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HomeMy WebLinkAboutFriends of Jake Miller - 2020 Annual Report Pennsylvania Department of State Bureau of Campaign Finance&Civic Engagement 210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) www.dos.na.eov/camoaianflnance • ra-stcampalenfinancefMpa.eov Unsworn Statement in Lieu of Sworn Statement for Campaign Finance Statements Note: Per Act 2020-15, which was signed into law on April 20, 2020 and allows for unsworn 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 Statements. This form must be signed by hand where a signature is required. Name of Filing Committee, Candidate, or Lobbyist Friends of Jake Miller Reporting Cycle Name ❑ Cycle 1 ❑ Cycle 2 ❑ Cycle 3 0 Cycle 4 0 Cycle 5 6t"Tuesday 2nd Friday 30 Day 66 Tuesday 2"d Friday Pre-Primary Pre-Primary Post Primary Pre-Election Pre-Election ❑ Cycle 6 ❑✓ Cycle 7 0 Cycle 8 0 Cycle 9 30 Day Post-Election Annual Report 2nd Friday Pre-Special Election 30 Day Post-Special Election Part 1 — If this form is submitted with a statement in lieu of full report by a political committee, the treasurer must sign here. If this form is submitted with a statement in lieu of a full report by a candidate, the candidate must sign here.If this form is submitted with a statement in lieu of full 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. 0/40/MI 1 Signature of Treasurer, Candidate, or Lobbyist Date (DD/MM/YYYY) Jessica Beamesderfer Camp Hill, PA USA Printed Name Location (City/State/Country) DSEB-5035 Updated 6/24/2020 Pennsylvania Department of State Bureau of Campaign Finance&Civic Engagement 210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) www.dos.pa.eov/campalgnfinancq • ra-stcampaienfinancg(moa.s;ov Part 11 - If this is submitted with a statement in lieu of full report by a Candidate's Authorized Committee, candidate sign here. I declare under penalty of perjury under the law of the Commonwealth of Pennsylvania that the foregoing is true and correct. 0 I kidtg Signature of Candidate Date (DD/MM/YYYY) Jake Miller Camp Hill, PA USA Printed Name Location (City/State/Country) DSEB-503S. Updated 6/24/2020 • • • • • . . •• .. . . . . .. . - "••H""" " ' • . . . .. • • .. • .;,.:" ,11- . I. . • • . • • cavimoe,ATALTH-0E.PET4001.visINf4 .'. • . . . . • • .... . ... . ... . . • " .. . " . . . . . .. • • . . • .. . . • • CAMPAIGN FINANCE'STATEMENT ... . . . . . . • . . . . . - • •• • • •. • • • •••• • . .. File this In lieu at.0 full report only4taggre:ggito.t.ors4ipts;:.expenditutes;Or •• • :• .•: • . .. • . liabliitiet InOUtteti.e.atittiltitii4 exceed 7$ 50.-00•00tiritithii.reporting Period. .: . • .: • . •• • . „ . .... . .. .... .. •• . . . .. ...... ..,. ,...... .. . . . . fl000Tworkk.,:. .... . ... . • •': •••• . -. - •• 10=01-r:.,. ', 1:.i4'ifi,ii.i: 1,-..-)NISI(Igiit \:(fij - . •- :••: . . . .-oumBER • •• .• .- : • • • • •.,. -. .J. • - '......•......... •... To-a-Emt -r .;.•::,'!•:%-•• :-;•.2-1'. ••-i-;:iiii:.: ••/.:,,;;7::: :t-Ki-f•Ine,1)1 ' .:. '•' : .. . . WA!0 ...1:010-TXTOPiT.T.0;c.PRITROTTPR 60R4I5T . ... .. .. .. . • •• . .'riittd . •P.+. ( a A. 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CAR 4: .;-:•f. • 1#610_4,Wigi'j.,. : .: iogits. er. - •-:-: • -- . ..-:.",..... - : • -. • OftIMOAROW : 1)=Zral Oli01 RAR.0:Tq. a 31 . gA7101 . . ,. ..i-..sil,::.,..,. _:t.,,,,,,,;,::;:.-5.!,:,,';.:;;k,•••.:,. : . , •• ).--a: . •11.41q..1i1",:l':- :'.... • ,:,.... ,.,. ...., . .,.. . . .. . ;;7:;.:.4'.: 4k0A*ii. .4 • • • . . ._ ... • .ttit:Vkifi.:,- ;.17.:.,:)5.7.-Ti!tl.,.i'; : CASH BALANCE AT END .: • • rn .17:::::. :• • ' 1-!1-.'••_.oftviiiti,-.. .-3 4- .• '. OF:REPORTING PERiott:.• $677.•?/ 1.1 -•• ! • ;XI ',74=. •: •• r--- •• - i :::r,• • 47,,,,4171. ---iii•'''.:Ii4...• •• TOTAL AMOUNT OF:FILEN S • f., .• ••• ... - 4r" , dr,- •- . : ::-.“v..,v4-, :c-:. !••::!.:•,:)::1 6, -!' " . : - . •• .,, :„,.,;';),:::.••': NA•44:6., : . Otr.rISTANIMN9.OEBT:B•OR.:1*BIL.fnE, 6 100 . . c3 •.• --.. '. . flt.A.:.:,.,0„.,...,..,,,. : ... •• A7 THE END OF NEB.ORTINO Pgelge,i, 4. 1.,,. r,:.;:'::•p„ r.,...,Q*•.:••41: . : : . • . .. C.') • .. 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" ' -•* •'- ' " " ""'" " "" AFFIDAVIT SECTION 0Aittl', -... •-: • • • : • • •••••- -•• • •" • " ifitittitTifillt is filed on seehaff;of sePatitieet•Cetrirhittee or Candidatees.0ommitteei:tho:TroaSigor must sign hero, . . • • If statOnliirit ik filed On behalf ef eCeiididatei.the Candidate kiiiiet sign'hire. •- If eteteinehtie filed behalf of fx.Coritilbutlrigi.ObOyist.lherLobbylet•hiest:eitio heti. ..... .• . . . . . . . . .., ..... ... • ... . • 1:.**Ifi.(o5 OM_ .44).1.0*E..44Gfte0A...., Tg RaOPET_....4.On 010414eNtilga:OP:-I-IN0.611E0:04PunnEo••ounale;THE.sseostINs:rEfttOrr INOICATEO:ASOVS:01E140T ' . 0,0gE0,1*0 01.100R0i ARf.T,OTPTipkopy...0k4:($2N).up):Afin THIS REPORT A tol):Is.gpsroF my.A1gow1.60OR AND.841EF.,.TRUE,.CORRECT AND•COMPLETE:• : .... • SWORN.TO AND Auesoraago BEFORE NE MRS • • ,. . .. . . 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"""" - -' • - . • . • - * • • -Department of State.0::Bureau of Commissions,Elections and Legislation. : • " tittiertii Officepiiikong- ...• Harriablitg:•PA 11120-0029 :* tral78742130 OSiia;503.(12••••99) . " . • . : •• : - ,: • -- • - : • • •. . . • " ... . ' • _