HomeMy WebLinkAboutSmith, Karen Overly - 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 _
NUMBER ''=.;lei'''"'�p :I. _ REPORT FILED '. :CANDIDATE COMMR7EE:. Z LOBBYIST 3
ON BEHALF OF
NAME OF/RU`N/G COMMITTEE,CANDIDATED OR7 BBYIST
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STREET ADDRESS
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CITY STATE VP CODE
M t-�4V,k C-su� PA 1 --767 -
TYPE OF REPORT NAME OF OFFICE SS LIGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) MO. DAY YEAR
6n4 TUESDAY , , 11
PRE-PRIMARY, FOR OFFICE USE ONLY
MO. ..DAY-:., YEAR . ....DAY ' :NEAR, ...
2ND FRIDAY 2. DATES OF R
PRE-PRIMARY EPIODTING Co IS al TO in I c d/)
,
30 DAY 3. c`J
t
POST-PRIMARY.:
CASH BALANCE AT END //�� �
6TH.TUESDAY.`.`
4. OF REPORTING PERIOD: $ ( 1 I"§.,
PRETELECTION r- --I
TOTAL AMOUNT OF FILER'S —
y �Ay s. OUTSTANDING DEBTS OR LIABILITIES
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ ( w
6.
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POST AMENDMENT
POST-ELECTION REPORT? ::" YES NO ,,.•
ANNUAL 7 TERMINATION..
REPORT • REPORT? YES NO
AFFIDAVIT SECTION
PART I-
If statement is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here.
If statement is filed on behalf of a Candidate,the Candidate must sign here.
If statement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00) D THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELT UE,CORR, IND COMPLETE.
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BSCRIBED BEFORE ME TH 1'SIGNATUR IOC RSON SUBMITTING`E
t4/J� 0 �T! *bsr 'Noe y/Y�b7\1\L,� O M 1 1 V
' W/ 4 l JjE/ �P�N 1/ nsy,Nx es p�00007 b/� ' l PRINTED NAME \�, '
MY COMMISSION EXPIRES) i L . '466% 1 7 111 l,HL�
MO. Y YR. AREA ODE DAYTIME TELEPHONE N MBER (_/-,
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.
0 DSEB-503(12-99)