HomeMy WebLinkAboutSmith, Jody - 2021 Annual Report COMMONWEALTH OF PENNSYLVANIA
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.
FILER IDENTIFICATION 11111 REPORT FILED II���, '7. S.
NUMBER ON BEHALF OF ' CANDIDATE ][ COMMITTEE LOBBYIST
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
Jody S. Smith
STREET ADDRESS
26 Goodhart Road
CITY STATE ZIP CODE
Shippensburg PA 17257 — 9771
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) Sheriff MO. DAY YEAR
6TH TUESDAY 1. Rep' 11 02 2021
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
2ND FRIDAY 2. REPORTI
DATES OF
PRE-PRIMARY PERIOD NG 11 23 21 TO 12 31 21
30 DAY 3. C N
POST-PRIMARY W
CASH BALANCE AT END 0.00
�
6TH TUESDAY 4. OF REPORTING PERIOD: $ XI =
PRE-ELECTION > .Iv
TOTAL AMOUNT OF FILER'S CM
2ND FRIDAY 5. OUTSTANDING DEBTS OR LIABILITIES =
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ 0•00 "p
s. 0
3
30 DAY AMENDMENT
POST-ELECTION YES NO X 2
REPORT? ,....4
7. ..0 ..t""
ANNUAL TERMINATION REPORT X REPORT? YES NOX .
AFFIDAVIT SECTION
a N PAAtT i-
a o 2 Ifs`atement is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here.
o (6 statement is filed on behalf of a Candidate,the Candidate must sign here.
? a/ statement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here.
m a C O o,
E al 3 o I.ZWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
T°U 0 C GEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY DIA&EEDGE AND aELIE TRUE,CORRE T ND COMPLETE.
In_-o2E m a
-� .n SWORN TO AND SUBSCRIBED BEFORE ME THIS C� I�1- W t
oZIGNAT E F PERSON SUBMITTING REPORT
Q E o o coT ��fi'� 1DAY OF January zap
2Jody S. Smith
Dc°' 22. 1.."60)(litiel
NAT PRINTED NAME
° ( )Io 10 A6 717 226-1444
Ec v J MY COMMISSION EXPIRES `
E 0 E MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
0 2 z
o
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.
Department of State • Bureau of Commissions,Elections and Legislation
DSEB-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 ♦ (717)787-5280