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HomeMy WebLinkAboutFriends of Nate Silcox - 2016 30-Day Post Election Reset Form 1. Print Form VIII jI 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 Lobbyist Number (Mark X) Name of Filing Committee,Candidate or Lobbyist Friends of Nate Silcox Street Address P.O.Box 882 City Camp Hill State PA Zip Code 17011 Type of Report(Place x under report type) 1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday 5-rd 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 (MM/DD/YYYY) 11/08/2016 2016 Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 10/24/2016 11/28/2016 A.Amount Brought Forward From Last Report $ 10,965.13 r'' cJ B.Total Monetary Contributions and Receipts $ 0 "1, `fry (From Schedule I) ;_t rrl C.Total Funds Available $ b(Sum of Lines A and B) 10,965.13 ,,r 1 D.Total Expenditures $ n (SI Ell --i (From Schedule III) 138 o�•.,I E.Ending Cash Balance $ rri -» 10,827.13 -r-1:-P L' (Subtract Line D from Line C) --i F.Value of In-Kind Contributions Received $ CP (From Schedule II) 0 d G.Unpaid Debts and Obligations $ 0 (From Schedule IV) Affidavit Section 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•.y knowledge and belief true,correct and complete. Sworn to and subscribed before me this . day of `'-t., 20 /C. / i . nature Person ubn r ort ,, mi��ti� Signal,t Printed Name . r My Commission�xp��PA�./.YI i PENM�.Y1 l I- _ a3\-1 - 1 ,(30 COMFtONr r . seal DAY YR Area Code Daytime Telephone Number Not:,marr wanner, Notary Public , Part n If ti!-y4se r ggtitarga'ridfiilit@4'A•' • .Committee,candidate shall sign here. I swea (yxy[ibrprr)rtgsslcilt'•@`' •"i1S!f7iR113:'?:�:nd belief this political committee has not violated any provisions of the Act of June 3,1937(P.L.1333,NO.320)as amend:.mem PENNSYLVANIA ASSOCIATION OF NOTA' 5 Sworn to and subscribed before me this � ... day of�te, Ay 20 7.6 ' I t•--cAP c—S Signature of Candidate ,�" ��cStid-ra— y c v -�- S L • Signat4ffe �J I Printed Name My Commission expires, 'j—_ 2N l .- r") to l-l`. Zf7g.S- COMMONWEdt?ptl OF IP NNSYLfI,NIA Area Code Daytime Telephone Number INotarial Seal l Adam C. Wagner, Notary Public City of Harrisburg, Dauphin County My Commission Expires Dec. 2, 2017 MEMBER PENNSYLVANIA ASSOCIATION OF NOTARIES SCHEDULE III Statement of Expenditures Filer Identification Number: To Whom Paid Date[MM/DD/YYYY] $ Penn State University 138 11/05/2016 House# 117 Street Address Old Main Description of Expenditure City State Zip University Park PA Code 16802 Football Tickets •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