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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 . .