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HomeMy WebLinkAboutSusquehanna Progress Coalition - 2020 30-Day Post Election Pennsylvania Department of State figii Bureau of Campaign Finance&Civic Engagement 210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) www.dos.pa.gov/campaignfinance • ra-stcampaignfinance@pa.gov 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 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 Statements. This form must be signed by hand where a signature is required. Name of Filing Committee, Candidate, or Lobbyist Susquehanna Progress Coalition Reporting Cycle Name ❑ Cycle 1 0 Cycle 2 0 Cycle 3 0 Cycle 4 0 Cycle 5 6th Tuesday 2nd Friday 30 Day 6th Tuesday 2nd Friday Pre-Primary Pre-Primary Post Primary Pre-Election Pre Election i] Cycle 6 ❑ Cycle 7 ❑ Cycle 8 ❑ 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 declare under penalty of perjury under the law of the Commonwealth of Pennsylvania that the foregoing is true and correct. �; 7 12/01/2020 Signature o easurer, Candidate, or Lobbyist Date (DD/MM/YYYY) Sarah Yerger Camp Hill, PA USA Printed Name Location (City/State/Country) DSEB-503S Updated 6/24/2020 a 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. FILER IDENTIFICATION REPOED I• �. 3. NUMBER ' REPORT FIL ON BEHALF CANDIDATE COMMITTEE `/ LOBBYIST NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST Y Susquehanna Progress Coalition STREET ADDRESS 102 Saint Johns Church Road CITY STATE ZIP CODE Camp Hill PA 17011 — TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION (CHECK ONE) MO. DAY YEAR • I 6TH TUESDAY PRE-PRIMARY FOR OFFICE USE ONLY MO. DAY YEAR - MO. DAY YEAR - --- 2ND FRIDAY 2' DATES OF PRE-PRIMARY REPORTING TO PERIOD 30 DAY 3. - - -- -- - POST-PRIMARY bEc . ) ao� CASH BALANCE AT END 491.74 �J l- 6TH TUESDAY 4. OF REPORTING PERIOD: $ PRE-ELECTION TOTAL AMOUNT OF FILER'S 5. OUTSTANDING DEBTS OR LIABILITIES 2ND FRIDAY AT THE END OF REPORTING PERIOD: $ 0•00 PRE-ELECTION 30 DAY POST-ELECTION V AMENDMENT YES NO REPORT? �/ 7. ANNUAL TERMINATION YES NO REPORT REPORT? `/ AFFIDAVIT SECTION PART I- 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 UABILITIES 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 BELIEF,TRUE,CORRECT AND COMPLETE. SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF 20 S ATU PERSON SUBMITTING REPORT Sarah Yerger SIGNATURE PRINTED NAME MY COMMISSION EXPIRES - 71 7 856-1388 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 SIGNATURE OF CANDIDATE DAY OF 20, PRINTED NAME SIGNATURE MY COMMISSION EXPIRES AREA CODE DAYTIME TELEPHONE NUMBER MO. DAY YR. Department of State • Bureau of Commissions,Elections and Legislation DSLD-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280 R -- T - - ---- T