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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