HomeMy WebLinkAboutMacDonald, Heather - 2021 30-Day Post-Primary DigiSign Verified: 2D89386E-552B-479D-8D37-9AB2EB7596BA
ir 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-stcampaignfinancePpa.gov
Unsworn Declaration in Lieu of Sworn Statement for
Campaign Finance Statements
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), 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 Statements. This form must be
signed by hand where a signature is required.
Name of Filing Committee, Candidate, or Lobbyist
Heather MacDonald
Reporting Cycle Name
❑ Cycle 1 ❑ Cycle 2 0 Cycle 3 ❑ Cycle 4 ❑ Cycle 5
6th Tuesday 2'Friday 30 Day 6th Tuesday 2"d 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 1 2"d Friday Pre-Special Election 30 Day Post-Special Election
Part I — If this form is submitted with a statement in lieu of full report by a political
committee, the treasurer must sign here. If this form is submitted with a statement in lieu
of a full report by a candidate, the candidate must sign here. If this form is submitted with
a statement in lieu of full 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 Statement is true and correct.
ate f7 06/09/2021
Signature of-Treasurer, Candidate, or Lobbyist Date (DD/MM/YYYY)
Sarah Yerger Camp Hill, PA USA
Printed Name Location (City/State/Country)
DSEB-503S
Updated 1/22/2020
DigiSign Verified: 2D89386E-552B-479D-8D37-9AB2EB7596BA
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@pa.gov
Part II - If this is submitted with a statement in lieu of full report by a Candidate's
Authorized Committee, candidate sign here.
I declare under penalty of perjury under the law of the Commonwealth of Pennsylvania
that the accompanying Campaign Finance Statement is true and correct.
4 06-17-2021
Signature of Candidate Date (DD/MM/YYYY)
Camp Hill,PA,USA
Heather MacDonald
Printed Name Location (City/State/Country)
DSEB-503S
Updated 1/22/2020
DigiSign Verified: 2D89386E-552B-479D-8D37-9AB2EB7596BA
L.LJMML11YVvt,L,r1 LA- 1-CIYIYJ TLVAIN IA
CAMPAIGN FINANCE STATEMENT
File this in lieu of a full report only if aggregate receipts, expenditures, or
liabilities incurred each did not exceed $250.00 during the reporting period.
FILER IDENTIFICATION , -_-- REPORT FILED
2020C1053 Op, j 3,
CANDIDATE X COMMITTEE LOBBYIST
NUMBER ON BEHALF OF
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
Heather MacDonald
STREET ADDRESS 2166 Yale Avenue
CITY Camp Hill STATE ZIP CODE PA 17011. --
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY Mr"'LECTION
(CHECK ONE) Representative in the 87 Dem MO. i DAY TEAR
6TH TUESDAY 1. General Assembly
PRE-PRIMARY FOR OFFICE USE ONLY
MO. • DAY YEAR MO. DAY YEAR - ---
-- -
2ND FRIDAY 2, DATES OF -.
REPORTING TO
PRE-PRIMARY PERIOD 05 04 2021 06 7 021 c-) �..
hJ
30 DAY 3' CO C.-
POST-PRIMARY X
CASH BALANCE AT END 0,00 rn
4. OF REPORTING PERIOD: $ -
P'""
6TH TUESDAY 1 ..�._
PRE-ELECTION
TOTAL AMOUNT OF FILER'S
5. OUTSTANDING DEBTS OR LIABILITIES 0.00 "t7
2ND FRIDAY AT THE END OF REPORTING PERIOD: $ C) ..y..
PRE-ELECTION - C)
30 DAY 6. - - Z...
POST-ELECTION AMENDMENT ••.-i "�
REPORT? YES NO X
7.
ANNUAL TERMINATION
REPORT REPORT? YES I NO X
AFFIDAVIT SECTION
PART I-
If statement is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here.
If statement is filed on behalf of a Candidate, the Candidate must sign here.
If statement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS a, �' o-.
DAY OF 20 SIGNA -:E O11SON SUBMITTING REPORT
Sarah Yerger
SIGNATURE --- PRINTED NAME
MY COMMISSION EXPIRES 71 7 856-1388
MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
PART II-
If statement is filed on behalf of a Candidate's Authorized Committee,Candidate must 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. � ��pp��
MQa tta u.�tat7Vl)tA ict
SWORN TO AND SUBSCRIBED BEFORE ME THIS
SIGNATURE OF CANDIDATE
DAY OF 20
Heather MacDonald
PRINTED NAME
SIGNATURE 717 645-8176
MY COMMISSION EXPIRES AREA CODE 'DAYTIME TELEPHONE NUMBER
MO. DAY YR.
Department of State • Bureau of Commissions,Elections and Legislation
DSFI3-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280