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Home My WebLink AboutFriends of Karen Overly Smith - 2021 30-Day Post Election Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) Filer Identification 87-1871866 Report Filed By Candidate Committee IXI Lobbyist • Number (Mark X) Name of Filing Committee,Candidate or Friends of Karen Overly Smith Lobbyist Street Address 855 Oak Oval City Mechanicsburg State PA ,Zip Code 17055 Type of Report(Place x under report type) 1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday 5-2"d 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 - Date Of Election Year Amendment Termination (MM/DD/YYYY) Report Report X 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 S o B.Total Monetary Contributions and Receipts S o (From Schedule I) C.Total Funds Available S o t,1 7,--7: (Sum of Lines A and B) D.Total Expenditures S 0 ' .. (From Schedule III) _ , iD E.Ending Cash Balance S o �- (Subtract Line D from Line C) C F.Value of In-Kind Contributions Received S o i - (From Schedule II) ' ' tv G.Unpaid Debts and Obligations S o G. o (From Schedule IV) Affidavit Section Part 1-If this is a Committee report,treasurer sign here.If t is a Candidate report,candidate sign here. I swear(or affirm)that this report,including the attached • i. es on paper,is to the ft of my knowledge and b'ftrue,co a and complete. Sworn to and subscribed beforeoC 1 W ay ofVe4 20 "-44, ,09'oq q� 'i; a Rif �''�, �'i tiry�°a Signature of Person Submitting report ` • �•c:- dOa°r01„% Karen Overly Smith ebtnature �d�ti 4 S Printed Name , / �j� z '16�v� 795-4445 My Commissi n expires e.1L(.1/l l d0vv 6a ja M0. DAY YR. Area Code Daytime Telephone Number Part II-If this is a report of a Candidate's Authorized Committee,candidate shall sign here. I swear(or affirm)that to the best of my knowledge and belief this political committee has not violated any provisions f the Act of June 3,1937(P.L.1333,NO.320)as amended. Sworn tp and subscribed before me this '' a gq day of it) 1/ c k 4q o �i,��.0i ..%/b'srr Signature of Candidate � I,IV°+ a'6, Chris J Smith Signature 43.4�S-A464 cx 3- Printed Name 4Lt."-.-- 1<s Ar it, , 7 717/795-4445 My Commissi expires �,1-A.N 1 y �a3 0-,....., My MO. DAY YR. Area Code Daytime Telephone Number SCHEDULE I Contributions and Receipts Detailed Summary Page Filer Identification Number 87-1871866 11.Unitemized Contributions and Receipts-S 50.00 or Less per Contributor Total for the reporting period (1) S o 2.Contributions of S 50.01 to 3250.00(From • Part A and Part B) Contributions Received from Political Committees(Part A) S All Other Contributions(Part B) S Total for the reporting period (2) S o I3.Contributions Over 8250.00(From Part C and Part D) r' I Contributions Received from Political Committees(Part C) S All Other Contributions(Part D) S Total for the reporting period (3) S o 4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) Total for the reporting period (4) S o Total Monetary Contributions and Receipts during this reporting period(Add and S enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report 0 Cover Page,Item B) PART A Contributions Received From Political Committees 850.01 TO 8 250.00 Use this Part to itemize only contributions received from Political Committees with an aggregate value from 8 50.01 TO 8 250.00 in the reporting period. Filer Identification Number 87-1871866 I Amount Full Name of Contributing Date[MM/DD/YYYY] S N/A Committee House# Street Address Date[MM/DD/YYYY] S City State Zip Code Date[MM/DD/YYYY] 8 Full Name of Contributing Date[MM/DD/YYYY] 8 Committee House# Street Address Date[MM/DD/YYYY] 8 City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYY] 8 Committee House# Street Address Date[MM/DD/YYYY] 8 City State Zip Code Date[MM/DD/YYYY] 8 Full Name of Contributing Date[MM/DD/YYYY] 8 Committee House# Street Address Date[MM/DD/YYYY] 8 City State Zip Code Date[MM/DD/YYYY] 8 Full Name of Contributing Date[MM/DD/YYYY] 8 Committee House# Street Address Date[MM/DD/YYYY] 8 City State Zip Code Date[MM/DD/YYYY] 8 Full Name of Contributing Date[MM/DD/YYYY] 8 Committee House# Street Address Date[MM/DD/YYYY] 8 City State Zip Code Date[MM/DD/YYYY] 8 PART B All Other Contributions 850.01 TO 8 250 Use this Part to itemize all other contributions with an aggregate value from 850.01 TO 8 250 in the reporting period. (Exclude contributions from political committees reported in Part A.) Filet Identification Number 87_1871866 Full Name of Contributor Date,[MM/DD/YYYY] S N/A House# Street Address Date[MM/DD/YYYY] 8 City State Zip Code Date[MM/DD/YYYY] S fu1PNattie of Contributor Date[MM/DD/YYYY] 8 ;House# Street Address Date[MM/DD/YYYY] S City State Zip Code Date[MM/DD/YYYY] $ iFuifNatne of Contributor Date jMM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYYJ $ City State Zip Code Date[MM/DD/YYYY] 8 Full Name of Contributor Date[MM/DD/YYYY] S House# Street Address Date[MM/DD/YYYY] S City State Zip Code Date[MM/DD/YYYY] S Full Name of Contributor Date[MM/DD/YYYY] S House# Street Address Date[MM/DD/YYYY] .8 City State Zip Code Date[MMIDD/YYYY] S r Pcill Name of Contributor Date[MM/DD/YYYY] S House# Street Address Date[MM/DD/YYYY] S City State .Zip Code ' Date[MM/DD/YYYY] S PART C Contributions Received From Political Committees Over$250.00 Use this Part to itemize only contributions received from Political Committees with an aggregate value over$250.00 in the reporting period. I Filer Ident!fication Number: 87_1871866 I Full Name of Date[MM/DD/YYYY] S N/A Contributing Committee House# Street Address Date[MM/DD/YYYY] S City State Zip Code Date[MM/DD/YYYY] S Full Name of Date[MM/DD/YYYY] 8 Contributing Committee House# Street Address Date[MM/DD/YYYY] i $ City State Zip Code Date[MM/DD/YYVY] S Full Name of Date[MM/DD/YYYY] S Contributing Committee House# Street Address Date[MM/DD/YYYY] 8 City State Zip Code Date[MM/DD/YYYY] 8 Full Name of Date[MM/DD/YYYY] 8 Contributing Committee House# Street Address Date LMM/DD/YYYY] 8 City State Zip Code Date[MM/DD/YYYY] 8 Full Name of Date[MM/DD/YYYY] S Contributing Committee House# Street Address Date[MM/DD/YYYY] ' 8 City State Zip Code Date[MM/DD/YYYY] S Full Name of Date[MM/DD/YYYY] S Contributing Committee House# 'Street Address Date[MM/DD/YYYY] S City State Zip Code Date[MM/DD/YYYY] 8 PART D All Other Contributions Over S 250.00 Use this Part to itemize all other contributions with an aggregate value over S 250.00 in the reporting period. (Exclude contributions from political committees reported in Part C) Filer Identification Number: 87_1871866 Full Name of Contributor Date[MM/DD/YYYY] 3 N/A House# Street Address Date[MM/DD/YYYY], S City State Zip Code Date[MM/DD/YYYY] S Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYY] S House# Street Address Date[MM/DD/YYYY] S City State Zip Code Date[MM/DD/YYYY] S Employer.Name Occupation. Employer Mailing Address/ Principal Place of Business Full Name.of Contributor. Date[MM/DD/YYYY] S House# Street Address Date[MM/DD/YYYY] S City State Zip Code Date[MM/DD/YYYY] S Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYY] S House# Street Address Date[MM/DD/YYYY] S City State Zip Code Date[MM/DD/YYYY] S Employer Name Occupation Employer Mailing Address/ Principal Place of Business PART E Other Receipts REFUNDS, INTEREST INCOME, RETURNED CHECKS, ETC. Use this Part to report refunds received, interest earned,returned checks and prior expenditures that were returned to the filer. Filer Identification Number: 87_1871866 I Full Name House# Street Address City State Zip Date[MM/DD/YYYY] 8 N/A Code Receipt Description Full Name House# Street Address City State Zip Date[MM/DD/YYYY] S Code Receipt Description Full Name House# Street Address City State Zip Date[MM/DD/YYYY] 8 Code Receipt Description Full Name House# Street Address City State Zip Date[MM/DD/YYYY] 8 Code Receipt Description Full Name House# Street Address City State Zip Date[MM/DD/YYYY] S Code Receipt Description Full Name House# Street Address City State Zip Date[MM/DD/YYYY] 8 Code Receipt Description SCHEDULE II IN-KIND CONTRIBUTIONS AND VALUABLE THINGS RECEIVED USE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS DURING THE REPORTING PERIOD DETAILED SUMMARY PAGE Filer Identification Number: 87-1871866 I1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR TOTAL for the reporting period (1) S o 2. 1N-KIND CONTRIBUTIONS RECEIVED-VALUE OF 550.01 TO S 250.00(FROM PART F). . TOTAL for the reporting period (2) S o 1 3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER 8250.00(FROM PART G) TOTAL for the reporting period (3) S o TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING S PERIOD(Add and enter amount totals from boxes 1,2,and 3;also enter on Page 1,Report Cover Page,Item F) SCHEDULE II PART F In-Kind Contributions Received VALUE OF S 50.01 TO S 250 Filer Identification Number: 87-1871866 Full Name of Contributor Date[MM/DD/YYYY] S N/A House# Street Address Date[MM/DD/YYYY] $ :City State Zip Code Date[MM/DD/YYYY]_ 8 Description of Contribution Full Name of Contributor Date[MM/DD/YYYY] 8 House# Street Address Date[MM/DD/YYYY] 8 City State Zip Code Date[MM/DD/YYYY] S Description of Contribution 'Full Name of Contributor Date[MM/DD/YYYY] 8 House# Street Address Date[MM/DD/YYYY] 8 City State Zip Code Date[MM/DD/YYYY] S Description of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Description of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] 8 City State Zip Code Date[MM/t)D/YYYY] S Description of Contribution SCHEDULE II Part G In-Kind Contributions Received VALUE OVER S 250 Filer Identification Number: 87-1871866 Full Name of Contributor Date[MM/DD/YYYY] S N/A House# Street Address Date[MM/DD/YYYY] S City State Zip Code Date[MM/DD/YYYY] S Employer Name Occupation EmployerMailing Address I.Principal Description Place of Business of Contribution Full Name of Contributor Date[MM/DD/YYYY] 8 House# Street Address Date[MM/DD/YYYY] S City State Zip Code Date[MM/DD/YYYY] S Employer Name Occupation Employee Mailing Address Y Principal Description Place of Business of Contribution Full Name of Contributor Date[MM/DD/YYYY] S House# Street Address Date[MM/DD/YYYY] S City State Zip Code Date[MM/DD/YYYY] S !Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution Full Name of Contributor Date[MM/DD/YYYY] S House# Street Address Date[MM/DD/YYYY] S City State Zip Code Date[MM/DD/YYYY] S Employer Name Occupation Employer Mailing Address I+Paincipal Description Place of Business of Contribution SCHEDULE III Statement of Expenditures I Filer Identification Number. 87_1871866 I To Whom Paid Date[MM/DD/YYYY] 8 N/A House#. Street Address Description of Expenditure. City State Zip Code To Whom Paid Date[MM/DD/YYYY] S House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] 8 House# Street Address Description of Expenditufe ' City State Zip Code To Whom Paid Date[MM/DD/YYYY] 8 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] S House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] S House# Street Address Description of Expenditure City State Zip Code SCHEDULE IV Statement of Unpaid Debts Use this Section to itemize all unpaid debts and obligations which are outstanding at the end of the reporting period. Filer identification Number: 87_1871866 Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED S [MM/DD/YYYY] N/A City State Zip Code Description of Debt Nai=ne of Creditors Outstanding Balance of Debt , House# Street Address DATE DEBT INCURRED S [MM/DD/YYYY] City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED_ S [MM/DD/YYYY] City State Zip Code Description of Debt Name of Creditor . Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED 3 [MM/DD/YYYY] City State Zip - Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED ' S [MM/DD/YYYY] City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED ' 3 [MM/DD/YYYY] City State Zip Code Description of Debt