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Home My WebLink AboutSmith for Sheriff - 2021 Annual Report liii 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 Zip Code 17043 \ Lobbyist Number (Mark X) Smith for Sheriff 301 Market Street n Name of Filing Committee,Candidate or Lobbyist Street Address City Lemoyne State PA Type of Report(Place x under report type) 1-6th Tuesday 2- 2"d Friday 3-30 Day Post 4-6th Tuesday 5-2"d Friday 6-30 Day Post 7-Annual Special 2"0 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 X (MM/DD/YYYY) 2021 Report Report 1 - Summary of Receipts and From Date To Date For Office Use Only Expenditures 11/23/2021 12/31/2021 A.Amount Brought Forward From Last Report $ 1,040.63 B.Total Monetary Contributions and Receipts $ (From Schedule I) 0.00 C.Total Funds Available $ (Sum of Lines A and B) 1,040.63 C c C r+1 D.Total Expenditures $ M no (From Schedule III) 1,040.63 ED Flf 2D.. E.Ending Cash Balance $ :1:7 ."C' (!ubtract Line D from Line C) 0.00 . cn N F. alue of In-Kind Contributions Received $ 01 T N_AF rim Schedule II) 5,959.37 ,.a '6 S' m X.. Jnpaid Debts and Obligations $ O 3 .tT .0 f r8m Schedule IV) 0.00 C m c o N �, o Affidavit Section GJ1 j O O 0 �,Z(-) cn °f aQ 1-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here. 2-c ' t.eCear(or affirm)that this report,including the attached schedules on paper,is to the best of my knowledge and lief true,correct and complete. Ea,'Z CO a) ar X vnrn to and subscribed before me this - �-m tQ E.N 0 1_/V.ayof January 20 m U!n E c I ( Si ature of erson Submitting report 3 c E E .:' , � ��t� . Wayne M.Pecht o c p y S&aP4 tur Printed Name EJ U a � E 5 E J M Commission expires b (0 717 761-4540 . my , .• g. MO. DAY YR. Area Code Daytime Telephone Number rn N '� 0 m= 0.1 m iiirt II-If this is a report of a Candidate's Authorized Committee,candidate shall sign here. Z ' ,-M lwear(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 .>,�o M amended. c aZ U 0 t orn to and subscribed before me this „_v0 £ \JOCLI c• c-11/1/4L Ec ._ January 22 c m CO n E ¢ day of 20 a Z m aa, c m Signature of Candidate o. o > E o w — ,/ Jody S.Smith Q a + Si r. e Printed Name TO �U0 E g 3 . E a a /V 2^2 717 226-1444 o c o U Commission expi (/ O�FJ E-� 0 E MO. DAY YR. Area Code Daytime Telephone Number 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: 1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR i TOTAL for the reporting period (1) $ 0.00 I2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) TOTAL for the reporting period (2) $ 5,959.37 3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) TOTAL for the reporting period (3) $ 5,959.37 TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING $ PERIOD(Add and enter amount totals from boxes 1,2,and 3;also enter on Page 1,Report Cover Page,Item F) 5,959.37 SCHEDULE II Part G In-Kind Contributions Received VALUE OVER$250 Filer Identification Number: Full Name of Contributor Date[MM/DD/YYYYJ $ Jody Smith 5,959.37 12/13/2021 House# Street Address Date[MM/DD/YYYY] $ 26 Goodhart Road City State Zip Code Date[MM/DD/YYYY] $ Shippensburg PA 17257 Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Forgiveness of loan Contribution Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYYJ $ City State Zip Code Date[MM/DD/YYYYJ $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business • 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] $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution Full Name of Contributor Date[MM/DD/YYYYJ $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution SCHEDULE III Statement of Expenditures Filer Identification Number: To Whom Paid Date[MM/DD/YYYY] $ Jody Smith 12/13/2021 1,040.63 House# Street Address Description of Expenditure 26 Goodhart Road City State • Zip Shippensburg ! PA Code 17257 Repayment of loan 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 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