HomeMy WebLinkAboutSmith, Matt - 2015 2nd Friday Pre-Primary COMMONWEALTH OF PENNSYLVANIA
CAMPAIGN FINANCE STATEMENT
File this in lieu of a full report only ffaggregate receipts, expenditures, or
liabilities incurred each did not exceed $250.00 during the reporting period.
1I1LERIDENI6ICATIOH REPORT FILE➢ - I I
NUMBER ON HEHALF Of CANDIDATE \A CON -)" LOB9YWT
NAME OF RUNG COMMITTEE,CANOIMn OR LOBBYIST �l
-, a4 S
STREET AODREss
jo8
CRYDO
CAM wl/ 'STATE p ZIPf/ —
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT RO,. PARTY
(CNEDK ONE) MO; pAY YEAR
�j�ce-t�4�c. G.0 o� Co•.L.n�h � b,c�.w
6TN YPESPAY 1. /'GAJ �'- I Y O.S q 7-0...
PR&PRIM4RY FOR OFFICE USE ONLY
MO. DAY YEAR NO. DAY YEAR
2M FMDALV Z. DATES OF
FREPRIMARY X PERIOD REPORTNG O i Zd ZOIS TO o5 O'� Z01-45r
30 DAY S'
POST-PRIMARY
GASH BALANCE AT END
6TH TUESDAY. 4. OF REPORTING PERIOD: $_ --
PRE-BLEiDmoN
TOTAL AMOUNT OF FILER'S
5. OUTSTANDING DEBTS OR LIABILITIES
2nD FRIDAY
PRE-ELECTION AT THE END OF REPORTING PERIOD: $
S.
30 DAY AMENDMENTPOS'r+ELECTION REPORT? YES NO
ANNUAL TERMINATION
REPORT REPOM? YES NO
AFFIDAVITB
PART I-
if statement is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here.
If statement is filed on behalf of a Candidate,the Candidate must sign here.
If statement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here.
I SriFAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR UA&WTIES INCURRED WRING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE MST OF MY KNOW-EDGE AND BELIEF,TRUE,CORRECT AND COMPI;ETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
DAY OF jQ SIGNATURE OF PERSON SUBMITTING REPORT
PRINTED NAME
BWNATURE
MY COMMISSION EXPIRES
MO. 'DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
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 ADT OT
JUNE 3, 1937(P.L.1333,No.320)AS AMENDED. �J�/---'-��%�
SWORN TO ND SSUUO�R)? I IgV A la-41-Z /
SIGNATURE OF CANDIDATE
J U 1 7n ( LC
t-� D pF Joel 20_ rnN l r
y o Harr' Ur to
(Vf UpDIM PRINTED NAME
MY COMMISSION E7CPIRES $y1 t9 .7✓ ) D� ��� �J� -5-7 ,31
AREA CODE DAYTIME TELEPHONE NUMBER
MO.� DAY YR-.
unylm m+em w ocnLe • oureeu ur L.Dnlmiss,Dns,raccoons ana Leglslaupn
DSGB-503(12-9h) 210 North Office Building a Harrisburg,PA 17120.0029 • (717)787.5280
:vm_- . ------ _--_