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HomeMy WebLinkAboutSmith, Karen Overly - 2021 30-Day Post Election , ) COMMONWEALTH OF PENNSYLV L4 b'i\e' 6'kj"--. S1" 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. FILERUMBER IDENTIFICATION IDENTIFICATION1TlON 0,NUM ONREPORT FJ� , CANDIDATE L)( COMMITTEE;. 2. LOBBYIST 3. BEHALF NAME OF RUNG COMMITTEE,CANDIDATE OR LOBBYIST t4 , E 13V RLLS Srnk7-A STREET ADDRESS . . n 5 y a k_ Ck artSTATE �� ZIP i CODE 5 � - e. c Un . Lk( c r TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANIIDATE DISTRICT NO. PARTY DATE OF ELECTION (CHECK ONE) MO. DAY YEAR M 6TH TUESDAY .:',. C� M o Nk _ M I a a PRE-PRIMARY,'' FOR OFFICE USE ONLY . ... MO. ..DAY.... . . . YEAR MO. DAY ' ;'.YEAR.. PR PRIMAY RTING f� 1 TO Q& OR ' 2• DATES OF Y C� O( PRE-PRIMARY PERIOD REPO ` 0 1 1 I 30'DAY .. 3. POST-PRIMARY. ' CASH BALANCE AT END 0 . OF REPORTING PERIOD: $ 6TH TUESDAY:;' ..' PRE-ELECTION TOTAL AMOUNT OF FILER'S .._,. 2NDFRIDAY • OUTSTANDING DEBTS OR LIABILITIES CI) c AT THE END OF REPORTING PERIOD: $ . 1 PRE�ELECTION:i< 6. 30 DAY, AMENDMENT POST-ELECTION LECTION REPORT? YES NO 35 ANNUAL TERMINAPON.: YES NO ,- REPORT REPORT? CV rn 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 DI S OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND IS ' IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE. 4. SWORN,TO AND SUBSC ED BEFORE ME THE 7,1, O -{�ki �I(/•JiI` �yc LPN °fA at/VLM CVl(�Ci'"1 G� LA/ o f I DAY OF �syy�d SIGNATURE OF PERSON SUBMITTING REPORT �JS' d°a l<4\KI\ © rn t-OA .--1///(i...7 °oN`,p��Ps�°oo P°6 N°�a CL '''bPl , /'c of PRINTED NAME , c MY COMMISSION EXPIRES A 1 TJ `-i D a3 RE z6�66���' 115 — 41 `4 5 MO. DAY YR. REA 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. DSEB-503(12-99)