HomeMy WebLinkAboutMechanicsburg Future Fund - 2020 Annual Report Pennsylvania Department of State
Bureau of Campaign Finance&Civic Engagement
Ime
210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4)
www.dos.pa.gov/campaignfinance • ra-stcampaianfinance@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 unworn
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
fl l e eha,ift.i Cs 6 LAY, Fw+u,rt_ �u vc/
Reporting Cycle Name
❑ Cycle 1 ❑ Cycle 2 ❑ Cycle 3 0 Cycle 4 0 Cycle 5
6tn Tuesday 2"d Friday 30 Day 6m Tuesday 2"d Friday
Pre-Primary Pre-Primary Post Primary Pre-Election Pre-Election
❑ Cycle 6 Q/Cycle 7 ❑ Cycle 8 ❑ Cycle 9 _
30 Day Post-Election
Annual Report 2nd 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.
�1. )/1--(-4247,...it..P.,e 2,C3 / 0 4 / .-C)2. 1
Signature of Treasureyandidate, or Lobbyist Date(DD/MM/YYYY)
eu,S S C-ACz R.t 3-� AA Li4At..s�c. l3�;c2C� PA , tJS A ,
Printed Name Location (City/State/Country)
DSEB-502R
Updated 6/24/2020
IReset Form i Print Form 1
II
Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be clear and legible.It should be typed)
Flier Identification Report Filed By Candidate r Committee `/ Lobbyist 1-7
Number (Mark X)
Name of Filing Committee,Candidate or
Lobbyist Mechanicsburg Future Fund
Street Address 36 W.Coover St.
City
Mechanicsburg State PA 1 BP Code 17055
Type of Report(Place x under report type)
1-6t Tuesday 2- 2nd Friday 3-30 Day Post.4-6"Tuesday 5-2"Friday 6-30 Day Post 7-Annual Special 2"0 Friday Special 30 Day
Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election
n ❑ ❑ n ❑ x
Date Of Election ' Year Amendment n Termination
(MM/DD/YYYY) 2020 J Report I I Report El
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
1/01/2020 12/31/2020
A.Amount Brought Forward From Last Report $
8.07 B.Total Monetary Contributions and Receipts $ 0.00 fi D
A,
(From Schedule 1) - r+ ND
C.Total Funds Available $ V
(Sum of Lines A and B) 8.07 D.Total Expenditures $ 0.00 i � 2 2 2
(From Schedule III)
E.Ending Cash Balance $
(Subtract Une D from Line C) 8.07
F.Value of In-Kind Contributions Received $
(From Schedule II) 0.00 C U N T Y
G.Unpaid Debts and Obligations $
(From Schedule IV) 0.00
Affidavit Section
Part 1-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 on paper,is to the best of my knowledge and belief true,correct and complete.
Sworn to and subscribed before me this
day of 20 C?o :.44..----�-k -4- _.—
Signature of Person Submitting report
J.Matthew Seagrist ��
Signature Printed Name
My Commission expires 7 17 7 4(6 — 1 z 2-I
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
day of 20
Signature of Candidate
Signature Printed Name
My Commission expires
MO. DAY YR. Area Code Daytime Telephone Number