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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