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HomeMy WebLinkAboutFriends of Nate Silcox - 2021 2nd Friday Pre-Election Pennsylvania Department of State Bureau of Campaign Finance&Civic Engagement 210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) www.dos.pa.gov/campaienfinance • ra-stcampaignfinance(alpa.gov Unsworn Declaration in Lieu of Sworn Statement for Campaign Finance Reports Note: Per Act 2020-15, which was signed into law on April 20, 2020 and allows for unsworn declarations, Campaign Finance Reports (form DSEB-502), Campaign Finance Statements in lieu of full reports (form DSEB-503), Non-Bid Contract Reporting Form (DSEB-504) and Independent Expenditure Reports(form DSEB-505)need not be notarized. Instead, the filer may file with each report or statement the corresponding version of this form signed by the required individual(s). This particular form is to be used only for Campaign Finance Reports. This form must be signed by hand where a signature is required. Name of Filing Committee, Candidate, or Lobbyist f r i ends DC Male_ S I CoX Reporting Cycle Name.. 0 Cycle 1 ❑ Cycle 2 0 Cycle 3 0 Cycle 4 14 Cycle 5 6th Tuesday 2nd Friday 30 Day 6th Tuesday 2nd Friday Pre-Primary Pre-Primary Post Primary Pre-Election Pre Election ❑ Cycle fi 0 Cycle 7 0 Cycle 8 0 Cycle 9 30 Day Post-Election Annual Report 2nd Friday Pre-Special Election 30 Day Post-Special Election Part I-If this form is submitted with a Committee report, the treasurer must sign here. If this form is submitted with a Candidate report, the candidate must sign here. If this report is submitted with a report by a contributing lobbyist, the lobbyist must sign here. I declare under penalty of perjury under the law of the Commonwealth of Pennsylvania that the accompanying Campaign Finance Report is true and correct. 10/20/21 Signature of Treasurer, Candidate, or Lobbyist Date (DD/MM/YYYY) Craig Mellott Silver Spring Twp/PA/USA Printed Name Location (City/State/Country) DSEB-502R Updated 1/22/2021 vniPennsylvania Department of State Bureau of Campaign Finance&Civic Engagement 210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) www,dos.0a.gov/camnaignfinance • ra-stcampaignfinancePpa.gov Part U-If this form is submitted with a report by a Candidate's Authorized Committee, the candidate must sign here. I declare under penalty of perjury under the law of the Commonwealth of Pennsylvania that the accompanying Campaign Finance Report is true and correct. t U 12-o ( Zo-2..i Signature of Treasurer, Candidate,or Lobbyist Date (DD/MM/YYYY) #Jqi-v-z � P. S i,t,c.-o/ oneGN-r,„,tGs.0.us', pry (u& Printed Name Location (City/State/Country) DSEB-502R Updated 1/22/2021 Commonwealth of Pennsylvania...Campaign Finance Report (Note:This report must be dear and legible.It should be typed) Filar Identification . Report Filed.By,:;:::' :Candidtit. :, Committee `: ::: I `j ••1vbbyist Number (Mark X): . •..;.. n Name of filing.COmmittee iCbndldate:or..:.:-:: , Lobbyist Friends of Nate Silcox Street,Addr!essr.. . .:. ,.._,.. P.O.Box 882 • City: :'.'.' :.,.: .,'..:,..: :.State:: A :xip°Code:-,. Camp Hill PA 17011 1 Type of Report(Place x under report type) i.;6sh,Tuesday. 2- 2i°Friday .3-30 Day Pcst 4 6thTuesday. 5,.2nd Friday 30 Day Post ..7-Annual• ' •SPecael r Friday . .,Spedak .'30.Day . pre Primary".`, Pre-Pnmary Primary ` ..Pm-Election Pre-Erection 'Fidlen'''` 7►re-Elecdibn Past Election. n x n Date:Of Election.:...:.. :. .... .... Y• ear ...` . Amendment:,.. •Tenninetion:. (MM/DD Y) 11/02/2021 2021 Report Re ❑ ems`. Summary•of Receipts and.. •From Date •- . ' .TO`Date.( ' ..::`.., •I ... . :. • For Office.Use Only • . , Expenditures ..... . . : :' 06/o7/2oz1 10/1s/2021 i ... A.Amount Brought Forward From:Last Report .:; $ B:Total Monetary Contributions.end Receipts $ (Fro►ii Sd,ediile I): .. 500.00 4..=7- C.Total Funds Available`. $ 1,263.61 p i CD of Eines'Aand B) , .D:.Total Expenditures $ {rrom.Schedule Ill) 38400 •'" NJ E:Ending Cash Balance',.:.;.'.. $ Subtract line D from Une`C F.Value of In-Kind Contributions Received' $ C„•) (Frain Sotredule II): 0 G..Unpaid Debts end::obligatiorts - •. $' 0 - l •(Fr - ,= om sd►edule;IV) I k Affidavit Section Part 1-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here. I swear(or affirm)that this report,including the attached schedules on paper,is to the best of m owiedge and belief true,correct and complete. Sworn to and subscribed before me this day of _ .. 20 f nature of Person Submitting report ..,,�_ �C�ralg Mellott Signature Printed Name My Commission expires _ 717 _ 234-1430 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. t Sworn to and subscribed before me this .. C>•..e' day of 20 r 7"- Signature of Candidate Signature Printed Name f -1, l My Commission expires � (9 4 9 — ZOS-t' MO. DAY YR. Area Code Daytime Telephone Number PART D All Other Contributions Over$250.00 Use this Part to itemize all other contributions with an aggregate value over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C) T ` `L,,, K:,-z Michael G.Musser II o9/27/2021 �•00▪ { •'Y: ..''ram„,m". M IS:tr;� ��S!%✓t +'it r 1628 4 LYr�, k "... c ; �,_,vp i Whitley Drive z4+.+�Ca--^4+ "mot Harrisburg r >'A a^4"° ri>a f 17111 R..•' '2 k ,V a, -! Community Networking Resources �.., +. President . r.,t▪ '�• Lv ���� P.O.Boa 7365,Steelton,PA 17113 ir. WAJ W, tiiZlf C , �i -w....�. •'�Cy`fir -✓. ���•+,� .�G� -.x agar. 1 "+ lid .i • AcSCdY. ♦.tea-.._ - �`: &Busy,. a:.__ ... .._� -e-».., OYf h• ,s 'L.,..;:.' : I, fi,.• `b £ix` 4 lit 41 g4 ,.. :,:.id, y SCHEDULE III Statement of Expenditures i r" s - -ems " a� �-' =w cc. Pennsylvania Wounded Warriors,Mc. mos a 1117 Country Club Road - *= x riS +F`a tiiV Camp Hill w PA a'Q ,.x '17011 Donation 4:'""' ."'`F`4;. : John freidhoff . � 100.00 ' '_�M • 07/17/2021 M 441 : Berkshire Lane Y - Ne , s ,,:,-`" . F tiStlitht '^ Mechanicsburg PA 17050 Event Sponsorship '`..'� �:.. 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