HomeMy WebLinkAboutUpper Allen Mechanicsburg Democratic Club - 2020 Annual Report P Pennsylvania Department of State
Bureau of Campaign Finance&Civic Engagement
210 North Office Building,Harrisbufg,PA 17120 • 717.787.528i1(Option V;
www.dospa.gov/campaignfjnance • ra-stcampaignfinance@pasov
• Unsworri Statement in Lieu of Svssorti Statftft-terttfor
• Campaign Firy-nce Reports
, . :„:„
Note: Per Act 2020-15, which was signed into law on April 20, 2020 and allows for unsworn
declarations, Campaign Finance Reports (form OSEB-502), Campaign Finch'icc Staternc-nis 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 repori or sityienr,-111 the conesponding version"
of this form signed by the required individuol(4. This purtieutur Jor Is to be used only for
Campaign Finance Reports. This form must be signed by hand where a signature is required..
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0 Cycle 1 El Cycle 2 0 Cycle 3 El Cycle 4 0 Cycle 5
6th Tuesday_ 2';d•Erkiay 30"DI* Gth 7:•tizti-'s
Pre-Primary Pre-Primary Post Primary Pre-Election Pre-Election
,Cycle 6
•11 Cycle 7 0 Cycle 8 El Cycle 9
30 Day Post-Eiection
Annual Itcpori. 2nd f 30
1
PfMt firm is szthriJii with.0 Crw-firaittee report, the trojsurer imust sign here. if
this form is submitted with a Candidate report, the candidate must sign here. If this report
submiitcd 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 Fennsylvania7,
that the foregoing is true and correct.
• Signature of Tre su • , Candidate, or Lobbyist Date (DD/MM/YYYY)' •
• • • , .
- .
f/Y7 7/7 .4rne'y fiie-An)cdoy /01- 4
• Printed Name Location (City/State/Country)
• DSEB-502R
Updated.6/24/2020
Commonwealth of Pennsylvania InIIII�y�III�m�1u�I1�mImI��111111118�'I
Campaign Finance Statement u AI u4864 ul�u
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 NUMBER: 20190208 REPORT FILED ON BEHALF OF: Committee
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST UPPER ALLEN MECHANICSBURG DEMOCRATIC CLUB
STREET ADDRESS 2138 CANTERBURY DRIVE
CITY MECHANICSBURG STATE PA ZIP CODE 17055-5767
TYPE OF REPORT Annual
NAME OF OFFICE SSOUGHT. BY CANDIDATE •
DISTRICT CODE PARTY CODE DEM
DATE OF ELECTION 11/2/2021 ti
.
DATES OF REPORTING PERIOD 11/23/2021 TO 12/31/2021 iorOffice a se'Only
AMENDMENT REPORT? NO TERMINATION REPORT? NO _71
1
CASH BALANCE AT THE END OF Rir'ORTIiFG 1,033.15 l\
PERIOD: '+..
C.') .'r
TOTAL AMOUNT OF FILER'S OUTSTANDING 0.00 ��
Es'BTS OR LIABILITIES AT THE END OF
REPORTING PERIOD: --I .
PART I-
If statement is filed on behalf of a Political Committee or Candidate'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 LIABILITIES 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 S9dc.SCi:1LtP BLroTIE IX-l"IS
day of 20
SIGNATUR//EF''P SON SUBMITTING REPORT
r k`')l�Y� f�yhP
SIGNATURE � S.TED NAME
MY COMMISION EXPIRES 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 UHF ACT OF JUNE
3,1937(P.L.1333,No.320)AS AMENDED.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
day of 20
SIGNATURE OF PERSON SUBMITTING REPORT
SIGNATURE PRINTED NAME
MY COMMISION EXPIRES MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
Depai ir.,sett of State.Dureau of Commissions,Elections and Legislation 1/28/2021 7:51:54 PM
210 North Office Ouilding.Harrisburg,PA 17120-0020.(717)787-5280