HomeMy WebLinkAboutUpper Allen Mechanicsburg Democratic Club - 2020 30-Day Post-Primary Pennsylvania Department of State
Bureau of Campaign Finance&Civic Engagement
210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4)
www.dos.oaeov/camoaianfinance • ra-stcamaaisnfinancePpa.eov
Unsworn Statement in Lieu of Sworn Statement for
Campaign Finance Statements
Note: Per Act 2020-15, which was signed into law on April 20, 2020 and allows for unworn
declarations, Campaign Finance Reports(form DSEB 502), Campaign Finance Statements In lieu
of full reports(form DSEB-503), and Independent Expenditure Reports(form DSEB-505)need not
be notarized. Instead, the filer may file with each report or statement the corresponding version
of this form signed by the required individual(s). This particular jbnn is to be used only for
Campaign Finance Statements. This form must be signed by hand where o signature is required.
Name of Filing Committee, Candidate, or Lobbyist
(,lppo r Al lei VV1eth. 1 (2.ytA,
Reporting Cycle Name
❑ Cycle 1 ❑ Cyde 2 v Cyde 3 ❑ Cyde 4 ❑ Cycle 5
6th Tuesday 2"l Friday 30 Day 6th Tuesday 2nd Friday
Pre-Election
Pre-Primary Pre-Primary Post Primary Pre-Election
❑ Cycle 6 ❑ Cyde 7 ❑ Cyde 8 0 Cycle 9
30 Day Post-Election Annual Report 2nd Friday Pre-Special Election 30 Day Post-Special Election
Part I — If this form is submitted with a statement in lieu of full report by a political
committee, the treasurer must sign here. If this form is submitted with a statement in lieu
of a full report by a candidate, the candidate must sign here. If this form is submitted with
a statement in lieu of full report by a contributing lobbyist, the lobbyist must sign here.
I dedare under penalty of perjury under the law of the Commonwealth of Pennsylvania
that the fore:oing is true and correct.
oriplejP„,„,
Signature • Treasurer,Candidate,or Lobbyist Date(DD/MM/YYYY)
pkilie 1 4 Ivo ,g PS.
Printed Name Location (City/State/Country)
DSEB-503S
Updated 6/24/2020
Commonwealth
of Pennsylvania
11111111111111111111111111
Campaign Finance Statement 329612
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.
FILER IDENTIFICATION NUMBER: 20190208 REPORT FILED ON BEHALF OF: Committee
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST UPPER ALLEN MECHANICSBURG DEMOCRATIC CLUB
STREET ADDRESS 2138 CANTERBURY DRIVE
CITY MECHANICSBURG STATE PA ZIP CODE 17055-5767
TYPE OF REPORT 30-Day Post-Primary
NAME OF OFFICE SOUGHT BY CANDIDATE
DISTRICT CODE PARTY CODE DEM
DATE OF ELECT/ON 11/3/2020
DATES OF REPORTING PERIOD 5/19/2020 TO 6/22/2020 For Office Use Only.
AMENDMENT REPORT? NO TERMINATION REPORT? NO
C�.
CASH BALANCE AT THE END OF REPORTING 1,798.05
PERIOD: 4:3-‘
TOTAL AMOUNT OF FILER'S OUTSTANDING 0.00 "i?
DEBTS OR LIABILITIES AT THE END OF { "
REPORTING PERIOD:
(=)
_4 IN.,
AFFIDAVIT SECTION
PART I-
If statement is filed on behalf of a Political Committee or Candidate's Committee,the Treasurer must sign here.
If statement is filed on behalf of a Candidate,the Candidate must sign here.
If statement Is flied on behalf of a Contributing Lobbyist,the Lobbyist must sign here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABD.TTIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID
NOT EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND B CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
day of 20
SI NA O UBMIrrING REPORT
1jli r f 1 Hi
SIGNATURE ((( PRINTED NAME
MY COMMISION 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 ACT OF JUNE
3,1937(P.L.1333,No.320)AS AMENDED.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
day of 20
SIGNATURE OF PERSON SUBMITTING REPORT
SIGNATURE PRINTED NAME
MY COMMISION EXPIRES MO. DAY YR.
AREA CODE DAYTIME TELEPHONE NUMBER
Department of State.Bureau of Commissions,Elections and Legislation 6/30/2020 12:04:58 PM
210 North Office Budding.Harrisburg,PA 17120.0020.(717)787-5280