HomeMy WebLinkAboutUpper Allen Mech. Democratic Club - 2021 2nd Friday Pre-Primary fitPennsylvania 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-stcampnfinance@pa.gov
Unsworn Statement 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), 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 Lobb ist
Upper llLv ilAe-0_1A ,vtiCsb rc b2.nnocxa,+ic_ Club
0 Cycle 1 Cycle 2 0 Cycle 3 0 Cycle 4 0 Cycle 5
6°i Tuesday 2nd Friday 30 Day 6th Tuesday 2"d Friday
Pre-Primary Pre-Primary Post Primary Pre-Election
Pre-Election
.ID Cycle6
0 Cycle 7 0 Cycle 8 ❑ Cycle 9
30 Day Post-Election
Annual Report 2' 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 foregoing is true and correct.
2:4 rJyf65/1o7/
Signature of Treasurer,—andidate, or Lobbyist Date (DD/MM/YYYY)
)4/4f/( , l:Wier f�r reShGf j h°405-4
Prin1ted Name Location (City/State/Country)
DSEB-502R
Updated 6/24/2020
a
Commonwealth of Pennsylvania 11111111111111111111®11111111110
Campaign Finance Report 347359
(NOTE:This report must be clear and legible.It may be typed or printed in blue or black ink.)
Filer Identification 20190208 Report CANDIDATE COMMITTEE LOBBYIST
Number: Filed By:
Name of Filing Committee,Candidate or Lobbyist: UPPER ALLEN MECHANICSBURG DEMOCRATIC CLUB
Street Address: 2138 CANTERBURY DRIVE
City: MECHANICSBURG State: PA J Zip Code: 17055-5767
TYPE OF 6TH TUESDAY:.• 1. ''2ND FRIDAY PRE 2.X 30 DAY :. POST- 3. AMENDMENT Yes No
REPORT PRE-PRIMARY• PRIMARY PRIMARY REPORT?
ace X to 6TH TUESDAY 4. 2ND FRIDAY PRE- 5. 30 DAY; POST- 6. TERMINATION Yes No 1
(pl
(pl ght of PRE-ELECTION ELECTION ELECTION REPORT?
thereport type) ANNUAL REPORT 7. Year 2021 FILING METHOD PAPER DISKETTE
(..):CHECK ONE
DATE OF ELECTION District l Party Code County
Name of Office Sought by Candidate: Number Code Code
MO DAY YEAR^ 9 DEM 21
11 2 2021 `lase INSTRUCTIONS FOR CODES)
Summary of Receipts and MO DAY YEAR MO ' :-DAY YEAR - FOR OFFICE USE ONLY
Expenditures from: r~,
1 1 2021 TO 5 3 2021 o.,a
A.Amount Brought Forward From Last Report $ 1,033.15 rn
ri1 ;:„M
B.Total Monetary Contributions And Receipts(From Schedule I) $ 2,230.22 f <
;);:r.
C.Total Funds Available(Sum Of Lines A and B) 3,263.37 CI
D.Total Expenditures(From Schedule III) $ 508.94 0 "t"
c r
E.Ending Cash Balance(Subtract Line D From Line C) $ 2,754.43 Z1
C.
471
F.Value Of In-Kind Contributions Received(From Schedule II) $ 63.56
•
G.Unpaid Debts And Obligations(From Schedule IV) $ 0.00
AFFIDAVIT SECTION
PART I-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 filed on paper or by electronic medium,a to my knowledge and belief,true
correct and complete.
Sworn to and subscribed before me this t) Signature 1. "�� Submitting� Report
day of 20 / Merl�iL!u►' �e✓
Signature I rtr n De-Name
�"tir'Y)eYk.i mail.tali
My Commission Expires 7`�. Email �.r rv2?L.
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,
No 320)as amended.
Sworn to and subscribed before me this
Signature of Candidate
day of 20
Printed Name
Signature
My Commission Expires Email
MO ,Y,
DAY YR Area Code Daytime Telephone Numb`
5/4/2021 8:52:48 PM
SCHEDULE I
CONTRIBUTIONS AND RECEIPTS
Detailed Summary Page
Name of Filing Committee or Candidate Reporting Period
UPPER ALLEN MECHANICSBURG DEMOCRATIC CLUB From: 1/1/2021 To: 5/3/2021
I.Unitemized Contributions Received-$50.00 or Less Per Contributor
TOTAL for the Reporting Period (1) $ 1,280.00
2.Contributions Received $50.01 To$250.00(From Part A and Part B)
Contributions Received From Political Committees(Part A) $ 0.00
All Other Contributions (Part B) $ 450.00
TOTAL for the Reporting Period (2) $ 450.00
3 Contributions Received Over$250.00(From Part C and Part D)
Contributions Received From Political Committees(Part C) $ 0.00
All Other Contributions (Part D) $ 500.00
TOTAL for the Reporting Period (3) $ 500.00
4.Other Receipts,Refunds,Interest Earned,Returned Checks, Etc.(From Part E)
TOTAL for the Reporting Period (4) $ 0.22
Total Monetary Contributions and Receipts During this Reporting Period(Add and enter amount $ 2,230.22
totals from Boxes 1,2,3 and 4;also enter this amount on Pagel,Report Cover Page,Item B.)
5/4/2021 8:52:48 PM
••.ram J
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.
Name of Filing Committee or Candidate Reporting Period
From: To:
DATE AMOUNT
Full Name of Contributing Committee
MO DAY YEAR
Mailing Address
s 0.00
City State Zip Code(Plus 4)
PAGE TOTAL
Enter Grand Total of Part A on Schedule I,Detailed Summary Page,Section 2. $ 0.00
5/4/2021 8:52:48 PM
PART B
ALL OTHER CONTRIBUTIONS
$50.01 TO $250.00
Use this Part to itemize all other contributions with an aggregate value from
$50.01 to $250.00 in the reporting period.
(Exclude contributions from political committees reported in Part A)
Name of Filing Committee or Candidate Reporting Period
UPPER ALLEN MECHANICSBURG DEMOCRATIC CLUB From: 1/1/2021 To: 5/3/2021,
DATE AMOUNT
Full Name of Contributor
Peter Oyler 'MO: DAY "YEAR
Mailing Address 2205 Fenwick Ave.
E 20.00
City State Zip Code(Plus 4) 1 21 2021
Mechanicsburg
PA 17055
Full Name of Contributor
Peter Oyler NO DAY YEAR
Mailing Address 2205 Fenwick Ave.
# 40.00
City Mechanicsburg
State Zip Code(Plus 4) 2 2 2021
PA 17055
Full Name of Contributor
NO .' `DAY YEAR:.`.
Peter Oyler
Mailing Address 2205 Fenwick Ave. $ 50.00
City Mechanicsburg State Zip Code(Plus 4) 3 16 2021
PA 17055
Full Name of Contributor
Peter Oyler MO:" DAY" YEAR
Mailing Address 2205 Fenwick Ave.
20.00
City Mechanicsburg State Zip Code(Pius 4) 3 21 2021
PA 17055
Full Name of Contributor
Peter Oyler MO DAY YEAR• .,
Mailing Address 2205 Fenwick Ave. $ 20.00
City State Zip Code(Pius 4) 4 21 2021
Mechanicsburg
PA 17055
5/4/2021 8:52:48 PM
••.ter �
Full Name of Contributor
MO DAY YEAR
KIMBERLY TURNER
Mailing Address 501 WEST MAIN STREET
S 100.00
City MECHANICSBURG
State Zip Code(Plus 4) 1 13 2021
PA 17055
Full Name of Contributor
MO . DAY YEAR
KIMBERLY TURNER
Mailing Address 501 WEST MAIN STREET
; 100.00
City MECHANICSBURG
State Zip Code(Plus 4) 3 25 2021
PA 17055
•
Full Name of Contributor
MO DAY YEAR
Donald and Mary Ann Howe
Mailing Address 2425 rolling hills drive
100.00
city mechanicsburg
State zip Code(Plus 4) 3 26 2021
PA 17055
PAGE TOTAL
Enter Grand Total of Part A on Schedule I,Detailed Summary Page,Section 2. $ 450.00
5/4/2021 8:52:48 PM
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 from Over$250.00 in the reporting period.
Name of Filing Committee or Candidate Reporting Period
From: To:
DATE AMOUNT
Full Name of Contributing Committee
MO DAY" YEAR
Mailing Address
$ 0.00
City State Zip Code(Plus 4)
PAGE TOTAL
Enter Grand Total of Part C on Schedule I,Detailed Summary Page,Section 3. $ 0.00
5/4/2021 8:52:48 PM
PART D
ALL OTHER CONTRIBUTIONS
OVER$250.00
Use this Part to itemize all other contributions with an aggregate value of
over$250.00 in the reporting period.
(Exclude contributions from political committees reported in Part C.)
Name of Filing Committee or Candidate Reporting Period
UPPER ALLEN MECHANICSBURG DEMOCRATIC CLUB From: 1/1/2021 To: 5/3/2021
DATE AMOUNT
Full Name of Contributor
Sue Milne MO DAY YEAR
Adding 114 East Keller St ; 250.00
Calf Mechanicsburg
State Zip Code(Plus 4) 1 1 2021
PA 17055
Employer Name not employed Occupation
not employed
Employer Mailing Address/Principal Place of City State Zip Code(Plus 4)
Business
NA NA PA 17055
Full Name of Contributor
Sue Milne NO . DAY YEAR
Mailing 114 East Keller St ress $ 250.00
y State Zip Code(Plus 4) 2 4 2021
Mechanicsburg
PA 17055
Employer Name not employed Occupation not employed
Employer Mailing Address/Prindpal Place of City State Zip Code(Plus 4)
Business
NA NA PA 17055
PAGE TOTAL
Enter Grand Total of Part C on Schedule I,Detailed Summary Page,Section 3.
500.00
5/4/2021 8:52:48 PM
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.
Name of Filing Committee or Candidate Reporting Period
UPPER ALLEN MECHANICSBURG DEMOCRATIC CLUB From: 1/1/2021 To: 5/3/202b
DATE AMOUNT
Full Name
Members 1st Federal Credit Union MO DAY YEAR
Mailing Address 4 Market Plaza Way $ 0.11
city Mechanicsburg
state zip Code(Plus 4) 4 30 2021
PA 17055
Receipt Description card swipe rebate
Full Name
Members 1st Federal Credit Union MO DAY .:. : YEAR.
Mailing Address 4 Market Plaza Way 0.11
City Mechanicsburg State Zip Code(Plus 4) 3 31 2021
PA 17055
Receipt Description card swipe rebate •
PAGE TOTAL
Enter Grand Total of Part E on Schedule I,Detailed Summary Page,Section 4.
0.22
5/4/2021 8:52:48 PM
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
Name of Filing Committee or Candidate Reporting Period
UPPER ALLEN MECHANICSBURG DEMOCRATIC CLUB From: 1/1/2021 To: 5/3/2021
1:UNITEMIZED.IN-KIND CONTRIBUTIONS RECEIVED:-VALUE OF$50.00 OR LESS PER.CONTRIBUTOR
TOTAL for the Reporting Period (1) $ 63.56
2.IN-KIND CONTRIBUTIONS RECEIVED-VALUROF$d0.01'TO$250 00(FROM PART F)
TOTAL for the Reporting Period (2) $ 0.00
3.IN-KIND CONTRIBUTION RECIEVED VALUE $250 00(FROM PART G):r
TOTAL for the Reporting Period (3) F 0.00
TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING PERIOD(Add and enter S 63.56
amount totals from Boxes 1,2,and 3;also enter on Page 1,Reports Cover Page,Item F.)
5/4/2021 8:52:48 PM
SCHEDULE II
PART F
IN-KIND CONTRIBUTIONS RECEIVED
VALUE OF$50.01 TO $250.00
Name of Filing Committee or Candidate Reporting Period
From: To:
DATE AMOUNT
Full Name of Contributor
NO DAY . YEAR
Mailing Address $ 0.00
City State Zip Code(Plus 4)
Description of Contribution:
Enter Grand Total of Part F on Schedule II,In-Kind Contributions Detailed Summary Page, PAGE TOTAL
Section 2.
$ 0.00
5/4/2021 8:52:48 PM
SCHEDULE II
PART G
IN-KIND CONTRIBUTIONS RECEIVED
VALUE OVER$250.00
Name of Filing Committee or Candidate Reporting Period
From: To:
DATE AMOUNT
Full Name of Contributor
MO DAY :YEAR
Mailing Address
0.00
City State Zip Code(Plus 4)
Employer of Contributor Occupation
Employer Mailing Address/Prindpal Place of city State Zip Code(Plus Description of Contribution
Business 4)
Enter Grand Total of Part G on Schedule II,In-Kind Contributions Detailed PAGE TOTAL
Summary Page,Section 3. 0.00
5/4/2021 8:52:48 PM
SCHEDULE III
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Period
UPPER ALLEN MECHANICSBURG DEMOCRATIC CLUB From 1/1/2021 To: 5/3/2021
DATE AMOUNT
To Whom Paid
vantiv ECommerce MO DAY YEAR
Mailing Address Act Blue PO Box 441146 1 11 2021
$ 2.97
CMS' Sommerville State Zip Code(Plus 4) Description of Expenditure
MA 02144 act blue service fee
To Whom Paid
vantiv ECommerce MO : DAY = YEAR
Mailing Address Act Blue PO Box 441146 2 9 2021 $ 24.13
CMY Sommerville State zip Code(Plus 4) Description of Expenditure
MA 02144 act blue service fee
To Whom Paid
MO DAY. •;.:` YEAR
vantiv ECommerce
Mailing Address Act Blue PO Box 441146 3 9 2021
5.12
Y Sommerville State Zip Code(Plus 4) Description of Expenditure
MA 02144 act blue service fee
To Whom Paid
MO DAY. .: YEAR
vantiv ECommerce
Mailing Address Act Blue PO Box 441146 3 26 2021
$ 20.00
CM
V Sommerville State Zip Code(Pius 4) Description of Expenditure
MA 02144 act blue service fee
To Whom Paid
MO DAY,;;.:;';,, YEAR
vantiv ECommerce
Mailing Address Act Blue PO Box 441146 4 9 2021
$ 19.48
City Sommerville State Zip Code(Plus 4) Description of Expenditure
MA 02144 act blue service fee
5/4/2021 8:52:48 PM
To Whom Paid
M0_ . DAY . YEAR
Act Blue
Mailing Address Act Blue PO Box 441146 2 3 2021
10.73
CitY Sommerville State Zip Code(Pius 4) Description of Expenditure
MA 02144 act blue service fee
To Whom Paid
MO"' " DAY YEAR
Act Blue
Mailing Address Act Blue PO Box 441146 3 3 2021
10.14
Y Sommerville State Zip Code(Plus 4) Description of Expenditure
MA 02144 act blue service fee
To Whom Paid
Act Blue MO DAY YEAR
Mailing Address Act Blue PO Box 441146 4 5 2021
7.21
Cit
Y Sommerville State Zip Code(Plus 4) Description of Expenditure
MA 02144 act blue service fee
To Whom Paid
MO ;:: DAY YEAR..
Zippity Print Postcards
Mailing Address 1600 East 23rd St 3 31 2021
229.84
Y Cleveland State Zip Code(Pius 4) Description of Expenditure
OH 44114 printing
To Whom Paid
ilt0;<:: DAY YEAR
Zippity Print Postcards
Mailing Address 1600 East 23rd St 4 2 2021
$ 179.32
Y Cleveland State Zip Code(Plus 4) Description of Expenditure
OH 44114 printing
PAGE TOTAL
Enter Grand Total of Expenditures on Page 1,Report Cover Page,Item D.
$ 508.94
5/4/2021 8:52:48 PM