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HomeMy WebLinkAboutEast Pennsboro Democratic Club - 2020 2nd Friday Pre-Election • Y .:. Pennsylvania Department of State • Bureau of Campaign Finance&Civic Engagement 210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) www.dos.oa.eov/campaignflnance • ra-stcampajgnfinanceCnlpa,Rov Unsworn Statement in Lieu of Sworn Statement for Campaign Finance Reports Note: Per Act 2020-15, which was signed into law on April 20, 2020 and allows for unsworn 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 form is to be used only for Campaign Finance Reports. This form must be signed by hand where a signature is required. JCL Gornrnittee, Candidate,®p Lobb ist EA-Sr f •N v KO 'D .Ro c-KKiKT c. CLUB eportin: 41, Name 0 Cyde 1 0 Cycle 2 0 Cycle 3 0 Cycle 4 ® Cycle 5 6th Tuesday 2"d Friday 30 Day 6d'Tuesday 2"d Friday Pre Primary Pre-Primary Post Primary Pre-Election Pre-Election ❑ Cycle 6 ❑ Cycle 7 ❑ Cycle 8 ❑ Cycle 9 30 Day Post-Election Annual Report 2"d Friday;Pre-Special Election 30 Day Post-Special Election Part I If this form is submitted with a Committee report, the treasurer must sign here. If this form is submitted with a Candidate report, the candidate must sign here. If this report is submitted with a report by a contributing lobbyist, the lobbyist must sign here. I declare under penalty of perjury under the law of the Commonwealth of Pennsylvania that the foregoing is true and correct. /2_) /_2.09 Signature of Treasurer, Candidate, or Lobbyist Date (DD/NIM/YYYY) Mo.-Ae-wV7-0.(\ 6wot /P / OS-A-- Printed Name Location (City/State/Country) OSEB-502R atad8d.241.2020 III Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) Filer Numberntification zooq 2c I (Np Filed By Candidate Committee X Lobbyist ark X) Name of Filing Committee,Candidate or .‹ r r,,c Lobbyist T k‘1.- Ns �(� Darl ocR m�. C Q(�r"r'ra Street Address 1 a. Box o ta x 2 �n City r Ot-Int. /� State p Zip Code t 7(��125- Type of Report(Place x under report type) t o� 1-6th Tuesday 2- 2n°Friday 3-30 Day Post 4-6th Tuesday 5-2"c 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 1 1 X , Date Of Election Year n Amendment Termination (MM/DD/YYYY) )11t8/ ��U Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures O /a3/202' It/f' /2-D A.Amount Brought Forward From Last Report S )} p ca �� I) l0 o B.Total Monetary Contributions and Receipts S ;;� (From Schedule I) �i r�1 c-� C.Total Funds Available S r� r� �� g,7 i' (Sum of Lines A and B) o f f r N D.Total Expenditures S (From Schedule III) 'i 00 0 -.2 E.Ending Cash Balance fj"JCO S (Subtract Line D from Line C) �)4'7I, 1 F.Value of In-Kind Contributions Received S n (From Schedule II) P U G.Unpaid Debts and Obligations S D • 60 (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 of my knowledge and belief true,correct and complete. Sworn to and subscribed before me this ] / day of 20 [.. r�_a ✓{_ MSignature of Person Submitting report Signature Printed Na q Name (� My Commission expires 9{� 0Q—O C I G MO. DAY 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 day of 20 Signature of Candidate Signature Printed Name • My Commission expires MO. DAY YR. Area Code Daytime Telephone Number SCHEDULE I Contributions and Receipts Detailed Summary Page Filer Identification Number /2_0 V 1 24 I1.Unitemized Contributions and Receipts-S 50.00 or Less per Contributor I Total for the reporting period (1) S 12.1 0 I2.Contributions of S 50.01 to S 250.00(From I Part A and Part B) Contributions Received from Political Committees(Part A) 8 61i VT r1 f r • All Other Contributions(Part B) 8 0,0 0 Total for the reporting period (2) S 1 19 9 4, 3.Contributions Over 8250.00(From Part C and Part D) Contributions Received from Political Committees(Part C) S 0 ,0 0 All Other Contributions(Part D) 8 50040 5n, Total for the reporting period (3) $ 00 l4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) I Total for the reporting period (4) 8 O a 0 Total Monetary Contributions and Receipts during this reporting period(Add and S enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report S Cover Page,Item 8) 1(I 4- PART A Contributions Received From Political Committees 850.01 TO S 250.00 Use this Part to itemize only contributions received from Political Committees with an aggregate value from S 50.01 TO 8 250.00 in the reporting period. Filer Identification Number rL/^-oo t4 2 C Amount Full Name of Contributing Q"�ji Date[MM/DD/YYYY] S G� Committee OSKI bR �-c i s l t I V o /V 7/ooQD House# Street Address 1 Date[MM/DD/YYYY] S o, Box. 12_ City n aL State AY/n n Zip Code 17011 Date[MM/DD/YYYY] S CRIM Full Name of Contributing Date[MM/DD/YYYY] S Committee House# Street Address Date[MM/DD/YYYY] S City State Zip Code Date[MM/DD/YYYY] S Full Name of Contributing Date[MM/DD/YYYY] S Committee House# Street Address Date[MM/DD/YYYY] S City State Zip Code Date[MM/DD/YYYY] S Full Name of Contributing Date[MM/DD/YYYY] S Committee House# Street Address Date[MM/DD/YYYY] S City State Zip Code Date[MM/DD/YYYY] 8 Full Name of Contributing Date[MM/DD/YYYY] 8 Committee House# Street Address Date[MM/DD/YYYY] S City State Zip Code Date[MM/DD/YYYY] S Full Name of Contributing Date[MM/DD/YYYY] S Committee House# Street Address Date[MM/DD/YYYY] S City State Zip Code Date[MM/DD/YYYY] 8 PART D All Other Contributions Over S 250.00 Use this Part to itemize all other contributions with an aggregate value over S 250.00 in the reporting period. (Exclude contributions from political committees reported in Part C) Filer Identification Number: 2,0O1+ 2-G Full Name of Contributor Date[MM/DD/YYYY] S Lis Pt M ((tE C©YNf o9 /a3/2_102o 500, 00 House# ^ Street Address , � Date[MM/DD/YYYY] S (lU- CJ_5 B V kN 1 �I l l) City State Zip Code Date[MM/DD/YYYY] S MEav CSQ;Ufl,& flô55 Employer Name COW , -Oy fg 1 c Occupation —�-[ i yE Y EmployerMailing Address/ PrincipalPlace of Business C101 I l 1 1f � W� Ki(E ? ' P4 It7o f Principal � ���_f Full Name of Contributor Date[MM/DD/YYYY] S House# Street Address Date[MM/DD/YYYY] S City State Zip Code Date[MM/DD/YYYY] S Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYY] S House# Street Address Date[MM/DD/YYYY] S City State Zip Code Date[MM/DD/YYYY] S Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYY] S House# Street Address Date[MM/DD/YYYY] S City State Zip Code Date[MM/DD/YYYY] S Employer Name Occupation Employer Mailing Address/ Principal Place of Business SCHEDULE III Statement of Expenditures Filer Identification Number: -zvV L ( 2.6 ' 1 y(}- 1 To Whom Paid C U goj AND CoJrJ-ry Date[MM/DD/YYYY] S -1 OC :-VVC-- CoM M1Ir ogM120-0 56. oD House# LIG Street Address Lr f il-k*C f 6J,,,_, Description of Expenditure City C.t 1ck c L State {41. Zlp \ 7O! \T A D &&N Code � To Whom Paid Date[MM/DD/YYYY] S House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] S House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] 8 House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] S House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] S House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] S House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] S House# Street Address N Description of Expenditure City State Zip Code