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HomeMy WebLinkAboutSwartz, Joseph - 2021 30-Day Post Election voi 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.eov/campaignfinance • ra-stcampaienfinance(E)pa.Rov Unsworn Statement in Lieu of Sworn Statement for Campaign Finance Statements Note: Per Act 2020-15, which was signed into law on April 20, 2020 and allo for unsworn •declarations, Campaign Finance Reports (form DSEB-502), Campaign Finance;Statements In lieu of full reports(form DSEB-503), and Independent Expenditure Reports(forma DSEB- 05)need not be notarized. Instead, the filer may file with each report or statement the corresppgding version of this form signed by the required individual(s). This particular form is to beamed only for Campaign Finance Statements. This form must be signed by hand where a signature is required. Name of.Filing'tommittee,Candidate,or Lobbyist(. c�sP � 1'1 S Reporting Cycle Name 0 Cycle 1 0 Cycle 2 0 Cycle 3 0 Cycle 4 0 Cycle 5 6th Tuesday 2"a Friday 30 Day 6th Tuesday 2"d Friday Pre-Primary Pre-Primary Post Primary Pre-Election Pre-Election Cycle 6 D Cycle 7 0 Cycle 8 0 Cycle 9 30 Day Post-Election Annual Report 2'Friday Pre-Special Election 30 Day Post-Special Election Part I — If this form is submitted with a statement in lieu of full report by a political committee, the treasurer must sign here. If this form is submitted with a statement in lieu of a full report by a candidate, the candidate must sign here. If this form is submitted with a statement in lieu of full 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 foregoing is tr nd c rrect. v / 2._ Signature of urer, Candidate, or Lobbyist G Date (DD/MM/YYYY) S,e �r ��,,/ �'7 -Z" l/ /14 0•eS r "l 0Y Co � Location (City/State/Country) Printed Name DSEB-503S Updated 6/24/2020 a 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 111,, 1• 2. 3. ON BEHALF OF CANDIDATE x COMMITTEE LOBBYIST NUMBER NAME OF RUNG COMMITTEE,CANDIDATE OR LOBBYIST JOSEPH S. SWARTZ STREET ADDRESS 1706 LETCHWORTH ROAD CITY STATE ZIP COOS CAMP HILL PA 17011 TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION (CHECK ONE) TOWNSHIP COMMISSIONER DEMOCRATIC MO. DAY YEAR 1. 11 02 2021 6TH TUESDAY PRE-PRIMARY FOR OFFICE USE ONLY MO. DAY YEAR MO. DAY YEAR 2. DATES OF 2ND FRIDAY " PRE PRIMARY PERIOD REPORTING 10 19 2021 TO 11 22 2021 t . ry 30 DAY . 3' + ;. POST-PRIMARY : .1 CASH BALANCE AT END 0.00 -'` 6TH TUESDAY. OF REPORTING PERIOD:' $ 1-: 1 PRE-ELECTION LA) TOTAL AMOUNT OF FILER'S C�3 -��y 2No FRIDAY s' OUTSTANDING DEBTS OR LIABILITIES 0.00 4J AT THE END OF REPORTING PERIOD: $ PRE-ELECTION I B. 30 DAY �/ AMENDMENT *- O POST-ELECTION X 1 AMEND Z YES NOREPOR X • G 7. ANNUAL TERMINATION YES NO X REPORT REPORT? 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 REPORTIN9,PE71160 INDICATE•ABOVE DID NOT EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF;TRUE,CORRECT • 0 COMPLETE. SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF 20_ SIGNATURE OF PERSON S : ITTING REPORT J6S�EP1 I-S�SWARTZ SPRINTED NAME SIGNATURE MY COMMISSION EXPIRES _ 717 571-0324 MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER 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