HomeMy WebLinkAboutCitizens for Shearer - 2021 30-Day Post-Primary friPennsylvania 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 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 unworn
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 Lobbyist
Citizens for Shearer
Reporting Cycle Name
❑ Cycle 1 ❑ Cycle 2 ❑✓ Cycle 3 ❑ Cycle 4 El Cycle 5
6th Tuesday 2nd Friday 30 Day 6th Tuesday 2nd Friday
Pre-Primary Pre-Primary Post Primary Pre-Election
Pre-Election
El Cycle 6 ❑ Cycle 7 El Cycle 8 El Cycle 9
30 Day Post-Election
Annual Report 2nd 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.
06/13/2021
Signature reasurer, Candidate, or Lobbyist Date (DD/MM/YYYY)
Geoff Shearer, Treasurer Carlisle, PA, USA
Printed Name Location (City/State/Country)
DSEB-502R
Updated 6/24/2020
ifyPennsylvania 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
Part N-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 foregoing is true and correct.
1 06/13/2021
Sig• .ture of Trea Candidate, • obbyist Date (DD/MM/YYYY)
Tammy Shearer, candidate Carlisle, PA, USA
Printed Name Location (City/State/Country)
DSEB-502R
Updated 6/24/2020
ll
11111110214111711 I ll 1
l Reset Form Print Form _r
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 46-1882427 (Mark X) n
Name of Filing Committee,Candidate or
Lobbyist Citizens for Shearer
Street Address PO Box 93
City Carlisle State PA Zip Code 17013
Type of Report(Place x under report type)
1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday 5-2nd Friday 6-30 Day Post 7-Annual Special 2na 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) 5/18/21 2021 Report Report
•
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
5/04/2021 06/07/2021
A.Amount Brought Forward From Last Report $ 5,019.58
B.Total Monetary Contributions and Receipts $ 0.21
(From Schedule I)
C.Total Funds Available $ C) . r-,-
(Sum of Lines A and B) 5,019.79 r rpa
D.Total Expenditures $ 190
(From Schedule III) C
E.Ending Cash Balance $ :L7
(Subtract Line D from Line C) 4,829.79 '
F.Value of In-Kind Contributions Received $ C;
(From Schedule II) 0 C-) =
G.Unpaid Debts and Obligations $
(From Schedule IV) 0
GJ'I
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 • E
i Person Submitting report
Geoff Sh er,Treasurer
Signature Printed Name
My Commission expires 717 763.6841
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
Pe-
day of 20 `
• I Signatures. -.. .. -
Tammy
Signature ( Printed Name
•
My Commission expires 717 240.6376
MO. DAY YR. Area Code Daytime Telephone Number
PART E
Other Receipts
REFUNDS,INTREST 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:
46-1882427
Full Name Members First Federal Credit Union
House# Street Address 50001ouise Drive
City State Zip Date[MM/OD/YYYY] $
Mechanicsburg PA Code 17055 5/31/2021 0.21
Receipt Description Interest
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 HI
Statement of Expenditures
Filer Identification Number:
46-1882427
To Whom Paid Date[MM/DD/YYYY] $
Cumberland County Council of Republican Women 90
O5/10/2021
House# Street Address PO Box711 Description of Expenditure
City State Zip
Carlisle PA Code 17013 Ad and Ticket to Dinner
To Whom Paid Date[MM/DD/YYYY] $
Hampden Township Republican Association 100
5/24/2021
House# Street Address Description of Expenditure
3 Devonshire Square
City State Zip Mechanicsburg PA Code 17050 Scholarship Sponsorship
To Whom Paid Date[MM/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
To Whom Paid Date[MM/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
To Whom Paid Date[MM/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