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HomeMy WebLinkAboutSean Shultz for Carlisle - 2021 2nd Friday Pre-Election Jill Reset Form t 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 Committee Lobbyist Number (Mark X) , Name of Filing Committee,Candidate or Lobbyist Sean Shultz For Carlisle Street Address 58 F Street City Carlisle State PA Zip Code 17013 Type of Report(Place x under report type) 1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6U'Tuesday 5-el Friday 6-30 Day Post 7-Annual Special 2''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) ilia,i�u ZO24 Report n Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 6l8/2®A'/ 1a//5/aaa/ A.Amount Brought Forward Fro�b+t La t Report $ / 1 yo t g 2 '( B.Total Monetary Contributions and Receipts $ (From Schedule I) 4 0t5' CPO C.Total Funds Available $ (Sum of Lines A and B) 4 cal 5100' E5 R C? _ D.Total Expenditures $ Cj r (From Schedule III) q E.Ending Cash Balance $ r(Subtract Line D from Line C) / 6�9 is• -13 r-ri CD F.Value of In-Kind Contributions Received $ — )7>‘ N (From Schedule II) G.Unpaid Debts and Obligations $ vim, C7 (From Schedule IV) cl Affidavit Section C I., Part 1-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here. c 1 I swear(or affirm)that this report,including the attached schedules on paper,is to the best of my know dge and belief true,correct d core p or ete. Sworn t and subscribedril� beforebe � me this 1 day of lrir der)eir 20 Lne�•i+ I i nature of Person Submitting report auras I..111 4.Q r ��,�,4� � Gt�. e'e Signature Printed NameMy Commission expires /u// .A )5 -1l1 S� —8'S9A MO. DAY YR. Area Code Daytime Telephone Number Part II-If this is a report of a Candidate's Authorized Committee,candidate shall 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 �methis • I day of allege- ,.Cii L1(/T./ 20 3' �, � {J C Signature of Candidate p/,/1 Tan I - ' ✓24 vt gnat. 51n IJ[/ eZ'� ��l`��/�W SignatureG� -��r Printed Name My Commission expires l � yli ,?_5 717 5'0— 'WS ZT MO.11 DAY YR. Area Code Daytime Telephone Number Commonwealth of Pennsylvania-Notary Seal Commonwealth of Pennsylvania-Notary Seal Dawn T.Heilman,Notary Public Dawn T.Heilman,Notary Public Cumberland County Cumberland County My commission expires September 4,2025 My commission expires September 4,2025gl Commission number 1251803 Commission number 1251803 Member,Pennsylvania Association of Notaries Member,Pennsylvania Association of Notaries x SCHEDULE I Contributions and Receipts Detailed Summary Page Filer Identification Number .5.ea,t Sh w(4-e (oa, f S /e 11.Unitemized Contributions and Receipts-$50.00 or Less per Contributor „--- Total for the reporting period (1) $ I2.Contributions of$50.01 to $250.00(From Part A and Part B) Contributions Received from Political Committees(Part A) $ All Other Contributions(Part B) $ 0/00, 00 Total for the reporting period (2) $ oR do , 00 I3.Contributions Over$250.00(From Part C and Part D) d I Contributions eceived from Political Committees(Part C) $ All Other Contributions(Part D) $ Total for the reporting period (3) ' $ I4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) Total for the reporting period (4) $ 8 Total Monetary Contributions and Receipts during this reporting period(Add and $ enter amount totals from Boxes 1,2,3.and 4;also enter this amount on Page 1,Report ,geit0. d 0 Cover Page,Item B) PART B All Other Contributions $50.01 TO$250 Use this Part to itemize all other contributions with an aggregate value from $50.01 TO$250 in the reporting period. • (Exclude contributions from political committees reported in Part A.) Filer Identification Number: 5'e—Cr 5/w(+L Full Name of Contributor Date[MM/DD/YYYY] $ RW the SSPI /a l , $ jZ.dzJ ZorYas House# Street Address' Date[MM/DD/YYYY] $ 210 Oo/2? Iatsua AVVD Q City e/ L �Q State Zip Code �, Date[MM/DD/YYYY] $ it 3 ull Name of Contributor Date[MM/DD/YYYY] $ House • Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/ ] $ Full Name of Contributor Dat- M/DD/YYYY] $ House# Street Addre Date[MM/DD/YYYY] $ City St. - Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Ad• ess Date[MM/DD/YYYY] $ City State Zip Code Date[ 4 DD/YYYY] $ Full Name of C• tributor Date[MM/DD • ] $ Hous- • Street Address Date(MM/DD/YYYY) ity State Zip Code Date[MM/DD/YYYY] $ SCHEDULE III Statement of Expenditures IFiler Identification Number: To Whom Paid Date[MM/DD/YYYY] $ MX'flAD01-5 A-1" (AA E. ocyrryYK,eilf..9 House# p � Street Address Des�ription(of Expenditure b �am-li s 14Q nG67 City State Zip `" /Vc3S—O ik GS �c"'�'""' � �� Code To Whom Paid �/te.nA /g/��/�i�, !� //� //fo _\ Date[MM/DD/YYYY] $ House# Street AddressCakt ifs/ —/J Description o12 xpenditure City a State Zip 1��(Pc,��/ -�( •ACode /4©S0 a t�GC To Whom Paid U Date[MM/DD/YYYY] $ House#+ Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/ • ] $ House# Street Address Descript••n of Expenditure City ' Sta • Zip Code To Whom Paid Date[MM/DO/YYYY] $ • House# Street Address Description of Expenditure City State Zip Co•- To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[` /DD/YYYY] $ House# Street Addre • Description o p penditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code