HomeMy WebLinkAboutMacDonald, Heather - 2021 2nd Friday Pre-Primary DigiSign Verified: 32OC896F-IBE0-4EF8-B4F1-57132OCDFDF7
Pennsylvania Department of State
Nikik't., Bureau of Campaign Finance&Civic Engagement
210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4)
www.dos.pa.gov/campaignfinance • ra-stcampaignfinance@pa.gov
Unsworn Declaration 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), Non-Bid Contract Reporting Form (DSEB-504) 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.
- C•]Ogalg3 Committee, Candidate,Cp Lo•byist
Heather MacDonald
Reporting
❑ Cycle 1 0 Cycle 2 ❑ Cycle 3 ❑ Cycle 4 ❑ Cycle 5
6th Tuesday 2'Friday 30 Day 6th Tuesday 2"d Friday
Pre-Primary Pre-Primary Post Primary Pre-Election Pre-Election
❑ Cycle 6 ❑ Cycle 7 ❑ Cycle 8 ❑ 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 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 accompanying Campaign Finance Statement is true and correct.
t. !lam 05/05/2021
Signature o Treasurer, Candidate, or Lobbyist Date (DD/MM/YYYY)
Sarah Yerger Camp Hill, PA USA
Printed Name Location (City/State/Country)
DSEB-503S
Updated 1/22/2020
DigiSign Verified: 3200896F-1 BB0-4BF8-B4F 1-571320CDFDF7
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.gov/campaignfinance • ra-stcampaignfinance@pa.gov
Part II - 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 accompanying Campaign Finance Statement is true and correct.
l c,th.er ,•kLtc,bortaI41 05-05-2021
Signature of Candidate Date (DD/MM/YYYY)
Heather MacDonald Camp Hill,PA,us
Printed Name Location (City/State/Country)
DSEB-503S
Updated 1/22/2020
DigiS ign Verified: 7D3 I AB I F-F409-478A-9832-BA7AOFB4A555
v VIVImJl'VvI MLin Ur r CIYIYJTLvANIA
CAMPAIGN FINANCE STATEMENT
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 2020C1053 REPORT FILED CANDIDATE y COMMITTEE l LOBBYIST 3.
NUMBER ON BEHALF OF „
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
Heather MacDonald
STREET ADDRESS
2166 Yale Avenue
CITY STATE ZIP CODE
Camp Hill PA 17011
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) MO. DAY YEAR
Representative in the General Assembly 87 Democratic 18 I. 05 2021
6TH TUESDAY - - - -PRE-PRIMARY FOR(QcFICE USE ONLY
MO. DAY YEAR MO. DAY 1 YEAR
DATES OF CL-
2ND FRIDAY \/ REPORTING TO 4......PRE-PRIMARY ,X` PERIOD 03 30 2021 05 03 2021 la, -T",
rr I •,,
30 DAY 3. It •--c
POST-PRIMARY
CASH BALANCE AT END 0.00 01
I
6TH TUESDAY 4. OF REPORTING PERIOD: $ CD
PRE-ELECTION 2
TOTAL AMOUNT OF FILER'S C)
2ND FRIDAY 5. OUTSTANDING DEBTS OR LIABILITIES 0.00 = •:r
PRE-ELECTION AT THE END OF REPORTING PERIOD: $
-...}
B. "1 ry
30 DAY ` '
POST-ELECTION AMENDMENT YES NO y
REPORT?
7. - `,
ANNUAL TERMINATION YES NO 7E
REPORT REPORT?
AFFIDAVIT SECTION
PART I-
If statement is filed on behalf of a Political Committee or Candidates'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(S250.00)AND THIS REPORT IS,TO THE BEST OF M -.•WL LIEF,TRUE,CORRECT AND. COMPLETE.
WF
SWORN TO AND SUBSCRIBED BEFORE ME THIS �� m` __��
DAY OF 20 SIGNATUR N SUBMITTING REPORT
Sarah Verger
PRINTED NAME
SIGNATURE
MY COMMISSION EXPIRES 717 856-1388
MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
PART 11-
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 THE ACT OF
JUNE 3, 1937(P.L. 1333,No.320)As AMENDED. �G/ v //�'� y//y//
SWORN TO AND SUBSCRIBED BEFORE ME THIS `t ' At Ok a
SIGNATURE OF CANDIDATE
DAY OF 20_
Heasher MacDonald
PRINTED NAME
SIGNATURE 717 645-8176
MY COMMISSION EXPIRES AREA CODE DAYTIME TELEPHONE NUMBER
MO. DAY YR.
Department of State • Bureau of Commissions,Elections and Legislation
DSEt3-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 a (717)787-5280
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