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Home My WebLink AboutFriends of Heather MacDonald - 2021 30-Day Post-Primary DigiSign Verified: 2D89386E-552B-479D-8D37-9AB2EB7596BA tfPennsylvania 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 Friends of Heather MacDonald Reporting Cycle Name ❑ Cycle 1 ❑ Cycle 2 ® 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 2nd Friday Pre-Special Election 30 Day Post-Special Election Part 1- 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 accompanying Campaign Finance Report is true and correct. a, !M 06/09/2021 Signature*surer, Candidate, or Lobbyist Date (DD/MM/YYYY) Sarah Yerger Camp Hill, PA USA Printed Name Location (City/State/Country) DSEB-502R Updated 1/22/2021 DigiSign Verified: 2D89386E-552B-479D-8D37-9AB2EB7596BA tri Pennsylvania 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(apa.gov Part 11-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 accompanying Campaign Finance Report is true and correct. 44ea i "`a6Do 06-17-2021 'Signature of Treasurer, Candidate, or Lobbyist Date (DD/MM/YYYY). Heather MacDonald Camp Hill,PA,USA Printed Name `Location (City/State/Country) • DSEB-502R Updated 1/22/2021 DigiSign Verified: 2D89386E-552B-479D-8D37-9AB2EB7596BA 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 20200122 (Mark X) n Name of Filing Committee,Candidate or Lobbyist Friends of Heather MacDonald Street Address City Mechanicsburg State Zip Code 17050 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 2n0 Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election Date Of Election Year Amendment Termination (MM/DD/YYYY) 2021 f I Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 06/07/2021 A.Amount Brought Forward From Last Report $ 1064.87 B.Total Monetary Contributions and Receipts $ t- (From Schedule I) — C7 C.Total Funds Available rTl (Sum of Lines A and B) 3029.87 D.Total Expenditures (From Schedule III) '- E.Ending Cash Balance $ "O (Subtract Line D from Line C) 2776.68 p F.Value of In-Kind Contributions Received $ N (From Schedule II) - `� G.Unpaid Debts and Obligations $ (From Schedule IV) 0.00 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 • ale "LAID Signat �'*•'si<ela Submitting report Signature Printed Name My Commission expires 717 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 Mtatteli day of 20 • .A401 0-at Signature of Candidate Heather Macllonald Signature Printed Name • 717 645-8176 My Commission expires MO. DAY YR. Area Code Daytime Telephone Number DigiSign Verified: 2D89386E-552B-479D-8D37-9AB2EB7596BA SCHEDULE I Contributions and Receipts Detailed Summary Page Filer Identification Number 2020022 11.Unitemized Contributions and Receipts-$50.00 or Less per Contributor I Total for the reporting period (1) $ 240.00 I2.Contributions of$50.01 to $250.00(From 1 Part A and Part B) Contributions Received from Political Committees(Part A) $ 0.00 All Other Contributions(Part B) $ 725.00 Total for the reporting period (2) $ 725.00 I3.Contributions Over$250.00(From Part C and Part D) I Contributions Received from Political Committees(Part C) $ 0.00 All Other Contributions(Part D) $ 1000.00 Total for the reporting period (3) $ 1000.00 I4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) 1 Total for the reporting period (4) $ 0.00 Total Monetary Contributions and Receipts during this reporting period(Add and $ enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report 1965.00 Cover Page,Item B) DigiSign Verified: 2D89386E-552B-479D-8D37-9AB2EB7596BA 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. Filer Identification Number 20200122 Amount Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ DigiSign Verified: 2D89386E-552B-479D-8D37-9AB2EB7596BA PART B All Other Contributions $50.01 TO$250 Use this Part to itemize all other contributions with an aggregate value from $50.01 TO$250 in the reporting period. (Exclude contributions from political committees reported in Part A.) Filer Identification Number: 20200122 Full Name of Contributor Date[MM/DD/YYYY] $ David Kost 05/30/2021 100.00 House# Street Address Date[MM/DD/YYYY] $ 103 Monarch Lane City ' State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ Courtney MacDonald 05/30/2021 100.00 House# Street Address Date[MM/DD/YYYY] $ 221 Wood Street City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Adam Rahman 05/31/2021 75.00 House# Street Address Date[MM/DD/YYYY] $ 7221 Green Hill Road City State Zip Code Date[MM/DD/YYYY] $ Harrisburg PA 17111 Full Name of Contributor Date.[MM/DD/YYYY] $ Kenneth Benton 05/31/2021 100.00 House# Street Address Date[MM/DD/YYYY] $ 38 Mayflower Drive City State Zip Code Date[MM/DD/YYYY] $ Mansfield MA 02048 Full Name of Contributor Date[MM/DD/YYYY] $ Daniel Schiavone 250.00 06/05/2021 House# Street Address Date[MM/DD/YYYY] $ 7360 Devonshire Heights Road City State Zip Code Date[MM/DD/YYYY] $ Harrisburg PA 17111 Full Name of Contributor Date[MM/DD/YYYY] $ Joy Daniels 06/06/2021 100.00 House# Street Address Date[MM/DD/YYYY] $ 4068 Greystone Drive City State Zip Code Date[MM/DD/YYYY] $ Harrisburg PA 17112 DigiSign Verified: 2D89386E-552B-479D-8D37-9AB2EB7596BA 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 over$250.00 in the reporting period. Filer Identification Number: 20200122 Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of_ Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ DigiSign Verified: 2D89386E-552B-479D-8D37-9AB2EB7596BA PART D All Other Contributions Over$250.00 Use this Part to itemize all other contributions with an aggregate value over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C) Filer Identification Number: I 20200122 Full Name of Contributor Date[MM/DD/YYYY] $ Hagir Elsheikh 1000.00 05/19/2021 House# Street Address Date[MM/DD/YYYY] $ 5585 Barbara Drive City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 Employer Name Occupation HSE Staffing Agency CEO Employer Mailing Address/ Principal Place of Business 5585 Barbara Drive Mechanicsburg,PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business DigiSign Verified: 2D89386E-552B-479D-8D37-9AB2EB7596BA 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. Filer Identification Number: 20200122 Full Name House# Street Address City State Zip Date[MM/DD/YYYY] $ Code Receipt Description Full Name House It 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 DigiSign Verified:2D89386E-552B-479D-8D37-9AB2EB7596BA 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 I Filer Identification Number: 20200122 I I1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR TOTAL for the reporting period (1) $ 2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) I TOTAL for the reporting period (2) $ I3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) TOTAL for the reporting period (3) $ TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING $ PERIOD(Add and enter amount totals from boxes 1,2,and 3;also enter on Page 1,Report Cover Page,Item F) DigiSign Verified: 2D89386E-552B-479D-8D37-9AB2EB7596BA SCHEDULE II PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 I Filer Identification Number: 20200122 I Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Description of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Description of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Description of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Description of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Description of Contribution DigiSign Verified: 2D89386E-552B-479D-8D37-9AB2EB7596BA SCHEDULE II Part G In-Kind Contributions Received VALUE OVER$250 Filer Identification Number: 20200122 Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution DigiSign Verified: 2D89386E-552B-479D-8D37-9AB2EB7596BA SCHEDULE III Statement of Expenditures Filer Identification Number: 20200122 I To Whom Paid Date[MM/DD/YYYY] $ 05/27/2021 House# Street Address Description of Expenditure Varick Street,12th Floor City State Zip NY Code Website To Whom Paid Date[MM/DD/YYYY] $ Squarespace 06/03/2021 House# Street Address Description of Expenditure 225 Varick Street,12th Floor City State Zip NY Code To Whom Paid Date[MM/DD/YYYY] $ 06/03/2021 House# Street Address Description of Expenditure Summer Street City State Zip MA 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 DigiSign Verified: 2D89386E-552B-479D-8D37-9AB2EB7596BA 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. I Filer Identification Number: 20200122 I Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# ' Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City State Zip Code Description of Debt