HomeMy WebLinkAboutSmith, Matt - 2015 30-Day Post-Primary 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.
MUCK IDENTIRDARON REPORT OLEO I Z
NUMBER ONBEHAIFOF CANDIDATE COMMRiEF' WSSYIST'
NAME OF FILING COMMIT-I CANDIDATE OR LOBBYIST
STREET ADDRESS
/OO
�l� LIJOCJdF �Yi
CITY STATEZIP COLE
TYPE OF REPORT NAME.OF/OFFICE SOUGHT BY CANDIDATE(- DISTRICT NO. PARTY
(CHECK ONE) 3V OA�,t O� GUU✓`tt �•T �� �n F4 a.Je � ' ,YLh/�� MO, DAY YEAR
6THTUESDAY -
PRE-PRIMARY FOR OFFICE USE ONLY
Mq. DAY YEAR MO. OAY YEAR
2ND FRIDAY 2. DATES OF / La
(j
PRE-PRIMARY PERODTING aS o7 Z.OI TO U� (Jf7 PIS -
30 PAY 3'
POST-PRIMARY
CASH BALANCE AT END
6TH TUESDAY 4. OF REPORTING PERIOD: $
FRB-ELECTION
TOTAL AMOUNT FILER'S
D. OUTSTANDING DEBTS OR LIABILITIES
2ND FRIDAY AT THE END OF REPORTING PERIOD( $
PRFELEDnDN —
B
30 PAY AMENDMENT
FOST-ELECTION REPORT? YES NO
7.
ANNUAL TERMINATION
REPORT REPO VES V NO
AFFIDAVIT^
PARTI-
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 SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LMBWTIES INCURRED DURING THE REPORTING PERIOD INNC4T90 ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT Is,TO THE BEST OF MY OIDYREDG£AND BELIEF,TRUE.CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
DAY OF 20_ SIGNATURE OF PERSON SUBMITTING REPORT
PRINTED NAME
SIGNATURE
MY COMMISSION EXPIRES
M0: DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
PART 11-
If statement is filed on behalf of a Candidate's Authorized Committee, Candidate must sign here.
I SUVsR(OR AFFIRM)THAT TO THE.BEST OF MY KNOWLEDGE Mo BELIEF THIS POLITICAL COMMITTEE HAS NOT VIOIAT A PROVISIONS OF TME ALT OF
JUNE 3,1037(P.L,1333,No.320)AS AMENDED.
SWORN To AND SUBSE [BED BEMN
AL'(N Ct PENNSYLVANIA
L ATURE,oIF�C,NpIDgTE
IF i ' public sburg,�auphin Co 2 h PRINTED NAMEsIc aj - fission
July 2, 7
MY COMMISSION EXPIRES ✓ AR . CODE DAYTIME TELEPHONE NUMBER
M0. D R.
CItlHG,ll l,pll{V4 J\GIC. � Ui Y Vt YVItIt,11SStV lib,GIONIVIIi Cl1U LONIi1PYY11 p` /�
DST-B-503(12-99) 210 North Office Building 0 cGHarrisburg,PA 1T120.0029 • (717)787-5280 1