HomeMy WebLinkAboutCumberland County Democratic Committee - 2021 30-Day Post-Primary lePennsylvania 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
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
3 D o p Pi,,oc/7.3 r to „; t e_e.
Reporting Cycle Name
❑ Cycle 1 ❑ Cycle 2 1'4' Cycle 3 ❑ Cycle 4 ❑ Cycle 5
6th Tuesday 2nd Friday 30 Day 6th Tuesday 2nd 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 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.
l declare under penalty of perjury under the law of the Commonwealth of Pennsylvania
that the accompanying Campaign Finance Report is true and correct.
ri4 16 /06 /,2021
Signature of Treas rer, Candidate, or Lobbyist Date (DD/MM/YYYY)
Jake) P AAA,. Cagy 101 /`A /
Printed Name Location (City/State/Country)
DSEB-502R
Updated 1/22/2021
• PAGE 1
Commonwealth of Pennsylvania Ial11ll 111111l10lll llllllllll1ll11lllllllllH
Campaign Finance Report 350592
(NOTE:This report must be clear and legible. It may be typed or printed in blue or black ink.)
Filer Identification 8000648 Report CANDIDATE COMMITTEE' 1,7 LOBBYIST
Number: Filed By
Name of Filing Committee,Candidate or Lobbyist: CUMBERLAND CO DEM COM
Street Address: PO BOX 1121
City: CARLISLE State: PA Zip Code: 17013
TYPE OF 6TH TUESDAY 1. 2ND FRIDAY PRE- 2. 30 DAY POST- 3.X AMENDMENT Yes No
REPORT PRE-PRIMARY PRIMARY PRIMARY REPORT?
6TH TUESDAY 4. 2ND FRIDAY PRE- 5. 30 DAY POST- : 6. TERMINATION Yes No
(place X to PRE-ELECTION ELECTION - ELECTION REPORT?
the right of
report type) ANNUAL REPORT 7. Year 2021 FILING METHOD PAPERDISKETTE
( )CHECK ONE
DATE OF ELECTION District Office Party Code County
Name of Office Sought by Candidate: Number Code Code
MO DAY YEAR DEM 21
11 2 2021 (SEE INSTRUCTIONS FOR CODES)
Summary of Receipts and MO DAY YEAR MO DAY YEAR FOR OFFICE USE ONLY
r-N
Expenditures from: 5 4 2021 TO 6 17 2021 (L.: ='
z-s.. fr.a
A.Amount Brought Forward From Last Report $ 15,863.85 C J �"-
('I7 (---
B.Total Monetary Contributions And Receipts(From Schedule I) 2,638.50
:7,,. rV
C.Total Funds Available(Sum Of Lines A and B) 18,502.35 C)
-CI
D.Total Expenditures(From Schedule III) 3,434.95 t-� -.1....
E.Ending Cash Balance(Subtract Line D From Line C) $ 15,067.40 Z
F.Value Of In-Kind Contributions Received(From Schedule II) $ 0.00
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,are to the best of my/ knowledge and belief,true
correct and complete. frIAP.
_ - ! / .?
Sworn to and subscribed before me this � ) Signature(off�QPerso1n Submitting�in Report
day of 20 ✓brill A BosIt(_
Printed Name
Signature jO/Aiot 4JfA, (2 yk Ao0, 'O'
My Commission Expires (5 7D) Email N Li 8 3 L 0 7
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 DAY YR Area Code Daytime Telephone Number
6/16/2021 11:35:44 AM
PAGE 2
SCHEDULE I
CONTRIBUTIONS AND RECEIPTS
Detailed Summary Page
Name of Filing Committee or Candidate Reporting Period
CUMBERLAND CO DEM COM From: 5/4/2021 To: 6/17/2021
1.Unitetmzed Contributions Received- 50 00 or Less Per Contributor
TOTAL for the Reporting Period (1) $ 158.50
2 Contributions Recee ived $50.01 To$250.00(From Part A and Par B)
Contributions Received From Political Committees(Part A) $ 0.00
All Other Contributions (Part B) $ 410.00
TOTAL for the Reporting Period (2) $ 410.00
3.:Contributions Received Over$250:00(From Part C and Part 35)
Contributions Received From Political Committees(Part C) $ 0.00
All Other Contributions (Part D) $ 1,270.00
TOTAL for the Reporting Period (3) $ 1,270.00
4 Other Receipts,Refunds,Interest Earned,Returned Checks, ;Etc;(From Part:E)
TOTAL for the Reporting Period (4) $ 800.00
Total Monetary Contributions and Receipts During this Reporting Period(Add and enter amount $ 2,638.50
totals from Boxes 1,2,3 and 4;also enter this amount on Pagel,Report Cover Page,Item B.)
6/16/2021 11:35:44 AM
PAGE 3
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
Mailing Address
$ 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
6/16/2021 11:35:44 AM
PAGE 4
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
CUMBERLAND CO DEM COM From: 5/4/2021 To: 6/17/2021
DATE AMOUNT
Full Name of Contributor
Megan Hull MO DAY YEAR
Mailing Address 2226 Hall Pl. NW
$ 250.00
City State Zip Code(Plus 4) 5 15 2021
Washington
DC 20007
Full Name of Contributor
Matthew Franchak MO PAY YEAR
Mailing Address 17 Logans Run
$ 160.00
State Zip Code(Plus 4)
C'ty Enola 5 23 2021
PA 17025
PAGE TOTAL
Enter Grand Total of Part A on Schedule I, Detailed Summary Page, Section 2. $ 410.00
6/16/2021 11:35:44 AM
• PAGE 5
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
INO 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
6/16/2021 11:35:44 AM
PAGE 6
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
CUMBERLAND CO DEM COM From: 5/4/2021 To: 6/17/2021
DATE AMOUNT
Full Name of Contributor
Lisa Marie Coyne MD DAY YEAR•
Mailing 1618 W. Lisburn Rd.
Address $ 1,000.00
City State Zip Code(Plus 4) 5 4 2021
Mechanicsburg
PA 17055
Employer Name retired Occupation retired
Employer Mailing Address/Principal Place of City State Zip Code(Plus 4)
Business
1618 W. Lisburn Rd. Mechanicsburg PA 17055
Full Name of Contributor
•Mary Balaban MD DAY I YEAR,,
Mailing 8 Elmhurst Rd.
Address $ 270.00
City State Zip Code(Plus 4) 5 18 2021
Camp Hill
PA 17011
Occupation
Employer Name
retired retired
Employer Mailing Address/Principal Place of City State Zip Code(Plus 4)
Business
8 Elmhurst Rd. Camp Hill PA 17011
PAGE TOTAL
Enter Grand Total of Part C on Schedule I, Detailed Summary Page,Section 3.
$ 1,270.00
6/16/2021 11:35:44 AM
• PAGE 7
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
CUMBERLAND CO DEM COM From: 5/4/2021 To: 6/17/2021
DATE AMOUNT
Full Name
AO: DAY YEAR'
Min Karate
Mailing Address 46 W. Louther St. $ 800.00
State Zip Code(Plus 4) 6 7 2021
City Carlisle
PA 17013
Receipt Description rent
• PAGE TOTAL
Enter Grand Total of Part E on Schedule I, Detailed Summary Page, Section 4.
$ 800.00
6/16/2021 11:35:44 AM
PAGE 8
•
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
CUMBERLAND CO DEM COM From: 5/4/2021 To: . 6/17/2021
1 UNITEM D IZE !IN KIND CONTRIBUTIONS RECEIVED•,VALUE OP$50 00 OR LESS PER CONTRIBUTOR
•
TOTAL for the Reporting Period (1) $ 0.00
2 IN'KIND CONTRIBUTIONS RECEIVED„ VALUE OP$50 01 TO 250 00(FROM PART E)
TOTAL for the Reporting Period (2) $ 0.00
3 IN,KIND+CONTRIBUTION RELIEVED :VALUE OVER$Y50.00(FROM PART G)
TOTAL for the Reporting Period (3) $ 0.00
TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING PERIOD(Add and enter $ 0.00
• amount totals from Boxes 1,2,and 3;also enter on Page 1,Reports Cover Page,Item F.)
•
6/16/2021 11:35:44 AM
PAGE 9
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
"14D'Y 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
6/16/2021 11:35:44 AM
PAGE 10
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
lM O DAY YEAR•
Mailing Address
$ 0.00
City State Zip Code(Plus 4)
Employer of Contributor Occupation
Employer Mailing Address/Principal 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
6/16/2021 11:35:44 AM
PAGE 11
SCHEDULE III
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Period
CUMBERLAND CO DEM COM From 5/4/2021 To: 6/17/2021
DATE AMOUNT
To Whom Paid
MO DAY YEAR
Borough of Carlisle
Mailing Address 53 W. South St. 5 4 2021 $ 296.47
City Carlisle State Zip Code(Plus 4) Description of Expenditure
PA 17013 sewer/water
To Whom Paid
MO DAY YEAR
ActBlue
1111110
Mailing Address 366 Summer St. 5 5 2021 $ 3.42
City Somerville State Zip Code(Plus 4) Description of Expenditure
MA 02144 monthly service charge
To Whom Paid
MO DAY YEAR
CPEC, LLC
Mailing Address 4903 Wyoming Ave. 5 6 2021 $ 1,000.04
City Harrisburg State Zip Code(Plus 4) Description of Expenditure
PA 17109 robo-calls
To Whom Paid
MO DAY YEAR
USPS
IMMEMENii
Mailing Address 1675 Camp Hill Bypass 5 6 2021 $ 2.40
City Camp Hill State Zip Code(Plus 4) Description of Expenditure
PA 17011 mailing of CFR
To Whom Paid
MO DAY YEART
Staples
Mailing Address 128 S. 32nd St. 5 7 2021 $ 11.89
City Camp Hill State Zip Code(Plus 4) Description of Expenditure
PA 17011 printing of CFR
6/16/2021 11:35:44 AM
PAGE 12
• To Whom Paid
MOiDAYREligEgiE
Comcast Cable
Mailing Address 399 Baltimore St. 5 10 2021
$ 102.46
City Shippensburg State Zip Code(Plus 4) Description of Expenditure
PA 17257 cable/ internet
t31
To Whom Paid
MU DAY ,:YEAR :
Staples Direct
Mailing Address 500 Staples Dr. 5 10 2021
$ 25.50
City Framingham State Zip Code(Plus 4) Description of Expenditure
MA 01701 printer labels
To Whom Paid
110 DAY YEAR
ActBlue
Mailing Address 366 Summer St. 5 11 2021 $ 0.34
City Somerville State Zip Code(Plus 4) Description of Expenditure
MA 02144 service charge
To Whom Paid
MD DAY YEAR,
Toshiba Financial Service
Mailing Address P.O. Box 642111 5 11 2021 $ 331.25
City Pittsburgh State Zip Code(Plus 4) Description of Expenditure
PA 15264 copier service
To Whom Paid
MO DAY YEAR :,:
ActBlue
Mailing Address 366 Summer St. 5 12 2021 $ 1.76
City Somerville State Zip Code(Plus 4) Description of Expenditure
MA 02144 service charge
To Whom Paid '
MO DAY YEAR
BJ's Wholesale Club
Mailing Address 3805 Hartzdale Dr. 5 13 2021 $ 106.42
City Camp Hill State Zip Code(Plus 4) Description of Expenditure
PA 17011 supplies
6/16/2021 11:35:44 AM
PAGE 13
To Whom Paid
MO••• DAY YEA�t
ActBlue
Mailing Address 366 Summer St. 5 14 2021
$ 1.10
City Somerville State Zip Code(Plus 4) Description of Expenditure
MA 02144 service charge
To Whom Paid
TilO DpYi]Y:EAREgi
ActBlue
Mailing Address 366 Summer St. 5 17 2021
$ 0.21
City Somerville State Zip Code(Plus 4) Description of Expenditure
MA 02144 service charge
To Whom Paid
Mt1 DAY YERR,
ActBlue
Mailing Address 366 Summer St. 5 19 2021 $ 5.56
City Somerville State Zip Code(Plus 4) Description of Expenditure
MA 02144 service charge
To Whom Paid '
Mly DAY •...:YEAR
PPL
Mailing Address 827 Hausman Road 5 25 2021 $ 76.95
City Allentown State Zip Code(Plus 4) Description of Expenditure
PA 18104 electric
To Whom Paid
MD DAY 'YEAR e.
ActBlue
Mailing Address 366 Summer St. 5 26 2021 $ 0.65
City Somerville State Zip Code(Plus 4) Description of Expenditure
MA 02144 service charge
To Whom Paid
MO .DAY ::YEAR '.
ActBlue
Mailing Address 366 Summer St. 5 28 2021 $ 1.76
City Somerville State Zip Code(Plus 4) Description of Expenditure
MA 02144 service charge
6/16/2021 11:35:44 AM
PAGE 14
To Whom Paid
MO DAY YEAR
Zoom
6
Mailing Address 55 Almaden Blvd., 6th Fl. 1 2021
$ 254.29
City San Jose State Zip Code(Plus 4) Description of Expenditure
CA 95113 online meetings
To Whom Paid
MO DAYii.yEAR.FQ
Nationwide Insurance
Mailing Address P.O. Box 10479 6 1 2021
$ 377.09
City Des Moines State Zip Code(Plus 4) Description of Expenditure
IA 50306 insurance premium
To Whom Paid
M,(Q •DAY •' !'YEAR`..'
ActBlue
Mailing Address 366 Summer St. 6 2 2021 $ 1.63
City Somerville State Zip Code(Plus 4) Description of Expenditure
MA 02144 service charge
To Whom Paid
bib DAY � :YEAR
Google
Mailing Address 1600 Amphitheatre Parkway 6 2 2021 $ 44.52
City Mountain View State Zip Code(Plus 4) Description of Expenditure
CA 94043 Google Suite
To Whom Paid
MO •. DAY YEAR ".
ActBlue
Mailing Address 366 Summer St. 6 3 2021 $ 5.40
City Somerville State Zip Code(Plus 4) Description of Expenditure
MA 02144 monthly service charge
To Whom Paid
b10 bAY YEAR
Comcast Cable
Mailing Address 399 Baltimore St. 6 8 2021 $ 102.47
City Shippensburg State Zip Code(Plus 4) Description of Expenditure
PA 17257 cable/ internet
6/16/2021 11:35:44 AM
PAGE 15
To Whom Paid
ai DAY YEAR
ActBlue
Mailing Address 366 Summer St. 6 11 2021
$ 0.43
City Somerville State Zip Code(Plus 4) Description of Expenditure
MA 02144 service charge
To Whom Paid
Mp CkA ::YEAR
Toshiba Financial Service
Mailing Address P.O. Box 642111 6 11 2021 $ 331.25
City Pittsburgh State Zip Code(Plus 4) Description of Expenditure
PA 15264 copier service
To Whom Paid MO DAY 'YEAR
Community Labor Administrative Services
Mailing Address 77 Sands St., 6th Floor 6 8 2021 $ 349.69
City Brooklyn State Zip Code(Plus 4) Description of Expenditure
NY 11201 campaign texting
PAGE TOTAL
Enter Grand Total of Expenditures on Page 1, Report Cover Page,Item D.
$ 3,434.95
6/16/2021 11:35:44 AM