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HomeMy WebLinkAboutSean Shultz for Carlisle - 2021 30-Day Post Election 111 Reset Form Print Form • 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) Name of Filing Committee,Candidate or Lobbyist Sean Shultz For Carlisle Street Address 58 F Street City Carlisle State PA Zip Code 17013 1 Type of Report(Place x under report type) 1-6th Tuesday 2- 2n t Friday 3-30 Day Post 4-6th Tuesday S-2"d Friday 6-30 Day Post 7-Annual Special 2h*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) 11 / D 2 2O 02/ Report Report . Summary of Receipts and From Date To Date For Office Use Only Expenditures to fig J.26.2 I ii/Zi)2 I . A.Amount Brought Forward From Last Report $ B.Total Monetary Contributions and Receipts $ ----� (From Scl edule I) C.Total Funds Available $ F ' (Sum of Lines A'and B) l' 3/5✓13 '~ } D.Total Expenditures $ c ,(From Schedule,111) „ , :: . G. I B E.Ending Cash Balance $ ,/ - p (Subtract Line D.from Line C) 1, 3071 S t F.Value of In Kind Contributions Received '• $ �--J (From Scheduiell) , • . 3, 00 w G.Unpaid Debts and Obligations $ .r-: (From ScFiedule IV)' ® : _ ._. cfl Affidavit Section Part 1-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here. I swear(or affirm)that this report,including the attached schedules on paper,is to the best of my knowledge and belief true,correct and complete. Sworn to and subscribed before meI this t1 day of IVdvcnl,�o>!r 20 o2) h���� Signature of Person Submitting report (it •PA,1-.e-/ it), Lee Signature A. �1 r Printed NameD My Commission expires 0?/i�J1jl/a-0•.S /4 510 - ekS•zz. MO. D Y 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 of the Act of June 3,1937(P.L.1333,NO.320)as amended. , Swornrn to andsubscribed beforeJ me this S 02/ day of.Weible,f�{r 20 a.f ' ate Datta4 /144:6That.4' -e,-, na/11 . 5��d,(f'Z- Sigure Q J Printed Name My Commission expires 0 f�Qf �QO95 � — �J z7 MO. DA YR. Area Code Daytime Telephone Number Commonwealth of Pennsylvania-Notary Seal Commonwealth of Pennsylvania-Notary Seal Dawn T.Heilman,Notary Public Dawn T.Heilman,Notary Public Cumberland County Cumberland County , My commission expires September 4,2025 My commission expires September 4,2025 Commission number 1251803 Commission number 1251803 Member,Pennsylvania Association of Notaries Member,Pennsylvania Association of Notaries • • SCHEDULE I • Contributions and Receipts Detailed Summary Page Filer Identification Number c5PGN S),u,(4. Foy ZlaizI,sle- 1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor I Total for the reporting period (1) $ • `E9- 2.Contributions of$50.01 to $250.00(From Part A and Part B) Contributions Received from Political Committees(Part A) $ ---e9r All Other Contributions(Part B) $ Total for the reporting period (2) $ I3.Contributions Over.$250.00(From Part C and Part D). . Contributions Received from Political Committees(Part C) $ All Other Contributions(Part D) $ Total for the reporting period (3) $ .10 I4.Other Receipts-Refunds,Interest Earned,Returned Checks;ETC.(From Part E) • Total for the reporting period (4) $ — Total Monetary Contributions and Receipts during this reporting period(Add and $ enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report Q Cover Page,Item B) 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: SecA) S1,K1*? (.ate Cap-lisle. 1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR • ' TOTAL for the reporting period (1) $ 2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) - I • TOTAL for the reporting period (2) $ 5_t jG 3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART.G) I • . TOTAL for the reporting period (3) $ —0:94`— - TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING $ • PERIOD(Add and enter amount totals from boxes 1,2,and 3;also enter • 5-3..C,Cj on Page 1,Report Cover Page,Item F) • SCHEDULE II PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 Filer Identification Number: I Full Name of Contributor Date[MM/DD/YYYY] $ (-O - /4/427 1)0P% C COMP*• i�/moo ja0.2i Ste. o(:, House# Street Address Date[MM/DD/YYYY] $ �-' 60.$ CM City State Zip Code Date[MM/DDJYYYY] $ 04.1 i 61€ ,�. /10,3 Description of Contribution �r, ,00 P- )4 Wa /LS Full Name of Contributor Date:[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYYJ $ 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] $ 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] $ City State Zip Code Date[MM/DD/YYYY] $ Description of Contribution b ' SCHEDULE III Statement of Expenditures Filer Identification Number: 6ea10 5110,[-te Pa. cr i;c fQ I To Whom Paid Date[MM/DD/YYYYJ $ a -BRA_ 11 I o3 A/ 3, e' d House# Street Address Description of Expenditure 4O, 6C7Y, `ft/)1yb • City State Zip S:ir-t.e(2vi (It l?74.5 . Code 4o?/tf(-1• 4.1,0 :-I Can-el cat. To Whom Paid ��//JJ,�, �� Date[MM/DD/YYYYJ $ !1t"evh6014 (Irt `. !I ) 0i 20zJ S. 2 House# Street Address Description of Expenditure Sboo 4e)u:S4t 1D/140) Rp, Q&X Vo City State ,Q Zip in4k-bra1t?i�6 f tt� Code 1.1oSS— �n0A.,soc-4ioN ccQ, To Whom Paid e Date[MM/DD/Y•YYY] $ ' House# Street Address Description of Expenditure City State Zip Code To Whom Paid 1 Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date IMM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code To Whom.Paid Date[MM/DD/YYYY]. $ House# Street Address Description of p 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