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Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be clear and legible.It should be typed)
Filer Identification Report Filed By Candidate \/ Committee Lobbyist
Number (Mark X) n
Name of Filing Committee,Candidate or
Lobbyist Joseph A.Deklinski
Street Address 406 North Front Street
City Wormleysburg State PA Zip Code 17043
Type of Report(Place x under report type)
1-6th Tuesday 2- 2"d Friday 3-30 Day Post 4-6thTuesday 5-2nd Friday 6-30 Day Post 7-Annual Special 2"Friday Special 30 Day
Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election
X
Date Of Election Year Amendment Termination
(MM/DD/YYYY) 11/02/2021 2021 Report Report
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
10/19/2021 11/22/2021
A.Amount Brought Forward From Last Report $ 0
B.Total Monetary Contributions and Receipts $ _�
(From Schedule I) 0 - ' i
C.Total Funds Available $
(Sum of Lines A and B) 0 _ N.)
D.Total Expenditures $ 800.00
(From Schedule III) , ?
E.Ending Cash Balance $ '-'
0 i Iv
(Subtract Line D from Line C) ..
F.Value of In-Kind Contributions Received $ CJi
0
(From Schedule II)
G.Unpaid Debts and Obligations $ 0
(From Schedule IV)
Affidavit Section
Part 1-If this is a Committee report,treasurer sign here.If thi a a.en:H ie irbort,candidate sign here.
I swear(or affirm)that this report,including the attached sch! les on p er,i<.to the best of my knowledge and belief true,correct and complete.
/Y(
Sworn;yid subscr' a befor me this 5/6 i� �
, ig gil a A-- v ,...,...x.._
ay of �•'
0'1 Signature of Person Submitting report
/eph A Deklinski
Sign re Printed Name
My expiresl�9 ���I k c 717 773-7487
Commission
MO. DAY YR. '$ "i o Area Code Daytime Telephone Number
E e = b
Part II-If this is a report of a Candidate's Authorized Commit did a I sign here.
I swear(or affirm)that to the best of my knowledge and belief i oliti o mittee has not violated any provisions of the Act of June 3,1937(P.L.1333,NO.320)as
0
amended.
i
Sworn to and subscribed before me this
day of 20
Signature of Candidate
Signature Printed Name
My Commission expires
MO. DAY YR. Area Code Daytime Telephone Number
3
SCHEDULE III
Statement of Expenditures
Filer Identification Number:
To Whom Paid Date[MM/DD/YYYY] $
Cumberland County Leadership PAC 800.00
10-19-2021
House# Street Address Description of Expenditure
P.O.Box 182
City State Zip
Camp Hill PA Code 17011 mailer
To Whom Paid Date[MM/DD/YYYYj $
House If Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City I State Zip
11 Code
To Whom Paid Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code