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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 X Lobbyist
Number 83-4445500 (Mark X) `
Name of Filing Committee,Candidate or
Lobbyist Hampden Township Democratic Club Committee
Street Address • • • ‘ • 888 Mandy Lane
City Camp Hill State PA Zip Code 17011
Type of Report(Place x under report type)
1-6"' Tuetiday 2- 2"d Friday 3-30 Day Post 4-6th Tuesday 5.2"d Friday 6-30 Day Post ,7-Annual Special 2"°Friday Special 30 Day
Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election
Date Of Election Year •Amendment 0 Termination
(MM/DD/YYYY) • Report Report
Summary of Receipts and From Date To Date For Office Use Only }
Expenditures - a
11/04/2020 11/23/2020 ,
A.Amount Brought Forward From Last Report $ 1
2739.10
B.Total Monetary Contributions and Receipts $ 575.00 t--
(From Schedule I) x
C.Total Funds Available S W t::::i
3314.10 r L7
(Sum of Lines A and B)
D.Total Expenditures , $ 100.00 f
(From Schedule III) % •`.1
E.Ending Cash Balance $ t:3
3214.10
(Subtract Line D from Line C)
F.Value of In-Kind Contributions ReceivedI
$ 0 fV
(From Schedule II) 7 q
G.Unpaid Debts and Obligations $ o CT1
(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 tms
2nQt 6 jC oTA f Pennsylvania-Notary Seat f
day0f .QP Tl Notary�u it
;.--1/ Cumberland County Signature of Person‘Submitting report
ova, l My Commission Expires Mar 28 24 QD 61 E.2T ( c3 D 4
Signature Commission Number 12681 9 Printed Name
My Commission expires. a,. O L/ 9 r'l rt5t,-4 3
MO. DAY YR. Area Code Daytime Telephone Number
Part II-If this is a report of a Candidate's Authorized Committee,candidate shalt 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
83-4445500
1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor '
Total for the reporting period (1) $ 575.00
2.Contributions of$50.01 to 1-$250.00(From
Part A and Part B) •
Contributions Received from Political Committees(Part A) $
All Other Contributions(Part B) $
Total for the reporting period' (2) $ 0
3.Contributions Over$250.00(From Part C and Part D)
Contributions Received from Political Committees(Part C) $
All Other Contributions(Part D) $
Total for the reporting period (3) $ 0
•
4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E)
Total for the reporting period (4) $ 0
Total Monetary Contributions and Receipts during this reporting period(Add and $
enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report
Cover Page,Item B) 575.00
PART A
Contributions Received From Political Committees
$50.01 TO$250.00
- _ Use this Part to itemize only contributions received from Political Committees
with an aggregate value from$50.01 TO$250.00 in the reporting period.
Filer Identification Number
83-4445500
Amount
Full Name of Contributing Date(MM/DD/YYYY] $
Committee 0
House# Street Address Date(MM/DD/YYYYj $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributing Date[MM/DD/YYYYj $
Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributing Date[MM/DD/YYYYj $
Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributing Date(MM/DD/YYYY] $
Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributing Date(MM/DD/YYYY] $
Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributing Date[MM/DDJYYYY] $
Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date(MM/DD/YYYY] $
PART B
AU Other Contributions
$50.01 TO$250
Use this Part to itemize all other contributions with an aggregate value from
$50.01 TO$250 in the reporting period.
(Exclude contributions from political committees reported in Part A.)
Filer Identification Number:
83-4445500
Full Name of Contributor Date(MM/DD/YYYYJ $•
if C '
House# Street Address Date[MM/DD/YYYY), .$
kCiEy State Zip Code Date(MM/DD/YYYY) $
Full Name of Contributor Date[MM/DD/YYYY] $
I
House# Street Address Date[MM/DD/YYYY].,. .$
L .
City State. Zip Code Date(MM/DD/YYYY) $
Full Name of Contributor oate•[MM/DD/YYYYJ- $
House#- Street Address Date(MM/DD/YYYY) $
City• State Zip Code - Date[MM/DD/YYYY) $
r
Full Name of Contributor Date(MM/DD/YYYY) $
House# Street Address Date(MM/DD/YYYYJ $
•
City State. Zip Code Date(MM/DD/YYYY) $
Full Name of Contributor Date[MM/DD/YYYY) $
House# Street Address Date(MM/DD/YYYYJ $
City State Zip Code Date)MM/DD/YYYY] $
Full Name of Contributor Date(MM/DD/YYYY) $
House# Street Address Date[MM/DD/YYYYJ $
City State Zip Code Date(MM/DD/YYYY) $
PART C
Contributions Received From Political Committees
Over$250.00
Use this Part to itemize only contributions received from Political Committees
with an aggregate value over$250.00 in the reporting period.
Filer Identification Number:
I
83-4445500
Full Name of Date[MM/DD/YYYY] $
Contributing Committee 0
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date]MM/DD/YYYY] $
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYYJ $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
PART D
All Other Contributions
Over$250.00
Use this Part to itemize all other contributions with an aggregate value over$250.00 in the reporting period.
(Exclude contributions from political committees reported in Part C)
Filer Identification Number:
83-4445500
Full Name of Contributor Date[MM/DD/YYYYJ $
0
House# Street Address. Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY) $
Employer Name Occupation
Employer Mailing Address/
Principal Place of Business
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY) $
Employer Name Occupation
Employer Mailing Address/
Principal Place of Business
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Employer Name Occupation
Employer Mailing Address/
Principal Place of Business
Full Name of Contributor Date IMM/DD/YYYYJ $
House# Street Address Date[MM/DD/YYYYJ $
City State Zip Code Date[MM/DD/YYYY] $
Employer Name Occupation
Employer Mailing Address/
Principal Place of Business
•
PART E
Other Receipts •
REFUNDS,INTEREST INCOME,RETURNED CHECKS,ETC.
Use this Part to report refunds received,interest earned,returned checks and prior expenditures that were returned to the filer.
Filer Identification Number:
I
83-4445500
Full Name
NONE
House# Street Address
City State Zip . Date[MM/DD/YYYY[ $
Code
Receipt Description
Full Name
House# Street Address
City State Zip Date[MM/DD/YYYY] $
Code
Receipt Description
Full Name
House# Street Address
City State Zip Date[MM/DD/YYYY] $
Code
Receipt Description
Full Name
House# Street Address
City State Zip Date[MM/DD/YYYY] $
Code
Receipt Description
Full Name
House# Street Address
City State Zip Date[MM/DD/YYYY] $
Code
Receipt Description
Full Name
House# Street Address
City State Zip Date[MM/DD/YYYY] $
Code
Receipt Description
SCHEDULE II
IN-KIND CONTRIBUTIONS AND VALUABLE THINGS RECEIVED
USE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS DURING THE REPORTING PERIOD
DETAILED SUMMARY PAGE
Filer Identification Number:
83-4445500
•
I1., UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR .
TOTAL for the reporting period (1) $ NONE
): 2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F)
TOTAL for the reporting period (2) $ NONE
3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) - , - .
r` -
TOTAL for the reporting period (3) $ NONE
TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING $
PERIOD(Add and enter amount totals from boxes 1,2,and 3;also enter
on Page 1,Report Cover Page,Item F) NONE
SCHEDULE II
PART F
In-Kind Contributions Received
VALUE OF$50.01 TO$250
Filer Identification Number:
83-4445500
Full Name of Contributor Data[MM/DD/YYYY] $
NONE
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Description of Contribution
Full Name of Contributor Date(MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYYj $
City State Zip Code Date[MM/DD/YYYYj $
Description of Contribution
Full Name of Contributor Date[MM/DD/YYYYj $
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYYj $
Description of Contribution
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Description of Contribution
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYYj $
Description of Contribution
SCHEDULE II
Part G
In-Kind Contributions Received
VALUE OVER$250
Filer Identification Number:
83-4445500
Full Name of Contributor Date LMM/DD/YYYY] ' $
• NONE
,House# Street Address Date)MM/DD/YYYY]_ $
City State Zip Code Date[MM/DD/YYYY] $
!Employer Name Occupation
Employer Mailing Address,,Prindpal, Description
Place of Business `' - of
Contribution
'Full Name of Contributor Date[MM/DD/YYYYJ• $
House# Street Address Date[MM/DD/YYYYJ $
i
{
City State Zip Code Date[MM/DD/YYYY) +$
Employer Name Occupation
Employer Mailing Address/Principal- Description
Place of Business of
Contribution'
Full Name of Contributor Date LMM/DD/YYYY) $
House# Street Address Date[MM/DD/YYYYJ $
, •
•
City State Zip Code Date[MM/DD/YYYYJ $
Employer Name Occupation .
Employer Mailing Address/Principal Description
'Place of Business of
Contribution
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY) $
City - State Zip Code Date[MM/DD/YYYYJ $
Employer Name — • ' Occupation
Employer Mailing Address/Principal Description
Place of Business of
Contribution
SCHEDULE III
Statement of Expenditures
Filer Identification Number.
83-4445500
To Whom Paid Date EMM/DD/YYYY] $
BlueLink Messaging 100.00
11/08/2020
House# Street Address Description of Expenditure
4301 50th Street NW,Suite 300,PMB 1011,
City State Zip
Washington DC Code 20016 Fee for 1,000 text messages
To Whom Paid Date EMM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date EMM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYYJ $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYYJ $
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/YYYYj $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYYJ $
House# Street Address Description of Expenditure
City State Zip
Code
SCHEDULE IV
Statement of Unpaid Debts
Use this Section to itemize all unpaid debts and obligations which are outstanding at the end of the reporting period.
filer Identification Number:
83-4445500
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
[MM/DD/YYYYJ
City State Zip NONE
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
[MM/DD/YYYYJ
City State Zip
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
[MM/DD/YYYYJ
City State Zip
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
[MM/DD/YYYYJ
City State Zip
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
[MM/DD/YYYYJ
City State Zip
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
[MM/DD/YYYYJ
City State Zip
Code
Description of Debt