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HomeMy WebLinkAboutEast Pennsboro Democratic Club - 2020 30-Day Post Election • Pennsylvania Department of State ""' Bureau of Campaign Finance&Civic Engagement 210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) www.dos.pa.eov/campaignfinance • ra-stcampaienfinancePpa,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. aelid3[7 ifflhiftCommittee, Candidate,®ptobb ist -- --- Re's ortin: C 3 Name — — 0 Cyde 1 0 Cycle 2 ❑ Cycle 3 0 Cycle 4 0 Cycle 5 6th Tuesday 2nd Friday 30 Day 6th Tuesday 2"d Friday Pre-Primary Pre-Primary Post Primary Pre-Election Pre-Election • Cycle 6 y ❑ Cycle 7 0 Cycle 8 0 Cycle 9 30 Day Post-Election Annual Report 2nd Friday:Pre-Special Election 30 Day Post-Special Election 3 Part 1-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. declare under penalty of perjury under the law of the Commonwealth of Pennsylvania that the foregoing is true and correct. 1l /3O/ O Signature of Treasurer, Candidate, or Lobbyist Date (DD/MM/YYYY) arrHW We/46K /ULS-6-- , - Printed Name Location (City/State/Country) DSEB-S02R F... ..6/.24.2020- 111 Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) Filer Identification r(` Report Filed By Candidate Committee Lobbyist Number 2 o02b (Mark X) X . Name of Filing Committee,Candidate or 'U SAS'" n�, Nse eE A OcR� c! Lobbyist f� t` G iv` LU Street Address P o. {?,©x /`3 City „ /J/ g- [ State �`{.. Zip Code I(' II0�, Type of Report(Place x under report type) 1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday 5-2nd Friday 6-30 Day Post 7-Annual Special 2n°Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election X Date Of Election Year Amendment Termination (MM/DD/YYYY) 11/ aoao W o Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures to/ao/aoao 11/ 3/a02 A.Amount Brought Forward From Last Report S (-1 illHit) /l Q1-7 C) of `l B.Total Monetary Contributions and Receipts S (From Schedule I) 500, cci rti `_' rn C.Total Funds Available S rM- `� (Sum of Lines A and 6) JQ I � $� — f .Total Expenditures S n�1 O' -u (From Schedule III 1 ( c`� E.Ending Cash Balance S (Subtract Line D from Line C) t!J D ' O�F.Value of In-Kind Contributions Received S �1�O --C (From Schedule II) v G.Unpaid Debts and Obligations S (From Schedule IV) D•Oa Affidavit Section Part 1-If this is a Committee report,treasurer sign here.I • s a Candidate report,candidate sign here. I swear(or affirm)that this report,including the att.• -d sche' les on paper,is to the b st of y knowled 'ef true,correct a d co lete. Sworn tp and subscribed before me this o ro S'T— �1 day of 20 ao . 9 s U - siVert'ILCkit Ier 2 F l a re f erso Submittin report et K O y q y M� - ' �c Signature s /0 0� 0 9 Printed Name ,� � 6 � s . `i17 go - ©6�1c My Commission expires I 1 m`6.`L-s �-• MO. DAY YR. ���9�` % (. Area Code Daytime Telephone Number Part II-If this is a report of a Candidate's Authorized Committe• andjglate shall ign here. I swear(or affirm)that to the best of my knowledge and belief th wit—tip!comm ee 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 a SCHEDULE I Contributions and Receipts Detailed Summary Page Filer Identification Number 2 004_ 2 G 1.Unitemized Contributions and Receipts-S 50.00 or Less per Contributor I Total for the reporting period (1) 8 o 2.Contributions of S 50.01 to S 250.00(From Part A and Part B) Contributions Received from Political Committees(Part A) S O All Other Contributions(Part B) S 0 Total for the reporting period (2) 8 a I3.Contributions Over S 250.00(From Part C and Part D) Contributions Received from Political Committees(Part C) S f All Other Contributions(Part D) S 5,00 Co Total for the reporting period (3) S 5—(yo 0 0 14.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) Total for the reporting period (4) 8 O 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,Report0 0 0 Cover Page,Item B) SCHEDULE III Statement of Expenditures Filer Identification Number: ^ O h+n /G To Whom Paid Date[MM/DD/YYYY] S P(1M ICW FQNe-46( 1 �/o /2D0 ' Ill' r76) . House# I 9 Street Address lz 1, s R Description of Expenditure City WD(_ ot State Zip Code 190.5 T/11,)Lcs -b-r poLLT0 pkgawc-s To Whom Paid ACTgLU Date[MM/DD/YYt�Y� S House# SCC Street Address. S U M�F� SIREE� Description of Expenditure City I SOM RALE State �/� I� Zip Code OQ 1 -1 -I Do{vN EsE To Whom Paid Sao . 3 D1t1/O[MM // O S I 6 e� House# Street Address U Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] S v - v eCo " Re I /1O/aoao 3, Q 5 House# 1,060 Street Address GO` E. OI\S 0[--k;\) - ,_ r� Description of Expenditure City ��(Y11\A State Zip S 1DN/NS 0 N Code 45a4/ rUNDS s-rale U-rfoo F"EE To Whom Paid � Date[i���Y�]� S M f T�a FAR ( (a) 56 House# Street Address �C41-N S U\i. eI cription of Expenditure City ENO LA_ State f(1 Code Irl O0�5 T R GSIv tT�©LLvN�s- To Whom Paid j� 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 PART D All Other Contributions Over 8250.00 Use this Part to itemize all other contributions with an aggregate value over 8250.00 in the reporting period. (Exclude contributions from political committees reported in Part C) Filer Identification Number: /� 0 ^ G Full Name of Contributor RobsRr-v- ���, Date[MM/DD/YYYY] ��� OO co' l0/ar1/zff// o House# I Street Address Date[MM/DD/YYYY] S SThvU\Ke VJP`( City MCxOstO R_ State PR Zip Code I755 0 Date[MM/DD/YYYY] S Employer Name Co ME co\ F ] P Occupation eaoKwe / EmployerpalMailing Address/ 3161 ,� aKor 5RECI-i CP N , `,,.` L` �� 19011 Principal Place of Business 1v1 G 1-1 Hal- I Full Name of Contributor ' i Date[MM/DD/YYYY] S F 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