HomeMy WebLinkAboutSmith, Jody - 2021 30-Day Post 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 110, REPORT FILED CANDIDATE ^X' COMMITTEE LOBBYIST
tOBBYlST 3.
NUMBER ON BEHALF OF ' /
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) SheriffMO. DAY YEAR :-
6TH TIJESDAY T. Rep. 11 02 2021
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
2ND FRIDAY 2. REPORTI
DATES OF
PRE-PRIMARY PERIOD NG 10 19 21 TO 11 22 21
6;?
30 DAY 3. -...
POST-PRIMARY • ` '
CASH BALANCE AT END c, £ .,
4. OF REPORTING PERIOD: $ 0.00 1.,. 'c%=?
6TH TUESDAY �..
PRE-ELECTION
TOTAL AMOUNT OF FILER'S
2Np FRIDAY 5' OUTSTANDING DEBTS OR LIABILITIES 0 00
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ ,�:,
('i
30 DAY. . 8 I":"".' N.)
X
AMENDMENT X C„„,'w:
POST-ELECTION REPORT? YES NO
Y
. ANNUAL - TERMINATION , .
REPORT REPORT? YES NO )1(
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.
co a If Aatement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here.
'Q N
m 15 cr b ??WEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
Z d d Inj ERGEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORR T AND COMPLETE.
, Ty O W p A (�
E la 3 o M .� SWORN TO AND SUBSCRIBED BEFORE ME THIS ` I tJ I
J ,(�7„ , I
;,Z 0 O C m° i DAY OF November 2 _ SIGNATURE •F PERSON SUBMITTING REPORT
2= c 22 E Q /
21) a = ,(A1 Jody S. Smith
n.- m aa) ^ m �� ,` L r PRINTED NAME
p- Q J > I 6IGNAjURE C�r��
Q a c MY COMMISSION EXPIR / 0 i' C7 717 226-1444
m m U.N - C MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
w 01 E ` g
IC II a
E-3 8 ARTII-
E 'If statement is filed on behalf of a Candidate's Authorized Committee,Candidate must sign here.
o
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.
I 4
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
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