $
Josh Nagy 296.18
06/05/2021
House# Street Address Description of Expenditure
925 ShetterLn
City State Zip
Camp Hitt PA Code 17011 Pre-Campaign Account Expenses Paid(Website,PO;
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 Josh Nagy Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
925 Sheffer Ln [MM/DD/YYYYJ
02/23/2021
City Zip
Camp Hill State PA Code 17011 500
Description of Debt
Opening of Separate Account.Loan to Campaign
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
925 Sheffer Ln [MM/DD/YYYY]
03/08/2021
City Zip
Camp Hill State PA Code 17011
400
Description of Debt
Additional Loan to Campaign
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
[MNI/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/DO/YYYYj
City State Zip
Code
Description of Debt