HomeMy WebLinkAboutSean Shultz for Carlisle - 2021 Annual Report II II Reset Form I Print Form
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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 X Committee Lobbyist
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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
Type of Report(Place x under report type)
1-6th Tuesday 2. 2nd Friday 3-30 Day Post 4-6th Tuesday S•2nd 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
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X
Date Of Election Year Amendment Termination
(MM/DD/YYYY) j//D3/ ' .2o oZ( Report Report
Summary of Receipts.and From Date//! To Date For Office Use Only
Expenditures •
ufr3f262/ /x/3//,o,(
A.Amount Brought Forward From Last Report $
B.Total Monetary Contributions and Receipts $
(From Schedule I) -"'-8— C) d
C.Total Funds Available / •,s- Cw 1,..,,,,(Sum of Lines A and B) $ 7, ` yJ MI
xx
D.Total Expenditures $
(From Schedule III) ,, SO s
E.Ending Cash Balance $ / UJI
(Subtract Line D from Line C) f .306 "(?`S Cl .13
F.Value of In-Kind Contributions Received $ '--e— 4 =
(From Schedule II) C W
G.Unpaid Debts and Obligations $ Z�,
(From Schedule IV) _ 0
Affidavit Section
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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 kn wledge and belief true,correct and complete.
Sworn to apd subscribed before me this .
(y,�dayof��t� f 2 c���jto
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Signature of Person Submitting report
r /epiu.4.0 f--4 4- 10 f Z--eR
Signature /h Printed Name '
My Commission expires 0 9 1 d y 6.104 -7/-I S-917 — 8S2.'Z,,
MO. DA 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.
Sworn to and subscribed before me this �j/f1
3 eI dayofw64, (!Gtrl; 20.D.D. — " lc
y _J
'�� I - '}I JMn f SiFF��na�ture of Candidate
��/l G� �a✓t /lit. SI,10 }'Z-
Signatu�{�Signature Printed Name p
My Commission expires lam/ U y t 1 7 O— O S i7
MO. AY -7 Pl
YR. Area Code Daytime Telephone Number
', 1
Commonwealth of Pennsylvania-Notary Seal CommOnwealth of Pennsylvania-Notary Seal
DawnT•.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
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Filer Identification Number
SQ1) .SG,•u.(-M & v Ca„n h.Slc
1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor •
Total for the reporting period (1) $
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2.Contributions of$50.01 to $250.00(From
Part A.and Part B)
Contributions Received from Political Committees(Part A) $
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All Other Contributions(Part B) $
Total for the reporting period (2) $
I3.Contributions Over$250.00(From Part C and Part D)' I
Contributions Received from Political Committees(Part C) $ "C59'
All Other Contributions(Part D) $ •
CD
Total for the reporting period (3) $
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
Cover Page,Item B)
SCHEDULE III
Statement of Expenditures
I Filer Identification Number:
£a4) .dht-J- w each 6Ie I
To Whom Paid Date[MM/DDJYYYY] $
40144,ieft6 164 (dal 6,,r,,M. 42-.) , Jb�lzdA, . S®
House# � O Street,Address I,_ Description of Expenditure
i 1'S1F . JC.'
City /AJ�� /" State Zip �/�
r�ec.y�o6Nd t5 it Code Jie0S'0 .►�0Pit Ate
. o Whom Paid Date[MM/DD/YYYY] $
Hous- • Street Address Description of Expenditure
City State Zip
• • Code
To Whom Paid Date[MM/DD/YYYY] $
House# Str- t Address Description of'4 penditure '
City State Zip
Code
To.Whom Paid 1:to[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 ►:to[MM/DD/YYYY] $
House# reef Address Descriptio of Expenditure
City: State Zip
Code
To Who. Paid Date[MM/DD/YYYY]
Ho e# Street Address Description of Expenditure
ity State Zip
Code