HomeMy WebLinkAboutFriends of Mercedes Evans - 2021 2nd Friday Pre-Primary Reset Form 1 Print Form 1
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) X
Name of Filing Committee,Candidate or Lobbyist Friends of Mercedes Evans
Street Address • P.O.Box 3213
City Camp Hill State PA Zip Code 17011
1 Type of Report(Place x under report type)
1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday 5-2 Friday 6-30 Day Post 7-Annual Special 2"°Friday Special 30 bay
Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election
x n
Date Of Election Year Amendment Termination
(MM/DD/YYYY) 05/18P202= 2021 Report X Report
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
01/01/2021 05/03/2021
C)
A.Amount Brought Forward From Last Report $ c Q
0 r..1
B.Total Monetary Contributions and Receipts $
(From Schedule I) 6560.32 f
33
C.Total Funds Available $ 6560.32 r- r
(Sum of Unes A and B) CJl
D.Total Expenditures $ Q
23os.17
(From Schedule III) c7 3
E.Ending Cash Balance I
(Subtract Une D from Une C) a251.15 Z.' �.
F.Value of In-Kind Contributions Received t o -< GO
(From Schedule II)
G.Unpaid Debts and Obligations i
(From Schedule IV) 0
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 _
day of 20 • -% i C.
• Signature of Person Submitting report
Patricia Smith
Signature Printed Name
My Commission expires 717 919-8585
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,N0.320)as
amended.
Sworn to and subscribed before me this L day of 20 '
ignature of Candidate
O
' L:144147/.----
Mercedes Evans
Signature Printed Name
My Commission expires 717 303-3932
MO. DAY YR. Area Code Daytime Telephone Number
II
SCHEDULE I
Contributions and Receipts
Detailed Summary Page
Filer Identification Number 'I
I
1Alnitemized Contributions and Receipts-3 50.00 or Less per Contributor
Total for the reporting period (1) 1 810
IZ.contributions of 150.01 to 17.50.00(From
Part A and Part B)
Contributions Received from Political Committees(Part A) $ 0
All Other Contributions(Part B) 8 3750
Total for the reporting period (2) $ 3750
I3.Contributions Over 1250.00,(From Part C and Part D)
Contributions Received from Political Committees(Part C) 8 loon
All Other Contributions(Part D) $ loon
Total for the reporting period (31 $ 2000
I4.Other Receipts-Refunds,interest Earned,Returned Checks,ETC.(From Part E)
Total for the reporting period (4) = .32
Total Monetary Contributions and Receipts during this reporting period(Add and 8
enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report 6.560.32
Cover Page,Item B)
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.
Full Name
Members 1st Federal Credit Union
House# Street Address P.O.Box 40
City State Zip Date[MM/DD/YYYYI S
Mechanicsburg PA Code 17055 .15
03/31l2021
Receipt Description Dividend
Full Name Members 1st Federal Credit Union
House# Street Address P.O.Box 40
City State bap Date[MM/DD/YYYY]
Mechanicsburg PA Code 17055 .17
84/30/2021
Receipt Description
Dividend
Full Name
House I# Street Address
City State Zip Date IMM/DD/YYYY] $
Code
Receipt Description
Full Name
House# Street Address
City .` State Zrp Date[MM/OD/YYYY) S i
Code
Receipt Description
Full Name
House# Street Address
City State Zip Date IMM/Db/YYYY] $
Code
Receipt Description
Full Name
House# Street Address
City State Zip Date[MM/DDIYYYY] $
Code
Receipt Description
SCHEDULE III
Statement of Expenditures
Filer Identification Number.
To Whom Paid Date[MM/DD/YYYY] t
ActBlue -$3.00
05/03i2021
House# Street Address Description of Expenditure
366 Summer Street
City Sommerville State MA code 02144 Removing this expense from prior report.
{
To Whom Paid Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Tip
Code
To Whom Paid Date[MM/DD/YYYY] $
ti.
House*. Street Address Description of Expenditure
City State Tip
Code
To Whom Paid Date[MM/DD/YYYY] t
House# Street Address Description of Expenditure
City State Bp
Code
To Whom Paid Date[MM/DD/YYYY] t
House# Street Address Description of Expenditure
City State Tip
Code
To Whom Paid Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid• Date[MM/DD/YYYY] t
House it Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYY]. ' t
House# Street Address Description of Expenditure
City State Zip
Code
-- Pennsylvania Department of State
:--ie
Bureau of Campaign Finance&Civic Engagement
210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4)
www.dos.pa.gov/campaianfinance • ra-stcampaignfinance@pa.Qov
Unsworn Declaration 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 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 Reports. This form must be signed
by hand where a signature is required.
Name of Filing Committee, Candidate, or Lobbyist
Friends of Mercedes Evans
Reporting Cycle Name
❑ Cycle 1 B Cycle 2 ❑ Cycle 3 ❑ Cycle 4 0 Cycle 5
6th Tuesday 2nd Friday 30 Day 6th Tuesday 2nd Friday
Pre-Primary Pre-Primary Post Primary Pre-Election Pre Election
O Cycle 6 0 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 accompanying Campaign Finance Report is true and correct.
-P ..--2 05-05-2021
Signature of Treasurer, Candidate, or Lobbyist Date(DD/MM/YYYY)
Patricia Smith Camp Hill, PAS VSP
Printed Name Location (City/State/Country)
DSEB-502R
Updated 1/22/2021
\-72_,7 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-stcamoaignfinance(1pa.gov
Partll-If this form is submitted with a report by a Candidate's Authorized Committee, the
candidate must sign here.
I declare under penalty of perjury under the law of the Commonwealth of Pennsylvania
that the accompanying Campaign Finance Report is true and correct.
14cee 4/W OS-OS— 2tin
Signature of Treasurer,Candidate, or Lobbyist Date(DD/MM/YYYY)
1�erce deS &Van5 Cat'n Ai I[, PJ, 1)54-
Printed Name Location (City/State/Country)
DSEB-502R
Updated 1/22/2021
II TIrbrl rt/1111 a 11111.1 vun
sii
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 (MarkX) n _
Name of Filing Committee,Candidate or Friends of Mercedes Evans
Lobbyist
Street Address P.O.Box 3213
City Camp Hill State PA Zip Code 17011
Type of Report(Place x under report type)
1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6thTuesday 5-24 Friday 6-30 Day Post 7-Annual Special 2n°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) 5/18/2021 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 8 0
B.Total Monetary Contributions and Receipts S r_jr�0
(From Schedule I) v
C.Total Funds Available 8 •
(Sum of Lines A and B) la S /D • c)
D.Total Expenditures 8 C:::: to
(From Schedule III) 131211
CM
E.Ending Cash Balance 8 ' $'� rr I-•
(Subtract Line D from Line C) 2`j7
-s
F.Value of In-Kind Contributions Received S o . ....1
(From Schedule II) 1,
G.Unpaid Debts and Obligations S ":
(From Schedule IV) 0 J -• ..:/
Affidavit Section
Part 1-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here. ---4 r
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 coTnpiete.
Sworn to and subsc bed before me this (/��? p ���
3r6 day of 20 9 I erg/ L•o(:L rE�.'i
--Pcreci.--,...,- ,/ Signgtpringubml tin r rt
NNILCC ff�
Signature r1 Printed Name
My Commission expires Mail-
/�U UZ 111 �6 ?-s q Z
MD. 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
6l�V l3
n to and subscribed before me this �� Oa/��p�� eV �y1' t' (I
day of 20
l..ltn
Signature ° Printed Name
t�
My Commission expires V ✓ !n 44 `� 1 1 1 303-?A 67_
MD. \ DAY YR. Area Code Daytime Telephone Number
SCHEDULE I
Contributions and Receipts
Detailed Summary Page
IFiler Identification Number 1
1.Unitemized Contributions and Receipts$50.00 or Less per Contributor
Total for the reporting period (T) S 820
2.Contnbutions of 8 50.01 to S 250.00(From
Part A and Part B)
Contributions Received from Political Committees(Part A) $ 0
All Other Contributions(Part B) 8 3750
Total for the reporting period (2) $ 3750
I3.Contributions Over 8250.00(From Part C and Part D) , $
Contributions Received from Political Committees(Part C) S 1000 /1
All Other Contributions(Part D) S i000
Total for the reporting period (3) 8 2000
I4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E)
Total for the reporting period (4) S 0
Total Monetary Contributions and Receipts during this reporting period(Add and S
enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report 6570
Cover Page,Item 8)
PART B
All Other Contributions
S 50.01 TO S 250
Use this Part to itemize all other contributions with an aggregate value from
S 50.01 TO 8250 in the reporting period.
(Exclude contributions from political committees reported in Part A.)
Hier Identification Number:
Full Name of Contributor Date[MM1DD/YYYY] 8
William Evans 02-09-2021 250
House# Street Address Date[MM/DD/YYYY]` . S
3001
City State Zip Code Date[MM/DD/YYYY] 8
Camp Hill PA 17011
Full Nanie of Contributor Date[MM/DD/.YYYY] S
Valerie Polichar 02 11 2021 200
House# Street AddreaS Date[MM/DD/YYYY] 8
4640 La Cuenta Drive
City. State Zip Code Date[MM/DD/YYYY] S
San Diego CA 92124
Full Name of Contributor - _WO[MM/DD/YYYY] 8"
Evan Parent: ••- 250
02-11-2021
•
House# Street Address Date[MM/DD/YYYY] •S '
31 Whitetail Drive
City State Zip Code Date[M M/DD/Y.YYY] S
Chadds Ford PA 19317
Full Name of Contributor Date[MM/DD/YYYY] 8
Josh Schlein 02/11/2021 100
House# Street Address Date[MM/DD/YYYY] 8
16 Bendigo Street
City State Zip Code Date[MM/DD/YYYY] S
Tower City PA 17980
Full Name of Contributor. Date[MM/DD/YYYY] 8
Michael Smith 02/14/2021 250
House# Street Address' Date[MM/DD/YYYY] .8
37691/2 Fourth Avenue
City State • Zip Code Date[MM/DD/YYYY] S
San Diego CA 92103
Full Name of Contributor Date[MM/DD/YYYY] S
Shannon Sticker 02/14/2021 200
House# Street Address Date[MMJDD/YYYY] S
4519 !Cavan Court
City State Zip Code • Date[MM/DD/YYYY] S
Doylestown PA 18902
PART B
All Other Contributions
S 50.01 TO S 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]. $
Helen Horstmann-Allen 250
House# Street Address Date[MM/DD/YYYY]. S
440 Lombard Street
City State Zip Code Date[MM/DD/YYYY] S
Philadelphia PA 19147
Full Name of Contributor Date[MM/DD/YYYY] S
Declan Fleming 03-05-2021 200
House# Street Address Date[MM/DD/YYYY] 8
• 1834 29th Street
City State Zip Code. Date[MM/DD/YYYY] 8`-
San Diego CA 92102
Full Name.of Contributor Date[MM/DD/YYYY] S
Mike Ritchie K
02-11-2021 tO0
House# Street Address Date[M M/DD/YYYY] S
13183 Dufresne Place
City • State Zip Code Date[MM/DD/YYYYJ 8
San Diego CA 92129
Full Name of Contributor Date[MM/DD/YYYY] S
Cynthia Skwortz 02-13-2021 100
House# Street Address' Date[MM/DD/YYYY] 8
389 Davis Avenue 02 21 2021 100
City State Zip Code Date[MM/DD/YYYY] S.
McKees Rocks PA 15136
Full Name of Contributor Date[MM/DD/YYYY] S
Dan Suchy 100
02-13-2021
•House# Street Address Date[MM/DD/YYYY] $
1038 Comish Drive
City State Zip Code Date[MM/DD/YYYY] S .
Encinitas CA - 92024
Full Name of Contributor Date[MM/DD/YYYY] 8
Dorothy Evans 100
House# Street Address •.Date[MM/DD/YYYY] 8
198 Irving Ave,Apt 1 r
City State Zip Code Date[MM/DD/YYYY] 8
Brooklyn NY 11237
PART B
All Other Contributions
S 50.01 TO S 250
Use this Part to itemize all other contributions with an aggregate value from
S 50.01 TO S 250 in the reporting period.
(Exclude contributions from political committees reported in Part A.)
IFiler Identification Number:
Full Name of Contributor Date[MM/DD/YYYY] 8
Beth Finn 02-14-2021 100
House# Street Address Date[MM/DD/YYYY] 8
. 604 S.Washington Square,Apt 12
.City Philadelphia State PA Zip Code : 19106 Date[MM/DD/YYYY] $
Full Name of Contributor Date[MM/DD/YYYY] 8
Lisa Procz 100
02-14-2021
House# Street Address Date[MM/DD/YYYY] '('S
467 Marion Court
City State Zip Code Date[MM/DD/YYYY] . 8
Holland PA 18966
Full Name of Contributor Date[MM/DD/YYYY] S
. Jennifer Reiswig 100
02-16-2021
House# Street Address Date[MM/DD/YYYY] S
4133 . Florida Street,Apt 7
City State Zip Code Date[MM/DD/YYYY] 8..
San Diego CA 92104
Full Name of Contributor Date[MM/DD/YYYY] S
Gayle Sicchitano 100
02-18-2021
House# Street Address Date[MM/DD/YYYY] .S
818 Sycamore Circle
City State Zip Code , Date[MM/DD/YYYY] 8
Camp Hill PA 17011
Full Name of Contributor. Date[MM/DD/YYYY] S
Elizabeth Eddy 100
02-27-2021
House# Street Address •Date[MM/DD/YYYY] S
6386 SW 90th Street
City State Zip Code Date[MM/DD/YYYYJ S
Gainesville FL 32608
Full Name of Contributor Date[MM/DD/YYYY] S
Craig Boehr 100
House# Street Address Date[MM/DD/YYYY] S
432 N.Armistead Street
City State Zip Code Date[MM/DD/YYYY] S
Alexandria VA 22312
PART B
All Other Contributions
850.01 TO 8 250
Use this Part to itemize all other contributions with an aggregate value from
850.01 TO S250 in the reporting period.
(Exclude contributions from political committees reported in Part A.)
Filer Identification Number:
Full Name of Contributor Date[MM/DD/YYYY] $
Cristela Garcia-Spitz 04/05/2021 250
House# Street Address Date[MM/DD/YYYY] $
45141/2 Hamilton Street
City State Zip Code Date[MM/DDJYYYY] S
San Diego CA 92116
Full Name of.Contributor Date[MM/DD/YYYY] 8
Evelyn Williams 100
02-25-2021
House# Street Address Date'[MM/DD/_YYYY] S
4324 • Valley View Road
City State Zip Code Date[MM/DD/YYYY] S
Harrisburg " PA 17112
Full Name of f Contributor Date[M M/DD/YYYY] <8
' Jean Foschi 100
03-11-2021
House# Street Address Date[MM/DD/YYYY] S
2195 Brunswick Avenue
City State Zip Code Date[MM/DD/YYYY] ":8
Mechanicsburg PA 17055
Full Name of Contributor Date[MMJDD/YYYY] 8.
Paul Smith 50
02-16-2021
House# Street Address Date.[MM/DD/YYYY]" S
129 N 30th Street 04-11-2021 100
City " State. Zip Code Date[MM/DD/YYYY] 8
Camp Hill PA 17011
Full Name of Contributor Date[MM/DD/YYYY] 8
- Maria Cruz 250
03-14-2021
House# Street Address Date[MM/DD/YYYY] S
9317 Otis Street
City. State :Zip Code Date[MM/DD/YYYY] 8
South Gate CA 90280
Full Name of Contributor ,Date[MM/DD/YYYY] S
Autumn Anderson 04 30 2021 100
House# Street Address Date[M M/DD/YYYY] 8
1706 Susquehanna Street
City State Zip Code Date[MM/DD/YYYY] . $
Harrisburg PA 17102
PART C
Contributions Received From Political Committees
Over 8250.00
Use this Part to itemize only contributions received from Political Committees
with an aggregate value over 8 250.00 in the reporting period.
Filer Identification Number: I
Full Name of Date[MM/DD/YYYY] 8
Contributing Committee Second Generation 03/25/2021 . t,000
House# Street Address Date[MM/DD/YYYY] 8,
P.O.Box 39738
City State Zip Code Date[MM/DDJYYYY] 8
Philadelphia PA 19106
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYY] S
City State Zip Code Date[MM/DD/YYYY] S
Full Name of Date[MM/DD/YYYY] S
Contributing Committee
House# Street Address Date[MM/DD/YYYY] 8
City State Zip Code Date[M.M/DD/YYYY] S
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date tMM/DD/YYYY] S
City State Zip Code Date[MM/DD/YYYYJ $•
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYY] 8
City State Zip Code Date[MM/DD/YYYY] S
Full Name of •Date[MM/DD/YYYY] •$
Contributing Committee
House# Street Address Date[MM/DD/YYYY] S
City State Zip Code Date[MM/DD/YYYY] 8
PART D
All Other Contributions
Over S 250.00
Use this Part to itemize all other contributions with an aggregate value over S 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] $
Kate Wildauer 1000
02/16/2021
House# Street Address Date[MM/DD/YYYY] 8
27 Circle Place
City State Zip Code Date IMM/DD/YYYY] S
Camp Hill PA 17011
Employer Name N/A Occupation Retired
Employer Mailing Address/ •
Principal Place of Business
Full Name of Contributor . Date[MM/DD/YYYY] $
House# Street Address Date[M M/DD/YYYY] , S'
City State Zip Code Date[M M/DD/YYYY] 8
Employer Name Occupation
Employer Mailing Address/
Principal Place of Business
Full Name of Contributor Date[MM/DD/YYYY] S
House# Street Address' Date[MM/DD/YYYYJ 8•
City State Zip Code . Date[MM/DD/YYYY] 8
Employer Name Occupation
Employer Mailing Address/
Principal Place of Business
Full Name of Contributor Date[MM/DD/YYYYJ 8
House# Street Address •Date[MM/DD/YYYY] S
City State Zip Code . Date[MM/DD/YYYY] 8
Employer Name Occupation
Employer Mailing Address I
Principal Place of Business
SCHEDULE III
Statement of Expenditures
Filer Identification Number:
`
Date{MM/DD/YYYYj S
To Whom Paid .
Mercedes Evans 250
01-23-W1
House# 3001 Street Address Beverly Road Description of Expenditure
City State Zip
Camp Hill ' PA Code 17011 Loan repayment for logo cost
To Whom Paid • Date[MM/DD/YYYY] 8
USPS
02/23/2021 14.40
House# 1675 Street Address Camp Hill Bypass Description of Expenditure '
City State Zip.
Camp Hill PA Code 17011 Postcard stamps for mailing
To Whom Paid Date[MM/DD/YYYY] S
Stales
_ p 02/19/2021 , 75.61
House# Street Address Description of Expenditure ,
128 5.32nd Street
City
- Camp Hill State PA Zip 17011 Mailing/office supplies
Code
To Whom Paid Date[MM/DD/YYYY] S
Tanya Rhen 150
03/06/2021
House# 2208 Street Address Market Street Description of Expenditure
City Zip
Camp Hill State PA Code 17011 Food for 5/1/21 candidate event
To Whom Paid Date{MM/DD/YYYY] S
Capital Promotions 592.54
03/02/2021
House# Street Address Description of Expenditure
PO BOX 231 •
City State Zip
• Glenside PA Code 19038 Yard signs
To Whom Paid Date[MM/DD/YYYY] 8
Staples 499.47
04/21/2021
House# Street Address Description of Expenditure •
128 S.32nd Street
City State Zip
Camp Hill PA Code 17011 Flyer and letter printing
To Whom Paid Date[MM/DD/YYYY] 8
USPS 72.00
03/31/2021
House# Street Address Description of Expenditure
10 W Main Street
City Camp Hill State PA Cod@ 17011 Post Office Box for one year
To Whom Paid Date[MM/DD/YYYY] S
BlancasBannersNMore 67.58
03/06/2021
House# Street Address Description of Expenditure
PO Box 417755
City State Zip
Sacramento CA Code 95841 Campaign buttons
SCHEDULE III
Statement of Expenditures
1 filer Identification Number:
I
To Whom Paid Date[MM/DD/YYYY] 8
ActBlue 4554
03-03-2021
House# Street Address Description of Expenditure
366 Summer Street
City State Zip
Somerville MA 02144 Payment Processing Fees
Code.
To Whom Paid Date[MM/DD/YYYY] 8
USPS
04-21-2021 440
House# 10 Street Address W.Main Street Description of Expenditure
City Camp Hill State PA Cone 17011 First class stamps for mailing
To Whom Paid Date[MM/DD/YYYY]. 8
Vantiv,LLC 12.94
04/09-2021
House# Street Address Description of Expenditure
8500 Governors Hill Drive
City State Zip Merchant services r Symmes Township OH 45249 processing
Code
To Whom Paid Date[MM/DD/YYYY] S
ActBlue 6.75
04-05-2021
House# Street Address Description of Expenditure
366 Summer Street
City Zip
Somerville State MA Code 02144 Payment Processing Fees
To Whom Paid. Date[MM/DD/YYYY] 8
Vantiv,LLC 8234
03-09-2021
House# Street Address -Description of Expenditure
8500 Governors Hill Drive
City Symmes Township State OH Zip 45249 Merchant services processing fees
Code
To Whom Paid Date[MM/DD/YYYY] 8
ActBlue 3.00
05-03-2021
House# Street Address Description of Expenditure
366 Summer Street
City State Zip Payment Processin Somerville MA Code 02144g Fees
To Whom Paid Date[MM/DD/YYYY] S
House# Street Address Description of Expenditure
City State Zip
Code
To,Whom Paid Date[MM/DD/YYYY] 8
House# Street Address Description of Expenditure - -
City State Zip
Code