HomeMy WebLinkAboutCumberland County Democratic Committee - 2020 30-Day Post Election Pennsylvania Department of State
Bureau of Campaign Finance&Civic Engagement
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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 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.
Name of Filing Committee, Candidate, or Lobbyist
S O 0 U (y — CtA wwbe - 1 o-vbd Co • be.-vu . ('Am n t .
Reporting Cycle Name
0 Cycle 1 0 Cycle 2 0 Cycle 3 0 Cycle 4 ❑ Cycle 5
6th Tuesday 2"d Friday 30 Day 6th Tuesday 2"d Friday
Pre-Primary Pre-Primary Post Primary Pre-Election Pre-Election
fX( Cycle 6 ❑ Cycle 7 0 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.
.),.4 P4 a3/// / ,;?U
Signature of Treasurer, Candidate, or Lobbyist Date (DD/MM/YYYY)
Jo Ai j). AsAti, (6, /, //A / U14
Printed Name Location (City/State/Country)
DSEB-502R
Updated 6/24/2020
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Commonwealth of Pennsylvania 1111111110111111111111111111111111111111111111111111
Campaign Finance Report 338639
(NOTE:This report must be clear and legible. It may be typed or printed in blue or black ink.)
Filer Identification 8000648 I Report CANDIDATE COMMITTEE LOBBYIST
Number: Filed By:
Name of Filing Committee,Candidate or Lobbyist: CUMBERLAND CO DEM COM
Street Address: PO BOX 1121
City: CARLISLE •
State: PA Zip Code: 17013
TYPE OF 6TH TUESDAY 1. 2ND FRIDAY PRE- 2. 30 DAY POST- 3. AMENDMENT Yes No
REPORT PRE-PRIMARY PRIMARY PRIMARY REPORT?
6TH TUESDAY 4. 2ND FRIDAY PRE- 5. 30 DAY POST- 6. X TERMINATION Yes No
(place X to PRE-ELECTION ELECTION ELECTION REPORT?
the right of
report type) ANNUAL REPORT 7. Year 2020 FILING METHOD PAPER i DISKETTE
( )CHECK ONE
DATE OF ELECTION District Office Party Code County
Name of Office Sought by Candidate: Number Code Code
MO DAY YEAR DEM 21
11 3 2020 (SEE INSTRUCTIONS FOR CODES)
Summary of Receipts and MO DAY YEAR MO DAY YEAR FOR OFFICE USE ONLY
Expenditures from: 10 20 2020 TO 11 23 2020
C.) r•.../
:a
A.Amount Brought Forward From Last Report $ 12,665.87 W
B.Total Monetary Contributions And Receipts(From Schedule I) $ 2,893.30 rri m
Xt r— t
C.Total Funds Available(Sum Of Lines A and B) $ 15,559.17 --
l7
D.Total Expenditures(From Schedule III) $ 1,647.38 C)
Q
E.Ending Cash Balance(Subtract Line D From Line C) $ 13,911.79 C)
F.Value Of In-Kind Contributions Received(From Schedule II) 14.25 ....4 f\J
-.< Cf1
G.Unpaid Debts And Obligations(From Schedule IV) $ 0.00
AFFIDAVIT SECTION
PART I-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 filed on paper or by electronic medium,are to the best of my knowledge and belief,true
correct and complete. /j f, v `,� /t
Sworn to and subscribed before me this �.1L` v S
U Signature)j Pof Person Submitting/ Report
day of 20 JO A" i&-6
L Printed Name
Signature j G1,n A )6JsIL el, yid.,:. (0'1
My Commission Expires /5-70) Email y q,i:'-3`/k7
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
Signature of Candidate
day of 20
Printed Name
Signature
My Commission Expires Email
MO DAY YR Area Code Daytime Telephone Number
11/27/2020 5:54:27 PM
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SCHEDULE I
CONTRIBUTIONS AND RECEIPTS
Detailed Summary Page
Name of Filing Committee or Candidate Reporting Period
CUMBERLAND CO DEM COM From: 10/20/2020 To: 11/23/2020
1.Unitemized Contributions Received-$50.00 or Less Per Contributor
TOTAL for the Reporting Period (1) $ 2,793.30
2.Contributions Received- $50.01 To$250.00(From Part A and Part B)
Contributions Received From Political Committees(Part A) $ 0.00
All Other Contributions (Part B) $ 100.00
TOTAL for the Reporting Period (2) $ 100.00
3.Contributions Received Over$250.00(From Part C and Part D)
Contributions Received From Political Committees(Part C) $ 0.00
All Other Contributions (Part D) $ 0.00
TOTAL for the Reporting Period (3) $ 0.00
4.Other Receipts,Refunds,Interest Earned,Returned Checks, Etc.(From Part E)
TOTAL for the Reporting Period (4) $ 0.00
Total Monetary Contributions and Receipts During this Reporting Period (Add and enter amount 2,893.30
totals from Boxes 1,2,3 and 4;also enter this amount on Pagel,Report Cover Page,Item B.)
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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.
Name of Filing Committee or Candidate Reporting Period
From: To:
DATE AMOUNT
Full Name of Contributing Committee
MO DAY YEAR
Mailing Address
$ 0.00
City State Zip Code(Plus 4)
PAGE TOTAL
Enter Grand Total of Part A on Schedule I, Detailed Summary Page, Section 2. $ 0.00
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PART B
ALL OTHER CONTRIBUTIONS
$50.01 TO $250.00
Use this Part to itemize all other contributions with an aggregate value from
$50.01 to $250.00 in the reporting period.
(Exclude contributions from political committees reported in Part A)
Name of Filing Committee or Candidate Reporting Period
CUMBERLAND CO DEM COM From: 10/20/2020 To: 11/23/2020
DATE AMOUNT
Full Name of Contributor
Thomas Hendrix MO DAY YEAR
Mailing Address g17 Wellington Drive
$ • 100.00
Cit State Zip Code(Plus 4) 10 21 2020
Y Carlisle
PA 17013
PAGE TOTAL
Enter Grand Total of Part A on Schedule I, Detailed Summary Page, Section 2. $ 100.00
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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 from Over $250.00 in the reporting period.
Name of Filing Committee or Candidate Reporting Period
From: To:
DATE AMOUNT
Full Name of Contributing Committee
MO DAY YEAR
Mailing Address
$ 0.00
City State Zip Code(Plus 4)
PAGE TOTAL
Enter Grand Total of Part C on Schedule I, Detailed Summary Page, Section 3.
0.00
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1-Hut b
PART D
ALL OTHER CONTRIBUTIONS
OVER $250.00
Use this Part to itemize all other contributions with an aggregate value of
over $250.00 in the reporting period.
(Exclude contributions from political committees reported in Part C.)
Name of Filing Committee or Candidate Reporting Period
From: To:
•
DATE AMOUNT
Full Name of Contributor
MO DAY YEAR
Mailing
Address $ 0.00
City State Zip Code(Plus 4)
Employer Name Occupation
Employer Mailing Address/Principal Place of City State Zip Code(Plus 4)
Business
PAGE TOTAL
Enter Grand Total of Part C on Schedule I, Detailed Summary Page, Section 3.
$ 0.00
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' t
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.
Name of Filing Committee or Candidate Reporting Period
From: To:
DATE AMOUNT
Full Name
MO DAY YEAR
Mailing Address $ 0.00
City State Zip Code(Plus 4)
Receipt Description
PAGE TOTAL
Enter Grand Total of Part E on Schedule I, Detailed Summary Page,Section 4.
$ 0.00
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NAI3t 8
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
Name of Filing Committee or Candidate Reporting Period
CUMBERLAND CO DEM COM From: 10/20/2020 To: 11/23/2020
1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR
TOTAL for the Reporting Period (1) $ 0.00
2.IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F)
TOTAL for the Reporting Period (2) $ 14.25
3.IN-KIND CONTRIBUTION RECIEVED-VALUE OVER$250.00(FROM PART G)
TOTAL for the Reporting Period (3) $ 0.00
TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING PERIOD(Add and enter $ 14.25
amount totals from Boxes 1,2,and 3;also enter on Page 1,Reports Cover Page,Item F.)
•
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•
SCHEDULE II
PART F
IN-KIND CONTRIBUTIONS RECEIVED
VALUE OF $50.01 TO $250.00
Name of Filing Committee or Candidate Reporting Period
CUMBERLAND CO DEM COM From: 10/20/2020 To: 11/23/2020
DATE AMOUNT
Full Name of Contributor
John D Bosha MO DAY YEAR
Mailing Address 5 Gale Circle 14.25
10 21 2020
City Camp Hill State Zip Code(Plus 4)
PA 17011
Description of Contribution: copies of previous report
Enter Grand Total of Part F on Schedule II, In-Kind Contributions Detailed Summary Page, PAGE TOTAL
Section 2.
14.25
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SCHEDULE II
PART G
IN-KIND CONTRIBUTIONS RECEIVED
VALUE OVER $250.00
Name of Filing Committee or Candidate Reporting Period
From: To:
DATE AMOUNT
Full Name of Contributor
MO DAY YEAR
Mailing Address
$ 0.00
City State Zip Code(Plus 4)
Employer of Contributor Occupation
Employer Mailing Address/Principal Place of City State Zip Code(Plus Description of Contribution
Business 4)
Enter Grand Total of Part G oh Schedule II, In-Kind Contributions Detailed PAGE TOTAL
Summary Page, Section 3. 0.00
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FiAut 11
SCHEDULE III
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Period
CUMBERLAND CO DEM COM From 10/20/2020 To: 11/23/2020
DATE AMOUNT
To Whom Paid
MO DAY YEAR
ActBlue
Mailing Address 366 Summer St. 10 20 2020
$ 2.19
City Somerville State Zip Code(Plus 4) Description of Expenditure
MA 02144 service charge
To Whom Paid
Staples Direct MO DAY YEAR
$
Mailing Address 500 Staples Dr. 10 20 2020 89.26
State Zip Code(Plus 4) Description of Expenditure
City Framingham
MA 01701 supplies
To Whom Paid
MO DAY YEAR
ActBlue
Mailing Address 366 Summer St. 10 21 2020
$ 3.84
City Somerville State Zip Code(Plus 4) Description of Expenditure
MA 02144 service charge
To Whom Paid
MO DAY YEAR
Amazon
Mailing Address 1200 12th Ave. 10 21 2020
$ 200.07
City Seattle State Zip Code(Plus 4) Description of Expenditure
WA 98144 supplies
To Whom Paid
MO DAY YEAR
ActBlue
Mailing Address 366 Summer St. 10 22 2020
$ 1.08
City Somerville State Zip Code(Plus 4) Description of Expenditure
MA 02144 service charge
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To Whom Paid
MO DAY YEAR
PPL
Mailing Address 827 Hausman Road 10 22 2020
$ 111.46
City Allentown State Zip Code(Plus 4) Description of Expenditure
PA 18104 electric
To Whom Paid
MO DAY YEAR
ActBlue
Mailing Address 366 Summer St. 10 26 2020
$ 1.13
City Somerville State Zip Code(Plus 4) Description of Expenditure
MA 02144 service charge
To Whom Paid
Amazon MO DAY YEAR
Mailing Address 1200 12th Ave. 10 26 2020
$ 63.58
City Seattle State Zip Code(Plus 4) Description of Expenditure
WA 98144 supplies
To Whom Paid
ActBlue MO DAY YEAR
Mailing Address 366 Summer St. 10 28 2020
$ 3.49
City Somerville State Zip Code(Plus 4) Description of Expenditure
MA 02144 service charge
To Whom Paid
MO DAY YEAR
Zoom
10 28 2020 $ 2.83
Mailing Address 55 Almaden Blvd., 6th Fl.
City State Zip Code(Plus 4)
San Jose Description of Expenditure
CA 95113 service charge
To Whom Paid
MO DAY YEAR
ActBlue
Mailing Address 366 Summer St. 10 29 2020
$ 1.36
City State Zip Code(Plus 4) Description of Expenditure
Somerville p
MA 02144 service charge
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To Whom Paid
MO DAY YEAR
DePasquale For PA 10
Mailing Address P.O. Box 1822 10 29 2020
$ 50.00
City York State Zip Code(Plus 4) Description of Expenditure
PA 17405 campaign donation
To Whom Paid
ActBlue MO DAY YEAR
Mailing Address 366 Summer St. 10 30 2020
$ 1.71
City Somerville State Zip Code(Plus 4) Description of Expenditure
MA 02144 service charge
To Whom Paid
MO DAY YEAR
Square, Inc.
Mailing Address 1455 Market St., Suite 600 10 30 2020
$ 0.85
City San Francisco State Zip Code(Plus 4) Description of Expenditure
CA 94103 service charge
To Whom Paid
MO DAY YEAR
Zoom
Mailing Address 55 Almaden Blvd., 6th Fl. 10 30 2020
$ 95.40
City San Jose State Zip Code(Plus 4) Description of Expenditure
CA 95113 online meetings
To Whom Paid
MO DAY YEAR
Staples Direct
Mailing Address 500 Staples Dr. 11 2 2020 $ 44.09
City Framingham State Zip Code(Plus 4) Description of Expenditure
MA 01701 supplies
To Whom Paid
MO DAY YEAR
Nationwide Insurance
Mailing Address P.O. Box 10479 11 2 2020
$ 377.09
City Des Moines State Zip Code(Plus 4) Description of Expenditure
IA 50306 insurance premium
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To Whom Paid
ActBlue MO DAY YEAR
Mailing Address 366 Summer St. 11 3 2020
$ 0.58
City Somerville State Zip Code(Plus 4) Description of Expenditure
MA 02144 service charge
To Whom Paid
MO DAY YEAR
Google
Mailing Address 1600 Amphitheatre Parkway 11 3 2020
$ 44.52
City Mountain View State Zip Code(Plus 4) Description of Expenditure
CA 94043 Google Suite
To Whom Paid
ActBlue MO DAY YEAR
Mailing Address 366 Summer St. 11 4 2020
$ 35.00
City Somerville State Zip Code(Plus 4) Description of Expenditure
MA 02144 monthly service charge
To Whom Paid
ActBlue MO DAY YEAR
Mailing Address 366 Summer St. 11 4 2020
$ 0.55
City Somerville State Zip Code(Plus 4) Description of Expenditure
MA 02144 service charge
To Whom Paid
MO DAY YEAR
Comcast Cable
Mailing Address 399 Baltimore St. 11 9 2020
$ 90.41
City Shippensburg State Zip Code(Plus 4) Description of.Expenditure
PA 17257 cable/ internet
To Whom Paid
MO DAY YEAR
ActBlue
Mailing Address 366 Summer St. 11 10 2020
$ 8.75
City Somerville State Zip Code(Plus 4) Description of Expenditure
MA 02144 service charge
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. To Whom Paid
Toshiba Financial Service MO DAY YEAR
Mailing Address P.O. Box 642111 11 12 2020
$ 331.25
State Zip Code(Plus 4)
City Pittsburgh Description of Expenditure
PA 15264 copier service
To Whom Paid
MO DAY YEAR
PPL
Mailing Address 827 Hausman Road 11 20 2020
$ 86.89
City Allentown State Zip Code(Plus 4) Description of Expenditure
PA 18104 electric
PAGE TOTAL
Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D.
1,647.38
•
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