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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