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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 Smith for Sheriff
Street Address
301 Market Street
City Lemoyne State PA Zip Code 17043
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
X
Date Of Election Year Amendment Termination
(MM/DD/YYYY) 11/2/2021 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 $ 740.63 C...::: ru
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B.Total Monetary Contributions and Receipts $ ; j
(From Schedule I) 300.00 r,Z
C.Total Funds Available ' $ o- �
(Sum of Lines A and B) 1,040.63 . w
D.Total Expenditures $ • - CZ)
(From Schedule III) 0.00 =;
E.Ending Cash Balance $ (')
(Subtract Line D from Line C) 1,040.63 {�
F.Value of In-Kind Contributions Received $ - -
(From Schedule II) 0.00 -! ,J
G.Unpaid Debts and Obligations $ `
a (From Schedule IV) 7,000.00
w�U gm Affidavit Section
co 2 a-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here.
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(or affirm)that this report,including the attached schedules on paper,is to the best of my knowledge and lief true,correct and complete.
m to n„.0,to and subscribed before me this /
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Z O f day of November 20 221D
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C�Sr�'�/(1 Si ature of rson Submitting report
c m m . ra, , % / Wayne M.Pecht
.- {`fa f Signal; Printed Name
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y ^ 717 761-4540
m @ U >�y commission expires
tD v, C p°', MO. DAY YR. Area Code Daytime Telephone Number
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�� C.)i Partt-If this is a report of a Candidate's Authorized Committee,candidate shall sign here.
4 I swig(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
drneided.
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. 3 c rtiv to and subscribed before me this ^Q
1° c day of "----(----L.„
November 20 21 a-L' \J'
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eh
Z U a ` ' / A ���y� _ f /J ignature of Candidate t
n_v n " �'i t,'-c�`-� Jody S.Smith
c'a co c_ ,E m Si at t re Printed Name
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O. Z °) a c pc 1 v la G242.11717 226-1444
o 0 •�w.ommission expi
• v .. c MO. DAY YR. Area Code Daytime Telephone Number
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SCHEDULE I
Contributions and Receipts
Detailed Summary Page
Filer Identification Number
1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor f
Total for the reporting period (1) $ 0.00
2.Contributions of$50.01 to $250.00(From
Part A and Part B)
Contributions Received from Political Committees(Part A) $
300.00
All Other Contributions(Part B) $ 0
Total for the reporting period (2) $ 300.00
3.Contributions Over$250.00(From Part C and Part D)
I
Contributions Received from Political Committees(Part C) $
All Other Contributions(Part D) $ 0.00
Total for the reporting period (3) $
I4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) I
• Total for the reporting period (4) $
0.00
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
Cover Page,Item B) 300.00
4 I
PART A
Contributions Received From Political Committees
$50.01 TO$250.00
Use this Part to itemize only contributions received from Political Committees
with an aggregate value from$50.01 TO$250.00 in the reporting period.
Filer Identification Number
Amount
Full Name of Contributing Date[MM/DD/YYYY] $
Committee Cumberland County Replublican Women 300.00
10/19/2021
House# Street Address Date[MM/DD/YYYY] $
P.O.Box 711
City State Zip Code Date[MM/DD/YYYY] $
Carlisle PA 17013
Full Name of Contributing Date[MM/DD/YYYY] $
Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributing Date[MM/DD/YYYY] $
Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributing Date[MM/DD/YYYY] $
Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributing Date[MM/DD/YYYY] $
Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributing Date[MM/DD/YYYY] $
Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $