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Home My WebLink AboutFriends of Joan Erney for Mayor - 2021 2nd Friday Pre-Primary III 1 -ncaCrrurrn 1. risen rusu. 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 N/A (Mark X) _ Name of Filing Committee,Candidate or Lobbyist Friends of Joan Erney for Mayor Street Address 4096 Caissons Ct. City Enola State PA Zip Code 17025 Type of Report(Place x under report type) 1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6thTuesday S-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/OD/YYYY) 11/02/2021 2021 Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 01/01/2021 05/03/2021 A.Amount Brought Forward From Last Report $ o C-) r'.. B.Total Monetary Contributions and Receipts $ (From Schedule I) 13,975.00 — Ci7 C.Total Funds Available $ rn (Sum of Lines A and B) 13,975.00 r— -":"C D.Total Expenditures $ Cr% (From Schedule III) 2,257.g3 G E.Ending Cash Balance $ 11,717.17 r) J (Subtract Line D from Line C) I,;.; F.Value of In-Kind Contributions Received $ .;` (From Schedule II) • 202.56 -C Q G.Unpaid Debts and Obligations $ (From Schedule IV) 0.00 •avit Section Part 1-If this is a Committee report,treasurer sign here.If this is a Cand ••t p• ,candida e sign here. I swear(or affirm)that this report,including the attached schedules.• p r,is tot - be my o edge and belief true,correct and complete. 0 Sworn to and subscribed before me this ,ac<a'QJc tiff~). 5 day of pal I 20 9( c •aCN c'6�h•tiq Qec�/o C,oJ cp-�a°a ' Sig atur of Prson 5 mittin report �`� r°`, ` G Kee 7 ry r►cr, Si nature ea`:�``''o��+Q a Printed Name �C) c S ►'1 5 �Z — (-11(0 9 My Commission expires �. o�cc ��`'e MO. DAY YR. 4A, (,o Area Code Daytime Telephone Number Part II-If this is a report of a Candidate's Authorized •• , ee,candidate shall sign here. I swear(or affirm)that to the best of my knowledge and :elief this politic. ck• ittee has not violated any provisions of the Act of June 3,1937(P.l.1333,NO.320)as amended. Sea Sworn to and subscribed before me this .a��o ,.N.` day of C 20 2.1 Qec... ,pNaC�,°co`.�0.,,atia S4t o` O-1-• ca e`, Signature of nd to Signature oc,+J��c�.\� �� Printed Name y A, ..sp My Commission expires I 0 2 OoF�F`y i / C o C( - 9AL, MO. DAY • 0 C9 Area Code Daytime Telephone Number SCHEDULE I Contributions and Receipts Detailed Summary Page Filer Identification Number N/A 1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (1) $ 475.00 2.Contributions of$50.01 to 5250.00(From Part A and Part B) Contributions Received from Political Committees(Part A) $ • 0.00 All Other Contributions(Part B) $ • 5,025.00 Total for the reporting period (2) $ 5,025.00 1 ) 3.Contributions Over$250.00(From Part C and Part D) Contributions Received from Political Committees(Part C) $ 0.00 All Other Contributions(Part 0) $ 8,475.00 Total for the reporting period (3) $ 8,475.00 I4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) Total for the reporting period (4) $ 0.00 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 8) 13,975.00 PART A Contributions Received From Political Committees $50.01 TO$250.00 Use this Part to itemize only contributions received from Political Committees with an aggregate value from$50.01 TO$250.00 in the reporting period. Filer Identification Number N/A Amount Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# 'Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYYJ $ Full Name of Contributing Date[MM/DD/YYYYj $ Committee House# Street Address Date[MM/DD/YYYYJ $ • City State Zip Code Date(MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date(MM/DD/YYYYJ $ Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date(MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYYJ $ City State Zip Code Date[MM/DD/YYYYJ $ PART B All Other Contributions $50.01 TO$250 Use this Part to itemize all other contributions with an aggregate value from $50.01 TO$250 in the reporting period. (Exclude contributions from political committees reported in Part A.) Filer Identification Number. N/A Full Name of Contributor Date[MM/DD/YYYYJ $ Matthew Roan 02/23/2021 $100.00 House# Street Address Date[MM/DD/YYYY] $ 232 Poplar Ave. City State Zip Code Date[MM/DD/YYYY] $ New Cumberland PA 17070 Full Name of Contributor Date[MM/DD/YYYY] $ Pamela J Barnhart 02/20/2021 $100.00 House# Street Address Date[MM/DD/YYYY] $ 507 Park Ave. City State Zip Code Date[MM/DD/YYYY] $ New Cumberland PA 17070 Full Name of Contributor Date[MM/DD/YYYY] $ • Josh Emey 02/20/2021 $250.00 House# Street Address Date[MM/DD/YYYY] $ 823 S.Braddock Ave. City State Zip Code Date[MM/DD/YYYY] $ Pittsburgh PA 15221 Full Name of Contributor Date[MM/DD/YYYY] $ Peter Bezrucik 04/21/2021 100 House# Street Address Date[MM/DD/YYYY] $ 2831 South 11th St. City State Zip Code Date[MM/DD/YYYY] $ Philadelphia PA 19148 Full Name of Contributor Date[MM/DD/YYYY] $ Matthew Hurford $250.00 02/24/2021 House# Street Address Date[MM/DD/YYYY] $ 352 Wellington Ter City State Zip Code Date[MM/DD/YYYY] $ Jenkintown PA 19046 Full Name of Contributor Date[MM/DD/YYYYJ $ Drew Lawrence 02/24/2021 $250.00 House# Street Address Date[MM/DD/YYYY] $ 1009 Oak Ln. City State Zip Code Date[MM/DD/YYYY] $ New Cumberland ' PA 17070 PART B All Other Contributions $50.01 TO$250 Use this Part to itemize all other contributions with an aggregate value from $50.01 TO$250 in the reporting period. (Exclude contributions from political committees reported in Part A.) Filer Identification Number: Full Name of Contributor Date[MM/DD/YYYY] $ Kathleen McClurken 03/20/2021 $100.00 House# ' Street Address Date[MM/DD/YYYY] $ 301 Conestoga Way Apt.A-11 City State Zip Code Date[MM/DD/YYYY] $ Eagleville PA 19403 Full Name of Contributor Date(MM/DD/YYYY] $ Colleen Kopp 03/26/2021 $250.00 House# Street Address Date[MM/DD/YYYY] $ 1400 Warwick Rd. City State Zip Code Date(MM/DD/YYYY) $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Leslie Pankey 04/02/2021 $100.00 House# Street Address Date[MM/OD/YYYY] $ 804 Hawksbill Island Dr. City State Zip Code Date[MM/DD/YYYY] $ Satellite Beach FL 32937 Full Name of Contributor Date[MM/DD/YYYY] $ Margaret Anthony 04/12/2021 $250.00 House# Street Address Date[MM/DD/YYYY] $ 3906 West Shore Dr. City State Zip Code Date[MM/DD/YYYY] $ • Edgewater MD 21037 Full Name of Contributor Date[MM/DD/YYYY] $ Charles Curie $250.00 04/12/2021 House# Street Address Date(MM/DD/YYYY] $ 3016 Covington Farms Rd. City State Zip Code Date[MM/DD/YYYY] $ Fort Wayne IN 46814 Full Name of Contributor Date[MM/DD/YYYY] $ Michael Wasilchak 04/12/2021 $100.00 House# Street Address Date[MM/DD/YYYY] $ 695 Pleasant Hill Rd. City State Zip Code Date[MM/DD/YYYY] $ Leechburg PA 15656 PART B All Other Contributions $50.01 TO$250 Use this Part to itemize all other contributions with an aggregate value from • $50.01 TO$250 in the reporting period. (Exclude contributions from political committees reported In Part A.) Filer Identification Number: Full Name of Contributor Date(MM/DD/YYYY] $ Nancy Lucas 03/07/2021 $100.00 House# Street Address Date(MM/DD/YYYYJ $ 713 Davidson Rd. City , State Zip Code Date[MM/DD/YYYY] $ Philadelphia PA 19118 Full Name of Contributor Date(MM/DD/YYYY] $ Benjamin D Burensteln 03/14/2021 $100.00 House# Street Address Date(MM/DD/YYYYJ $ 860 Manatawna Ave. City State Zip Code Date[MM/DD/YYYYj $ Philadelphia PA 19128 Full Name of Contributor Date(MM/DD/YYYY) $ Geoffrey Neimark 03/19/2021 $100.00 House# Street Address Date(MM/DD/YYYY) $ 4530 Regent St. 04/21/2021 $100.00 City State Zip Code Date[MM/OD/YYYYJ $ Philadelphia PA 19143 Full Name of Contributor Date[MM/DD/YYYYJ $ Justin Fleming 03/22/2021 $100.00 House# Street Address Date IMM/DD/YYYYJ $ 109 Fawn Ct. City State Zip Code Date[MM/OD/YYYY] $ Harrisburg PA 17110 Full Name of Contributor Date[MM/OD/YYYY] $ Martha Knisley $100.00 03/22/2021 House# Street Address Date[MM/DD/YYYY] $ 2206 Alexander Rd. City State Zip Code Date[MM/DD/YYYYJ $ Raleigh NC 27608 Full Name of Contributor Date(MM/DO/YYYYJ $ Kathleen McDonald 03/21/2021 $100.00 House# Street Address Date[MM/DD/YYYYJ $ 1903 Letchworth Dr. City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 • r PART B All Other Contributions $50.01 TO$250 Use this Part to itemize all other contributions with an aggregate value from $50.01 TO$250 in the reporting period. (Exclude contributions from political committees reported in Part A.) Filer Identification Number: Full Name of Contributor Date IMM/DD/YYYY] $ Donald Schwarz 03/07/2021 $250.00 House# Street Address Date[MM/DD/YYYY] $ 1212 Waverly Walk City State . Zip Code Date[MM/DD/YYYY] $ Philadelphia PA 19147 Full Name of Contributor Date[MM/DD/YYYY] $ Mary Wernecke 03/07/2021 $250.00 House# Street Address Date[MM/DD/YYYY] $ 858 N Taylor St. City State Zip Code Date[MM/DD/YYYY] $ Philadelphia PA 19130 Full Name of Contributor Date[MM/DD/YYYY] $ Kathleen Grogan 03/14/2021 $200.00 House# Street Address Date[MM/DD/YYYY] $ 1316 Brewster Ct. City State Zip Code Date[MM/DD/YYYY] $ New Cumberland PA 17070 Full Name of Contributor Date[MM/DD/YYYY] $ Michael P Nardone 03/14/2021 $150.00 • House# Street Address Date IMM/DD/YYYY] $ 253 N.24th St. City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date IMM/DD/YYYY] $ Harriet C Williams $100.00 03/14/2021 House# Street Address Date[MM/DD/YYYY] $ 2401 Pennsylvania Ave.,Apt.#6C41 City State Zip Code Date[MM/DD/YYYY] $ Philadelphia PA 19130 Full Name of Contributor Date[MM/DD/YYYY] $ Sherry H.Lerch 03/14/2021 $200.00 House# Street Address Date[MM/DD/YYYY] $ 306 Allenview Dr. City State Zip Code . Date[MM/DD/YYYY] $ Mechanicsburg PA 17055 PART B All Other Contributions $50.01 TO$250 Use this Part to itemize all other contributions with an aggregate value from $50.01 TO$250 in the reporting period. (Exclude contributions from political committees reported in Part A.) Filer Identification Number. Full Name of Contributor Date[MM/DD/YYYY] $ David Flair 02/26/2021 $250.00 House# Street Address Date[MM/DD/YYYY] $ 302 W Earlham Terrace City State Zip Code Date[MM/DD/YYYY] $ Philadelphia PA 19144 Full Name of Contributor Date[MM/DD/YYYY] $ Sabrina Nansteel-Bunt 02/26/2021 $100.00 House# Street Address Date[MM/DD/YYYY] $ 7250 Shalkop St. City State Zip Code Date[MM/DD/YYYY] $ Philadelphia PA 19128 Full Name of Contributor Date[MM/DD/YYYY] $ Howard Hurtig 02/27/2021 $150.00 House# Street Address Date[MM/DD/YYYY] $ 2353 Bryn Mawr Ave. City State Zip Code Date[MM/DD/YYYY] $ Philadelphia PA 19131 Full Name of Contributor Date[MM/DD/YYYY] $ James Giammarco 03/01/2021 $75.00 House# Street Address Date[MM/DD/YYYY] $ 301 Sweetbriar St. City State Zip Code Date[MM/DD/YYYY] $ Pittsburgh PA 15211 Full Name of Contributor Date[MM/DD/YYYY] $ Kathleen Bates 03/07/2021 $100.00 House# Street Address Date[MM/DD/YYYY] $ 929 16th St. City State . Zip Code Date[MM/DD/YYYY] $ New Cumberland PA 17070 Full Name of Contributor Date[MM/DD/YYYY] $ $100.00 Mary Jeanne Serafin 02/25/2021 • House# Street Address Date[MM/DD/YYYY] $ 2537 Mount Royal Rd. City State Zip Code Date[MM/DD/YYYY] $ Pittsburgh PA 15217 PART B All Other Contributions $50.01 TO$250 Use this Part to itemize all other contributions with an aggregate value from $50.01 TO$250 in the reporting period. (Exclude contributions from political committees reported in Part A.) Filer Identification Number: Full Name of Contributor Date[MM/DD/YYYY] $ Barbara Sunderlin 04/08/2021 $100.00 House# Street Address Date[MM/DD/YYYY] $ 324 16th St. City State Zip Code Date[MM/DD/YYYY] $ New Cumberland PA 17070 Full Name of Contributor Date[MM/DDIYYYYj $ Mary Dankosky 04/18/2021 $100.00 House# Street Address Date[MM/DD/YYYY] $ 1805 Saint Clair Rd. City State Zip Code Date[MM/DD/YYYY] $ New Cumberland PA 17070 Full Name of Contributor Date[MM/DD/YYYY] $ Katy Kaplan 02/24/2021 $100.00 House# Street Address Date[MM/DD/YYYY] $ 24 South 43rd St. City State Zip Code Date[MM/DD/YYYY] $ Philadelphia PA 19104 Full Name of Contributor Date{MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ PART C Contributions Received From Political Committees Over$250.00 Use this Part to itemize only contributions received from Political Committees with an aggregate value over$250.00 in the reporting period. Filer Identification Number. N/A Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYII $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City • State Zip Code Date[MM/DD/YYYY] $ PART D All Other Contributions Over$250.00 Use this Part to itemize all other contributions with an aggregate value over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C) Filer Identification Number: N/A Full Name of Contributor Date[MM/DD/YYYY] $ Joan Erney $500.00 02/06/2021 House# Street Address . Date(MM/DD/YYYY] $ 505 Park Ave. City State Zip Code Date[MM/DD/YYYY] $ New Cumberland PA 17070 Employer Name Occupation N/A Retired/Paid Consulting Employer Mailing Address/ Principal Place of Business 505 Park Ave.New Cumberland,PA 17070 Full Name of Contributor Date(MM/DD/YYYY] $ Richard Gold 02/14/2021 $500.00 House# Street Address Date[MM/DD/YYYY] $ 520 Carpenter In.Apt.3D City State Zip Code Date(MM/DD/YYYY] $ Philadelphia PA 19119 Employer Name Occupation Self-employed Self-employed Employer Mailing Address/ Principal Place of Business 520 Carpenter Ln.Apt.3D,Philadelphia,PA 19119 Full Name of Contributor Date[MM/DD/YYYY] $ Mary C McGrath 02/20/2021 $500.00 House# Street Address Date[MM/DD/YYYY] $ 1508 High Meadows Ln. City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17055 Employer Name Occupation Retired Retired Employer Mailing Address/ Principal Place of Business Retired Full Name of Contributor Date(MM/DD/YYYY] $ Sharon Hicks 02/28/2021 $500.00 • House# Street Address Date[MM/DD/YYYYJ $ 276 Connecting Rd. City State Zip Code Date[MM/DD/YYYY] $ Pittsburgh PA 15228 Employer Name Occupation Open Minds Health Care Consultant Employer Mailing Address/ Principal Place of Business 15 Lincoln Sq.,Gettysburg,PA 17325 PART D All Other Contributions Over$250.00 Use this Part to itemize all other contributions with an aggregate value over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C) Filer Identification Number: Full Name of Contributor Date[MM/DD/YYYY] $ James Gavin $500.00 03/22/2021 House# Street Address Date[MM/DD/YYYY) $ 2301 Hollister Ave. City State Zip Code Date[MM/DD/YYYY) $ Scranton PA 18508 Employer Name Occupation Retired Retired Employer Mailing Address/ Principal Place of Business Retired Full Name of Contributor Date[MM/DD/YYYY] $ Theodore Dallas 03/19/2021 $275.00 House# Street Address Date[MM/DO/YYYY] $ 136 N.Bread St.,Apt 204 City State Zip Code Date[MM/DD/YYYY] $ Philadelphia PA 19106 Employer Name Occupation Merakey President&COO Employer Mailing Address/ Principal Place of Business 620 E.Germantown Pike,Lafayette Hill,PA 19444 Full Name of Contributor Date[MM/DD/YYYY] $ Nancy Kukovich 04/08/2021 $300.00 House# Street Address Date[MM/DD/YYYYJ $ 422 Breezy Hill Ln. City . State Zip Code Date[MM/DD/YYYY) $ Harrison City PA 15636 Employer Name Occupation Adelphoi CEO Employer Mailing Address/ Principal Place of Business 1119 Village way,Latrobe,PA 15650 Full Name of Contributor Date[MM/DD/YYYY] $ Susan Blue 04/15/2021 $500.00 House# ' Street Address Date[MM/DD/YYYY] $ 568 Schultz Rd. City State Zip Code Date[MM/DD/YYYY) $ Washington Boro PA 17582 Employer Name Occupation Community Services Group CEO Employer Mailing Address/ Principal Place of Business 320 Highland Dr.,Mountville,PA 17554 PART D All Other Contributions Over$250.00 Use this Part to itemize all other contributions with an aggregate value over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C) • Filer identification Number: Full Name of Contributor Date[MM/DO/YYYY] $ Aidan Altenor $500.00 03/07/2021 House# Street Address . Date[MM/DD/YYYY] $ 242 Blue Cedar Rd. City State Zip Code Date[MM/DD/YYYY] $ Irmo SC 29063 Employer Name Occupation Retired Retired Employer Mailing Address/ Principal Place of Business Retired Full Name of Contributor Date[MM/DD/YYYY] $ Estelle Richman 03/07/2021 $300.00 House# Street Address Date[MM/DD/YYYY] $ 713 Davidson Rd. City State Zip Code Date[MM/DD/YYYY] $ Philadelphia PA 19118 Employer Name Retired Occupation Retired Employer Mailing Address/ Principal Place of Business Retired Full Name of Contributor Date[MM/DD/YYYY] $ Helen Gym 03/14/2021 $300.00 House# Street Address Date[MM/DD/YYYY] $ 2110 Appletree St. City State Zip Code Date[MM/DD/YYYY] $ Philadelphia PA 19103 Employer Name Occupation Philadelphia City Council Councilperson Employer Mailing Address/ City Hall,Room 592,Philadelphia,PA 19107 Principal Place of Business full Name of Contributor Date[MM/DD/YYYY] $ Doris M.Leisch $1,000.00 03/14/2021 House# Street Address Date[MM/DD/YYYY] $ 3332 West Penn St. City State Zip Code Date[MM/DD/YYYY] $ Philadelphia PA 19129 Employer Name Occupation Retired Retired Employer Mailing Address/ Retired Principal Place of Business PART D All Other Contributions Over$250.00 Use this Part to itemize all other contributions with an aggregate value over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C) Filer Identification Number: Full Name of Contributor Date[MM/DD/YYYY] $ James Highland $1,000.00 03/03/2021 House# Street Address Date[MM/DD/YYYY] $ 36 Oakland Ave. City State Zip Code Date[MM/DD/YYYY) $ Yarmouth ME 04096 Employer Name Occupation BerryDunn Economist Employer Mailing Address/ Principal Place of Business 2211 Congress St.,Portland,Maine,04104 Full Name of Contributor Date[MM/DD/YYYY] $ Bradley Shopp 03/07/2021 $1,000.00 House# Street Address Date[MM/DD/YYYY] $ 2202 W.Coventry Ln. City State Zip Code Date[MM/DD/YYYY] $ Enola PA 17025 Employer Name Occupation Feinburg Shopp Assoc. Legislative Affairs Employer Mailing Address/ Principal Place of Business 240 N.Thirs St.,Suite 800,Harrisburg,PA 17101 Full Name of Contributor Date[MM/DD/YYYY] $ Arthur McNulty 03/07/2021 $300.00 House# Street Address Date[MM/DD/YYYY] $ 602 Park Ave. City State Zip Code Date[MM/DD/YYYY] $ New Cumberland PA 17070 Employer Name Occupation Retired Retired Employer Mailing Address/ Principal Place of Business Retired Full Name of Contributor Date[MM/DD/YYYY] $ TimothyPotts 250 02/14/2021 House# Street Address Date[MM/DD/YYYY] $ 18 Har-John Dr. 04/14/2021 250 City State Zip Code Date[MM/DD/YYYY] $ Carlisle PA 17015 Employer Name Occupation Retired Retired Employer Mailing Address/ Retired Principal Place of Business 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: N/A Full Name House# Street Address City State Zip Date IMM/DD/YYYY] $ Code Receipt Description Full Name House# Street Address City State Zip Date[MM/DD/YYYY] $ Code Receipt Description Full Name House# Street Address City State Zip Date[MM/DD/YYYY] $ Code Receipt Description Full Name House# Street Address City State Zip Date[MM/DD/YYYY] $ Code . Receipt Description Full Name House# Street Address City State Zip Date[MM/DD/YYYY] $ Code Receipt Description Full Name House# Street Address City State Zip Date[MM/DD/YYYY] $ Code Receipt Description SCHEDULE II IN-KIND CONTRIBUTIONS AND VALUABLE THINGS RECEIVED USE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS DURING THE REPORTING PERIOD DETAILED SUMMARY PAGE Filer Identification Number: N/A 1 . - -/ - U1//III Anal III I 1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR I TOTAL for the reporting period (1) $ I 2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) I TOTAL for the reporting period (2) $ 202.56 I3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) TOTAL for the reporting period (3) $ TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING $ PERIOD(Add and enter amount totals from boxes 1,2,and 3;also enter on Page 1,Report Cover Page,Item F) 202.56 SCHEDULE II PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 Filer Identification Number: N/A Full Name of Contributor Date[MM/DD/YYYY] $ Joan Emey 02/06/2021 10 House# Street Address Date[MM/DD/YYYYJ $ 505 Park Ave. 02/08/2021 4.60 City State Zip Code Date(MM/DD/YYYYJ $ New Cumberland PA 17070 6.63 03/13/2021 Description of Contribution Notary/Certified Mail/Notary Full Name of Contributor Date[MM/DD/YYYYJ $ Joan Erney 04/17/2021 110.21 House# Street Address Date[MM/DD/YYYY] $ 505 Park Ave. 03/20/2021 71.12 City State Zip Code Date[MM/DD/YYYYJ $ New Cumberland PA 17070 Description of Contribution Staples-Supplies/Panera Bread Food(Both for campaign event) Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYYJ $ City State Zip Code Date[MM/DD/YYYY] $ Description of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Description of Contribution Full Name of Contributor Date[MM/DD/YYYYJ $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Description of Contribution SCHEDULE II Part G In-Kind Contributions Received VALUE OVER$250 Filer Identification Number: N/A Full Name of Contributor Date[MM/DD/YYYYI $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date(MM/DD/YYYYj $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution Full Name of Contributor Date[MM/DO/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution Full Name of Contributor Date[MM/DD/YYYYJ $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYYI $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution SCHEDULE III • Statement of Expenditures . Filer Identification Number: N/A To Whom Paid Date IMM/DD/YYYY] $ Vistaprint.com 275.11 03/08/2021 House# N/A Street Address N/A Description of Expenditure City N/A State N/ CodeZip N/A Campaign Ads To Whom Paid ' Date IMM/DD/YYYY] $ Rowe Screen Print,Inc. 806.25 3/22/2021 House it 1605 Street Address Elm St. Description of Expenditure City o New Cumberland State PA Code 17070 Campaign T shirts To Whom Paid Date[MM/DD/YYYY] $ Keystone Print&Card 823.58 04/13/2021 House# Street Address Description of Expenditure 901 Market St. City State Zip Postcards New Cumberland PA Code 17070 To Whom Paid Date[MM/DD/YYYY] $ Keystone Print&Card 66.89 04/13/2021 House# Street Address Description of Expenditure 901 Market St. City State Zip New Cumberland PA Code 17070 Postcards To Whom Paid Date IMM/DD/YYYY) $ Viscom marketing 286 04/19/2021 House# Street Address Description of Expenditure 901 Market St. City I Zip New Cumberland State PA • Code 17070 Yard Signs To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip . Code To Whom Paid Date IMM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY) $ House# Street Address Description of Expenditure City . State Zip Code 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. Flier Identification Number: N/A 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 Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYYI 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 $ IMM/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