HomeMy WebLinkAboutSmith, Jody - 2021 2nd Friday Pre-Election COMMONWEALTH OF PENNSYLVANIA
CAMPAIGN FINANCE STATEMENT
File this in lieu of a full report only if aggregate receipts, expenditures, or
liabilities incurred each did not exceed $250.00 during the reporting period.
FILER IDENTIFICATION ' REPORT FILED , CANDIDATE COMMITTEE Z LOBBYIST 3.
NUMBER ON BEHALF OF X
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
Jody S. Smith
STREET ADDRESS
26 Goodhart Road
CITY STATE ZIP CODE
Shippensburg PA 17257 — 9771
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) Sheri MO. DAY YEAR
BTHTUESDAY i. Rep' 11 02 20_21
PRE-PRIMARY FOR OFFICE USE ONLY
MD. DAY YEAR MO. DAY YEAR
2ND FRIDAY 2. DATES OF PRE-PRIMARY PERIOD REPORTING 06 08 21 TO 1 O 18 21
30DAY -3' --
POST-PRIMARY
CASH BALANCE AT END
4. OF REPORTING PERIOD: $ 0.00 M,Mn
6TH TUESDAY
PRE-ELECTION y `""'
TOTAL AMOUNT OF FILER'S l.ti.,l
OUTSTANDING DEBTS OR LIABILITIES —
2ND FRIDAY 5. 0.00 �"� •""'I
PRE-ELECTION X AT THE END OF REPORTING PERIOD: $ 1
6.
30 DAY AMENDMENT Iw .l
YES NO
POST-ELECTION REPORT?
X - >
7.
ANNUAL TERMINATION .* -^- •
REPORT REPORT? YES NO X/ l
/� «4ti' LA)
76
AFFIDAVIT SECTION
aI v
<n o -ARTI-
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v statement is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here.
2= C, statement is filed on behalf of a Candidate,the Candidate must sign here.
5
la a o° g statement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here.
- '- V
=
i O O 0 41 I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
N Z V N . EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDG D BELIEf, RUE,CORRECT AND COMPLETE.
E
c— C'-
c m ro a 2 SWORN TO AND SUBSCRIBED BEFORE ME THIS
o O a C C 21 4- DAY OF October 2! SIGNA E OF PERSON SUBM ING REPORT
YQ E o coa� E Jod S. Smith
Ta 3 a E E m E ‘Xcei �� rN /� n�T PRINTED NAME
E-I O 0 MY COMMISSION EXPIRES\/ i/) I 124 717 226-1444
Eo MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
U
PART II-
If statement is filed on behalf of a Candidate's Authorized Committee,Candidate must 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 ME THIS
SIGNATURE OF CANDIDATE
DAY OF 20—
PRINTED NAME
SIGNATURE
MY COMMISSION EXPIRES AREA CODE DAYTIME TELEPHONE NUMBER
MO. DAY YR.
Department of State • Bureau of Commissions,Elections and Legislation
DSEB-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280