HomeMy WebLinkAboutFriends of Kelly Neiderer - 2020 Annual Report IciaP
Pennsylvania Department of State
7.:Ia.• Bureau of Campaign Finance&Civic Engagement
1 210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4)
._-:--1 www.dos.oa.gov/campaignfinance • ra-stcampaignfinance@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.
f
alzaGCOREW Committee, Candidate,CeLobbyist
Friends of Kelly Neiderer
Reporting
❑ Cycle 1 0 Cycle 2 0 Cycle 3 0 Cycle 4 0 Cycle 5
6th Tuesday 2n°Friday 30 Day 6`h Tuesday 2"d Friday
Pre-Primary Pre-Primary Post Primary Pre-Election Pre Election
❑ Cycle 6 ❑O Cycle 7 0 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 foregoing is true and correct.
Pet4,414 5 01/30/2021
Signature of Treasurer, Candidate, or Lobbyist Date (DD/MM/YYYY)
Paul D. Fisher East Pennsboro Township, PA, USA
Printed Name Location (City/State/Country)
DSEB-502R
Updated 6/24/2020
Reset Form Print Form
III[
Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be clear and legible.It should be typed)
Filer Identification Report Filed By Candidate Committee \ Lobbyist
Number (Mark X) n
—
Name of Filing Committee,Candidate or
Lobbyist Friends of Kelly Neiderer
Street Address 281 N.Old Stonehouse Road
City Carlisle State PA Zip Code 17015
Type of Report(Place x under report type)
1-6th Tuesday 2- 2"d Friday 3-30 Day Post 4-6'"Tuesday 5-2"d 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
X
Date Of Election Year Amendment Termination
(MM/DD/YYYY) 11/03/2020 2020 Report Report
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
01/01/2020 12/31/2020
A.Amount Brought Forward From Last Report $
58.20
B.Total Monetary Contributions and Receipts $ 0 n c r
(From Schedule I) x\V,10 A No
C.Total Funds Available $
(Sum of Lines A and B) 58.20
D.Total Expenditures $ 0 r „ i a °) 2
(From Schedule III) El L
E.Ending Cash Balance $
(Subtract Line D from Line C) 58.20
F.Value of In-Kind Contributions Received $ 0 L !1 I i LE T Y
(From Schedule II) t i! ty I
G.Unpaid Debts and Obligations $
(From Schedule IV) 5000.00
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 , aCti n
day of 20 ✓J
Signature of Person Submitting report
Paul D.Fisher
Signature Printed Name
717 761-7210
My Commission expires
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 - 1
Signature of Candidate
•
Signature I Printed Name
My Commission expires
MO. DAY YR. Area Code Daytime Telephone Number
a
SCHEDULE IV
Statement of Unpaid Debts
Use this Section to itemize all unpaid debts and obligations which are outstanding at the end of the reporting period.
Filer Identification Number:
Name of Creditor Kelly Neiderer Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
281 •
N.Old Stonehouse Road [MM/DD/YYYY]
03/12/2019
City State Zip 5000.00
Carlisle PA Code 17015
Description of Debt
Loan to committee
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
[MM/OD/YYYY]
City State Zip
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
[MM/DD/YYYY]
City State Zip
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
[MM/OD/YYYY]
City State Zip
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
[MM/DD/YYYY]
City State Zip
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
[MM/DD/YYYY]
City State Zip
Code
Description of Debt