HomeMy WebLinkAboutJohn Shugars Campaign - 2021 30-Day Post-Primary Commonwealth of Pennsylvania5
CAMPAIGN FINANCE REPORT PAGE , OF
(COVER PAGE)
(NOTE: This report must be clear and legible. It may be typed or printed in blue or black ink.)
Filer Identification , Report OrCANDIDATE .1 COMMITTEE ! X :.LOBBYIST 3
Number: Filed By:
Name of Filing Committee, Candidate or Lobbyist:„,,,Cam
Cohn 5h-l9 ( edies Cam p09tr)
Street Address: i
3 East a- T �. ee ) i-b us3
City: 6L oq Yl rib, Stapp, Zi`p Code: 7 - 1 1 Z
TYPE OF V 13TH TUESDAY 1' 2ND FRIDAY 2. 30 DAY 3 AMENDMENT1 YES NOT
REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY X REPORT? _
6TH TUESDAY 4' 2ND FRIDAY 5- 30 DAY 6. TERMINATION
PRE-ELECTION PRE-ELECTION POST ELECTION , REPORT? • YES 'NO..
(place X to
the right of ANNUAL 7. YEAR FILING METHOD
report type) REPORT ( ) CHECK ONE �` PAPER X DISKETTE
Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County
Number Code Code Code
014�-ten bisEri c t ULtdy pq.-6�80. DAY YEARE
05 1 2c. I (SEE INSTRUCTIONS FOR CODES)
FOR OFFICE USE ONLY
MO. DAY YEAR .. MO. DAY. YEAR
Summary of Receipts C) ,
and Expenditures from: 05 04 2o2i To 08 07 2,o
A. Amount Brought Forward From Last Report $ I ( • 00 CO
B. Total Monetary Contributions and Receipts (From Schedule I) $ -VV•00
C. Total Funds Available (Sum of Lines A and B) $ '`
D. Total Expenditures (From Schedule III) $ _AM C q • 14 =
~'
E. Ending Cash Balance (Subtract Line D from Line C) $ 2 12 44 , 1 Li z.
F. Value of In-Kind Contributions Received (From Schedule II) $ •�
G. Unpaid Debts and Obligations (From Schedule IV) $ 0 i �S <cl®
AFFIDAVIT SECTION
PART I If this is a Committee report. tr: . :r.sign here. If this is a Candidate report, candidate sign here.
I swear (or affirm) that this report, including the attar •.edules, on paper or computer diskette, are to the best of my knowledge and belief true,
correct and complete. !�F`Od/t�
Sworn to and subscribed before me this 46- c4400rAo
0
4
day of Co4j• �!s-� � -- C f -�%rss/o�0Ffp•��o°'�j p Signat a of Personopt ,
`r/j�I / Signature I4.0
4. 11
Printed N me
My commission expire 4 jA,, , 1 kO 0066 0d lio1 3 O1 /13-5-/05
MO. DAY YR. Area Code ytime Telephone Number
PART II — If this is a report of a Candidate's Authorized Committee, candidate shall si• here..
I swear (or affirm) that to the best of my kn• t`d,4 and belief this political committer s not viJ':ted any provisions of the A�June 3, 1937
(P.L. 1333, No. 320) as amended. /
Sworn to and subscribed before me this kc !nig itIII
if
' 1 T day of t 41fi��h,abe �s.,yq. ! .......-1"1"( •
• f loj.CO'i,.* Signature of Candidate
.F������ry 6j�°ra,),
(.40_70, z� oh n IV1� h u far s
Signature ^o0a6IOl3 Printed Name
My commission expiresOc 11 off- ' 717 G23- 5-03
MO. DAY YR. Area Code Daytime Telephone Number
Department of State • Bureau of Commissions, Elections and Legislation
303 North Office Building • Harrisburg, PA 17120-0029 • (717) 787-5280
DSEB-502 (7-99)
SCHEDULE I PAGE 2 OF 5 , .
CONTRIBUTIONS AND RECEIPTS
Detailed Summary Page
Name of Filing Committee or Candidate Reporting Peri d
7oh n Qt,l'S Ump�99 n From OS 0 Li 2) To ( *--7Mai
1. UNITEMIZED CONTRIBUTIONS AND RECEIPTS - $50.00 OR LESS PER CONTRIBUTOR
TOTAL for the Reporting Period (1) I $4 .
2. CONTRIBUTIONS $50.01.TO $250.00 (FROM PART A AND PART B)
Contributions Received from Political Committees (Part A) , $ 0
All Other Contributions (Part B) $ 25-0 0 0
TOTAL for the Reporting Period (2) $ 25. 00
3. CONTRIBUTIONS OVER $250.00 (FROM PART C AND PART D)
Contributions Received from Political Committees (Part C) $ 0
All Other Contributions (Part D) $ 0
TOTAL for the Reporting Period (3) $ 0
4. OTHER RECEIPTS - REFUNDS, INTEREST EARNED, RETURNED CHECKS, ETC. (FROM PART E)
TOTAL for the Reporting Period (4) $
TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURING
THIS REPORTING PERIOD (Add and enter amount totals from $ 25-0• CO
Boxes 1 , 2, 3 and 4; also enter this amount on Page 1 , Report
Cover Page, Item B.)
DSEB-502 (7-99)
PART B PAGE 3 OF 5
, .
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.)
1 Name of Filing Committee or Candidate Reporting Per.od
-3-oh n 31--)ufar5 Carrein From OS- 09/2021 To CO/67/202 1
DATE AMOUNT
Full fkme of Contribut9N . .•,,'AA1:: :.:, . DAY YEAR.
-t a,r) ran3 0 5 [1 20.2 1 2 SO,00
Mailing Address , iMOL , 'il:DAY':•!', '•-.YEAR:.
$
City A , , State Zip Code (Plus 4) '. ,,,,MO.:.%;i1.',.i;!,.,DAYX. ,5,YEAR'
boi I Inc?) SfrinCe PA i°7037- ' $
Full Name of ConThbutor ,.'...,;!ivio,i',;: ,,::!,DAY
$ ,
Mailing Address
$
City State. Zip Code (Plus 4) :;10I0',•!'', '41)Av4U,,'WEAR.'
— $
Full Name of Contributor '•j.”MD::.... `i."'nDAY-i .. YEAR,f.".
$
Mailing Address .•!1;iAlt ;rj,;'''I'DA:i'45 ‘j-'2,StAft••• $
City State Zip Code (Plus 4) •..,Mtt,,:..', 4DAY•••-- -YEAR.2''
_ $
Full Name of Contributor f..:AlICE.-.,'...i'.:.MAYY::.: YEAR ., $
Mailing Address , :11410."0,:. ,',:DAYM.'..4-YEAR1,
' $
City State Zip Code (Plus 4) "•. -111/1(;: '.,, "'D;AY,,..•..' •--YEAR',',.,
— $
Full Name of Contributor g"'11iff0.- • •DAY1,EAR',;.;,.
$
Mailing Address ': IVID.,•:,• • :'4:1AYn:. `ifEAR.;''
$
City State Zip Code (Plus 4) '?:4A'r). ',f ' DAYA'', 'YEAR
$
Full Name of Contributor l!-WO"L' ' DAY,':,.' "YEAR •:'
$
Mailing Address '',•';MO.. . '..DAY
$
City State Zip Code (Plus 4) '.,Mtl... .' - Y':''•••YEAR,.•.,
— $
Full Name of Contributor ''!MO. ':, ,,,,DAY.', 4.YEAR;.
$
Mailing Address : lVID.,A.,:•:DAYJ';"%: '!"YEAR'i
$
City State Zip Code (Plus 4) .",...11/10,: '..-.'..bAY••;.".:YEAFC;,1
$
Full Name of Contributor DAY
))110 ',','..:V• z.';',,.... €'.YEAR•
$
Mailing Address ''i)-:iMO::: ,1.DAY' ':: .EAR.:;,
$
City State Zip Code (Plus 4) ,:::::MCI::•';.:',,:;'."-DAY:',:..', :•JYEAR.,,,
— $
PAGE TOTAL
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 2. $
DSEB.502 (7-99)
PAGE Li OF J
SCHEDULE III
STATEMENT OF EXPENDITURES
Name of Filing Committee31110,45
or Candidate Reporting Period /
►ln C�� 5 c.:.o I tzn From /o /2o2I To 0/o7/.2o2/
To Whom Paid MO. DAY YEAR Am0 t
C ►benand Cows Cain I o-I• P�publicun Women 05 014 zozi $ X5z3.00
Mailin Address Description of Expenditure
1). 0 O . $ox 'r7 i I FU-ndraiSe r AcLverki seMerrt
City ate Zip Code (Plus 4)
Codi5le. >P 17013 —
To Whom Paid PS �__n �� MO. 'DAY YEAR Amount
On lie Candidate. (coie&j Y So su..U-�'iTU n os- oy 2021 1 $ l i 100.
S
Mailing.Address Description of Expenditure
P. 0 . Box yo z P —Tarried. Ads.
City State Zip Code (Plus 4)
(Y1onto�0a Ny I 19 - ,
To Whom Paid MO. DAY YEAR Amount
0rierr�at Tr�ad i Company 05- 0ti 2021 $ 335 03
Mailing Address Description of Ex enditure
P. O. Box 230 g festival. l ppl i es
City State Zip Code (Plus 4)
0 ma.hcA NE GS 103 —
To Whom PaidMO. DAY YEAR Amount
10 l l oy `Tree as t o 2021 $ (4, 30
Mailing Address Description of Expenditure
Ca E. . RIcp rent C,cunpcLicr ofhce supplies
City ritaiie Zip Code (Plus 4)
atr-lisp )`7o►3 —
To Whom aid MO. DAY YEAR Amount
V griM Os i3 2oz1 $ 32`7 . 8"I
Mailing Address Description of Expenditure
2 s Wail-l'harn eeif , Pri ntil Po l I Cards
City State Zip Code (Plus 4)
Waltham MA O2Is1—
To Wh t rdo le B� r s M0. DAY YEAR Amount ,-y
((//''J�l OS )4l Z21 $ l + '/
Mailing Address Description of Expenditure
3 2C0 R 13 3-fret-� Nw ,a m pcurQr rl�ns
City State Zip Code (Plus 4)
Roches MN 5501 —
To Whom Paid MO. DAY YEAR Amount
C,uinberland Cour Council I o- - eepu,bi Ican Won r as- 1 o 20,21 $ 0. 40
Mailing Address Description of Expenditure
P. O . Box rl ! ! RuAdr'aise r- 'T'i`cket
City 0.N"' I v gtaA Zip (Plus 4)
1(/) 17013 -
To om Paid MO. DAY YEAR Amount
FA M2di& Gv (P€ i L'ive) ` os- ry 2021 $ 11300 ' GO
Mailing Address De cription of Expenditur
l go() Pa-Friot bnv�e. Perin 1..i ve lib Ad d .
City St tg Zip Code (Plus 4)
Me.dAuaucs N 1`70 =
�� PAGE TOTAL
Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. $2,11 Cl ij , I q
DSEB-502 (7-99)
PAGE 5 OF 5
> SCHEDULE IV
STATEMENT OF UNPAID DEBTS
Use this Section to itemize all unpaid debts and obligations
which are outstanding at the end of the reporting period.
Name of Filing Committee or Candidate Reporting P rio
c.
.�-ohfl 3h ar5 Cow /
From �0� :tom� To cHo�Lr"j/zo21
Name of Creditor Sh uj at utsta�dm Balance of,Debt
ilk V �$ O(J
Mailing Address �/,�` DATE "
tic Care / tveq'2.Q. DEBT 1i0 ' I3AY� YEAR
INCURRED 02 t
0 L1 262
City
State Zip Code (Plus 4)
CACI i5I e, Pk yr/6 1` _
Description of Debt I L �
CC AI.cl ictu)1e. C orrb CSYI
Name of Creditor Outstanding Balance of Debt
$
Mailing Address DATE MiliP0.41% ,i.ni::*.Y.-liZ YEAR
DEBT
INCURRED
City • State Zip Code (PIus 4,
Description of Debt
Name of Creditor Outstanding Balance of Debt
Mailing Address DATE . MO DAY r YEAR $
DEBT
INCURRED
City State Zip Code (PIus 4)
Description of Debt
Name of Creditor 'Outstanding Balance of Debt
Mailing Address DATE ,;'MO. DAY YEAR $
DEBT •
INCURRED
City State Zip Code (Plus 4) r
i
Description of Debt
Name of Creditor 'Outstanding Balance of Debt
$
Mailing Address DATE MO.„ DAY
DEBT
INCURRED
City State Zip Code (PIus 4)
Description of Debt
Name of Creditor Outstanding Balance of Debt
Mailing Address DATE MO ,:';DAY . '. YEAR $
DEBT
INCURRED
City State Zip Code (Plus 4)
Description of Debt
PAGE TOTAL
Enter Grand Total of Unpaid Debts on Page 1, Report Cover Page, Item G. $ . �DO• d�
DSEB=502 (7-991