HomeMy WebLinkAboutFriends of Lisa Grayson - 2020 Annual Report 1
<, if' Pennsylvania Department of State
:'° ; I 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 Declaration 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 unworn
declarations, Campaign Finance Reports (form DSEB-502), Campaign Finance Statements in lieu
of full reports (form DSEB-503), Non-Bid Contract Reporting Form (DSEB-504) 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.
G'hlixg COMIt3 Co mittee, Can•idate,OP Lobbyist
Friends of Lisa Grayson
•
Reporti : &fidg _
❑ Cycle 1 ❑ Cycle 2 ❑ Cycle 3 0 Cycle 4 ❑ Cycle 5
6th Tuesday 2'Friday 30 Day 6th Tuesday 2"d Friday
Pre-Primary Pre-Primary Post Primary Pre-Election Pre Election
❑ Cycle 6 8 Cycle 7 ❑ Cycle 8 0 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 accompanying Campaign Finance Report is true and correct.
Digitally signed by Kyle A.Cooper 02/03/2021
Kyle A. Cooper Date:2021.02.0314:09:27-05'00'
Signature of Treasurer, Candidate, or Lobbyist Date (DD/MM/YYYY)
Kyle A. Cooper Carlisle PA USA
Printed Name Location (City/State/Country)
DSEB-502R
Updated 1/22/2021
TirifPennsylvania Department of State
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
Part 11-If this form is submitted with a report by a Candidate's Authorized Committee, the
candidate must sign here.
I declare under penalty of perjury under the law of the Commonwealth of Pennsylvania
that the accompanying Campaign Finance Report is true and correct.
', Digitally signed by Lisa M.
Lisa M. GraysoI n Date:Grayson 2021.02.0314:09:08-05'00' 02/03/2021
Signature of Treasurer, Candidate, or Lobbyist Date (DD/MM/YYYY)
Lisa Grayson Carlisle PA USA
Printed Name Location (City/State/Country)
DSEB-502R
Updated 1/22/2021
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 REPORT FLED CANDIDATE l� ✓
COMMITTEE LOBBYIST 3
NUMBER ' ON BEHALF OF r
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST Friends of Lisa Grayson
STREET ADDRESS PO Box 333
CITY STATE ZIP CODE
Carlisle PA 17013 —
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) Register of Wills 21 Rep 11MO. 07 DAY
YEAR
2017
1.
6TH TUESDAY - - --- - - - -PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR - - - - -
2ND FRIDAY 2' OATES OF -
PRE-PRIMARY PERIOD TING 01 01 20 TO 12 31 20
I 30 DAY 3. I
POST-PRIMARY
1 CASH BALANCE AT END 0 I ;
6TH TUESDAY 4. OF REPORTING PERIOD: $
PRE-ELECTION
TOTAL AMOUNT OF FILER'S
2ND FRIDAY 5. OUTSTANDING DEBTS OR LIABILITIES 22,650.63 ..
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ C ;
(-
30 DAY 6. r..,
AMENDMENT r,'
POST-ELECTION REPORT? YES ❑ NO ❑
Z �"'''� C
ANNUAL x TERMINATION YES I` I I NO ,0�
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 UABIUTIES 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 Kyle A.Cooper Digitally signed by Kyle A.CowerY P Dam:2021.020313:56:00-0500'
DAY OF 20 SIGNATURE OF PERSON SUBMITTING REPORT
Kyle A.Cooper
SIGNATURE PRINTED NAME
MY COMMISSION EXPIRES 717 422-4457
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 Lisa M. Grayson 00101Digita y2igned 1.0203 Lisa M.Grayson
Y Dale:2021.02.03 13:53:41-05OD
SIGNATURE OF CANDIDATE
DAY OF 20— Lisa M.Grayson
PRINTED NAME
SIGNATURE 717
580-1254
MY COMMISSION EXPIRES AREA CODE DAYTIME TELEPHONE NUMBER
MO. DAY YR.
Department of State • Bureau of Commissions,Elections and Legislation
USl B-503(12-99) 210 North Office Building • Harrisburg,PA 17120.0029 • (717)787-5280
. .