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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 DALE SABADISH
Street Address 5 SURREY LANE
City MECHANICSBURG State PA Zip Code 17055
Type of Report(Place x under report type)
1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-64'Tuesday 5-2nd Friday 6-30 Day Post 7-Annual Special 2 n 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) 1110 42021 20.1( Report Report
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
1/1/2021 5/3/2021
A.Amount Brought Forward From Last Report $ C2
-17085.36 t. �y
B.Total Monetary Contributions and Receipts $ t`�J
(From Schedule I) 0 rl
C.Total Funds Available $ r— —
(Sum of Lines A and B) -17085.36
D.Total Expenditures $ C3
(From Schedule III) 0 C-)
E.Ending Cash Balance $ C)
(Subtract Line D from Line C) -17085.36
.t'
F.Value of In-Kind Contributions Received $ CO
(From Schedule II) 0
G.Unpaid Debts and Obligations $
(From Schedule IV) 0
Affidavit Section
Part 1-If this is a Committee report,treasurer sign •fie is is a Candidate report,candidate sign here ,
I swear(or affirm)that this report,including the a• achibh•. les on paper,is to the bes of no edge a bel• f true,correct and complete.
Sworn to and subscribed before me this �wPa/
/!�� day of I"/ f QA/ 20 / 41 C° ��C�NhTe Of pP°gJC�I/n rperl Con sirs' •4, f1'a°. Signatu a of ers ubmitting report
(44.-e(d �l it/1/� ni/r�° to y a N
Signature o°N 4-esCOQl 1 6/i�ta�)' Printed Name
'/ h��11 Sao ed
My Commission expires�(,(�� /"( O`V t O •6610,
MO. DAY YR. A •a Code Daytime Telephone Number
Part II-If this is a report of a Candidate's Authorized Committee,candidate shall si: 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
day of 20
Signature of Candidate
Signature Printed Name
My Commission expires
MO. DAY YR. Area Code Daytime Telephone Number
a