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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 83-4445500 (Mark X) n
Name of Filing Committee,Candidate or
Lobbyist Hampden Township Democratic Club
Street Address
888 Mandy Lane
City Camp Hill State PA Zip Code 17011
( Type of Report(Place x under report type)
1-6th Tuesday 2- 2"Friday 3-30 Day Post 4-6"'Tuesday 5-i d Friday 6-30 Day Post 7-Annual Special 2na Friday Special 30 Day l
Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election
X
Date Of Election Year Amendment Termination
(MM/DO/YYYY) 11/03/2020 J Report Report
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
11.24.2020 12.30.2020
A.Amount Brought Forward From Last Report $
3214.10
B.Total Monetary Contributions and Receipts $ C: P--
(From Schedule I) 985.00 `w
C.Total Funds Available
$
(Sum of Lines A and B) 4199.10 i1"..1 Y';
D.Total Expenditures $ r 7
IN.)
(From Schedule III) 0 +..1
E.Ending Cash Balance $ C
4199.10 '(Subtract Line D from Line C) CI .-,.
F.Value of In-Kind Contributions Received $ () -•—
(From Schedule II) 0 l '
G.Unpaid Debts and Obligations $ 0 4 1
(From Schedule IV)
Aged`vit Section
Part 1-If this is a Committee report,treasurer sign here.If this is a Cindid8xeei ort,candidate sign here.
I swear(or affirm)that this report,including the attached schedule s'An pad Dis o the best of my knowledge and belief true,correct and complete.
Sworn to and subscribed before me this 3 3 o, d EL.0-e„,,,_
_day of 3On[J` 20 dl o N a
7,,, Sinature of Person Submitting report
601;',- ;g0-7 / .a r+F o iCDKEc?"1 - LA- aOc'
Signature SvO ' PJ4 c z Printed Name
CCUflly Cuavf�jv4/ , <
zcv „6g�p—"f, fz�My Commission expires 03 /3 'pea?, a a �y i��'pea?,
MO. DAY YR. Se,w z Area Code Daytime Telephone Number
. - v o
o. _, Qu
Part II-If this is a report of a Candidate's Authorized Committee+canpfatertili (I sign here.
I swear(or affirm)that to the best of my knowledge and belief this political cam ttee 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
a
SCHEDULE I
Contributions and Receipts
Detailed Summary Page
Filer Identification Number
83-4445500
1.Unitemized Contributions and Receipts-$50.00 or Less per ContributorI
I
Total for the reporting period (1) $
985.00
I2.Contributions of$50.01 to $250.00(From
Part A and Part B)
Contributions Received from Political Committees(Part A) $
0
All Other Contributions(Part B) $
Total for the reporting period (2) $
3.Contributions Over$250.00(From Part C and Part D)
Contributions Received from Political Committees(Part C) • $
0
All Other Contributions(Part D) ' $
Total for the reporting period (3) $
I4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E)
Total for the reporting period (4) $
.29
Total Monetary Contributions and Receipts during this reporting period(Add and $
enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report
Cover Page,Item B) 985.29
PART E
Other Receipts
REFUNDS,INTEREST INCOME,RETURNED CHECKS,ETC.
Use this Part to report refunds received,interest earned,returned checks and prior expenditures that were returned to the filer.
Filer Identification Number:
83-4445500
Full Name
Member's 1st Credit Union
House# Street Address 5000 Louise Drive
City State Zip Date[MM/DD/YYYY[ $
Mechanicsburg PA Code 17055-4899 .12
11/30/2020
Receipt Description
Dividend Earned
Full Name
Member's 1st Credit Union
House# Street Address
5000 Louise Drive
City State Zip Date(MM/DD/YYYYI $
Mechanicsburg PA Code 17055-4899 .17
12.30.2020
Receipt Description
Full Name
House# Street Address
City State Zip Date[MM/DD/YYYYI $
Code
Receipt Description
Full Name
House# Street Address
City State Zip Date[MM/DD/YYYYI $
Code
Receipt Description
Full Name
House# Street Address)
City State Zip Date(MM/DD/YYYYI $
Code
Receipt Description
Full Name
House# Street Address
City State Zip Date[MM/DD/YYYYI $
Code
Receipt Description