HomeMy WebLinkAboutKeystone Taxpayers Unite - 2021 2nd Friday Pre-Election 1r' , 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 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 Statements. This form must be
signed by hand where a signature is required.
rgkaG GQ Min Committee, Candidate,ay Lobbyist
Keystone Taxpayers Unite
Reporting
❑ Cycle 1 ❑ Cycle 2 ❑ Cycle 3 ❑ Cycle 4 Er Cycle 5
6th Tuesday 2"d 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 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.
0 .l&._P1 10/20/2021
Signature of Treasurer, Candidate, or Lobbyist Date (DD/MM/YYYY)
Sandra M. Newfield Hollidaysburg, PA, USA
Printed Name Location (City/State/Country)
DSEB-503S
Updated 1/22/2020
Uommonwealtn or Pennsylvania
Campaign Finance Report PAGE1OF 4
(COVER PAGE
(NOTE: This report must be clear and legible. It may be t ped or printed in blue or black ink.)
Filer20180282 Identification Report II CANDIDATE COMMITTEE 1. 2i LOBBYIST 3.
Number: Filed by:
Keystone Taxpayers Unite
Street Address:3908 Primrose Road
City: State: Zip Code:
Enola • Pa 17025
TYPE OF 6TH TUESDAY 1. 2ND FRIDAY 2. 30-DAY 3. AMENDMENT YES NO
REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY REPORT?
6TH TUESDAY 4. 2ND FRIDAY 5 30-DAY 6. TERMINATION
(place X to PRE-ELECTION PRE-ELECTION ✓ POST ELECTION REPORT? YES NO
the right of ANNUAL 7. YEAR FILING METHOD 00 report type) REPORT 10. ( )CHECK ONE PAPER ✓ DISKETTE
Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County
Number Code Code Code
MO. DAY YEAR
'11 02 2021
(SEE INSTRUCTIONS FOR CODES)
Summary of Receipts
MO. DAY YEAR MO. DAY YEAR FOR OFFICE USE ONLY
and Expenditures from: , 09 14 2021 To 10 18 2021 L y
C rya
A.Amount Brought Forward From Last Report $ 1,095.04 tZ
f"ri tQ7
B.Total Monetary Contributions and Receipts(From Schedule I) $ 940.00 -'�
t��
N
C.Total Funds Available(Sum of Lines A and B) $2,035.04 .7.. ---
C
D.Total Expenditures(From Schedule III) $297.57
CD E.Ending Cash Balance(Subtract Line D from Line C) $1,737.47 C>
F.Value of In-Kind Contributions Received(From Schedule II) $0.00 ..--1 t 1
a-
G.Unpaid Debts and Obligations(From Schedule IV) $0.00
AFFADAVIT SECTION
PART I—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 or computer diskette,are to the best of my knowledge and belief true,correct and complete.
Swom to and subscribed before me this
05414.1610"IN
day of 20 Signature of Person Subm ing Report
Sandra M.Newfield
Signature Printed Name
(814)207-4570
My commission expires
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
day of 20
Signature of Candidate
Signature Printed Name
My commission expires
MO. DAY YR. Area Code Daytime Telephone Number
0
Page 2 of 4
SCHEDULE I
Contributions and Receipts
Detailed Summary Page
Name of Filing Committee or Candidate Reporting Period
Keystone Taxpayers Unite 9/14/2021 10/18/2021
From To
1. UNITEMIZED CONTRIBUTIONS AND RECEIPTS-$50.00 OR LESS PER CONTRIBUTOR
TOTAL for the Reporting Period (1) $140.00
2. CONTRIBUTIONS$50.01 TO$250.00 (FROM PART A AND PART B)
Contributions Received from Political Committees (Part A) $
All Other Contributions (Part B) $ 800.00
TOTAL for the Reporting Period (2) $ sao.00
3. CONTRIBUTIONS OVER$250.00 (FROM PART C AND PART D)
Contributions Received from Political Committees (Part C) $ o.00
All Other Contributions (Part D) $
TOTAL for the Reporting Period (3) $ o.00
4. OTHER RECEIPTS—REFUNDS,INTEREST EARNED, RETURNED CHECKS, ETC. (FROM PART E)
TOTAL for the Reporting Period (4) $ 0.00
TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURING
THIS REPORTING PERIOD (Add and enter amount totals from $940.00
Boxes 1, 2, 3 and 4; also enter this amount on Page 1, Report
cover Page, Item B.)
DSEB-502(7-99)
Page 3 of 4
PART B
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.)
Name of Filing Committee or Candidate Reporting Period
9/14/2021 10/18/2021
Keystone Taxpayers Unite From To
DATE AMOUNT
Full Name of Contributing Committee MO. DAY YEAR 250 00
Rodney and Amanda Wagner 10 18 2021
Mailing Address MO. DAY YEAR
185 Pine School Road Gar $
City State Zip Code(Plus 4) MO. DAY YEAR
Gardners Pa - $
Full Name of Contributing Committee MO. DAY YEAR Andrew and Emily Fisher 10 18 2021 $200.00
Mailing Address MO. DAY YEAR
$
41 Shughart Roadcx
City State Zip Code(Plus 4) MO. DAY YEAR
Carlisle �a - $
Full Name of Contributing Committee MO. DAY - YEAR $100.00
Joseph and Katrina Scavone 10 8 2021
Mailing Address MO. DAY YEAR
$13 Meadowood Place
City State Zip Code(Plus 4) MO. DAY YEAR
Boiling Springs Pa - $
Full Name of Contributing Committee MO. DAY YEAR
Randy Evans 10 18 2021 $100.00
Mailing Address MO. DAY YEAR
$
205 Oak Drive
City State Zip Code(Plus 4) MO. DAY YEAR
Mt H011y pa - $
Full Name of Contributing Committee MO. DAY YEAR
Ann Ganoe 10 18 2021 $150.00
Mailing Address MO. DAY YEAR
$
417 Glenn Ave
City State Zip Code(Plus 4) MO. DAY YEAR
Boiling Springs pa - $
Full Name of Contributing Committee MO. DAY YEAR $
Mailing Address MO. DAY YEAR $
City State Zip Code(Plus 4) MO. DAY YEAR
$
Full Name of Contributing Committee MO. DAY YEAR $
Mailing Address MO. DAY YEAR $
City State Zip Code(Plus 4) MO. DAY YEAR
$
Full Name of Contributing Committee MO. DAY YEAR $
Mailing Address MO. DAY YEAR $
City State Zip Code(Plus 4) MO. DAY YEAR
$
PAGE TOTAL
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 2. $800.00
Page 4 of 4
SCHEDULE III
STATEMENT OF EXPENDITURES
Name of filing committee or Candidate Reporting Period
Keystone Taxpayers Unite From 9/14/2021 To 10/18/2021
To Whom Paid MO. DAY YEAR I Amount
Vistaprint 10 01 2021 $ 297.57
Mailing Address Description of Contribution
275 Wyman Street post cards for South Middleton SD
City State Zip Code(Plus 4)
Waltham MA _
To Whom Paid MO. DAY YEAR Amount
Mailing Address Description of Contribution
City State Zip Code(Plus 4)
To Whom Paid MO. DAY YEAR Amount
Mailing Address Description of Contribution
City State Zip Code(Plus 4)
To Whom Paid MO. DAY YEAR Amount
Mailing Address Description of Contribution
City State Zip Code(Plus 4)
To Whom Paid MO. DAY YEAR Amount
Mailing Address Description of Contribution
City State Zip Code(Plus 4)
To Whom Paid MO. DAY YEAR Amount
Mailing Address Description of Contribution
City State Zip Code(Plus 4)
To Whom Paid MO. DAY YEAR Amount
Mailing Address Description of Contribution
City State Zip Code(Plus 4)
To Whom Paid MO. DAY YEAR Amount
Mailing Address Description of Contribution
City State Zip Code(Plus 4)
PAGE TOTAL
Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. $297.57
DSEB-502(7-99)