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HomeMy WebLinkAboutCitizens for Shearer - 2021 2nd Friday Pre-Election 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-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 unsworn 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 ❑ 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!- 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. 10/1 9/21 Sig at a of Treasurer, Candidate, or Lobbyist Date (DD/MM/YYYY) Geoff Shearer Carlisle, PA, USA Printed Name Location (City/State/Country) DSEB-502R Updated 6/24/2020 fryPennsylvania 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 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 foregoing is true and correct. 10/19/21 Signat re of Treasure andidate, or Lobbyist Date (DD/MM/YYYY) Tammy Shearer Carlisle, PA, USA Printed Name Location (City/State/Country) DSEB-502R Updated 6/24/2020 11111- 111131111111 I II 1Reset Form- Print Form 46-1882427 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) 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 2n"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) 11/02/21 2021 Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures - , 06/08/21 10/18/21 A.Amount Brought Forward From Last Report $ 4,829.79 B.Total Monetary Contributions and Receipts $ , (From Schedule I) 650.79 r`=w C.Total Funds Available $ CC (Sum of Lines A and B) s,a80.58 X D.Total Expenditures $ I-" 1,070.05 to (From Schedule III) CD E.Ending Cash Balance $ 4,410.53 C (Subtract Line D from Line C) C_) > F.Value of In-Kind Contributions Received $ 0 (From Schedule II) NJ G.Unpaid Debts and Obligations $ 0 - —4 W(From Schedule IV) 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 Si ure of Person Submitting report Geoff Shearer,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 day of 20 Signat f Candidate 1Q-__,./ Tam Shearer Signature Printed Name 717 240.6376 My Commission expires MO. DAY YR. Area Code Daytime Telephone Number SCHEDULE I Contributions and Receipts Detailed Summary Page Filer Identification Number 46-1882427 I1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor I Total for the reporting period (1) $ 100 I2.Contributions of$50.01 to $250.00(From I Part A and Part B) Contributions Received from Political Committees(Part A) $ All Other Contributions(Part B) $ 550 Total for the reporting period (2) $ 550 I3.Contributions Over$250.00(From Part C and Part D) I Contributions Received from Political Committees(Part C) $ All Other Contributions(Part D) $ Total for the reporting period (3) $ I4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) I Total for the reporting period (4) $ 0.79 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 650.79 Cover Page,Item B) 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: 46-1882427 Full Name of Contributor Date[MM/DD/YYYY] $ David Feidt 10/18/21 100 House# Street Address Date[MM/DD/YYYY] $ 763 Zurich Drive City State Zip Code Date[MM/DD/YYYY] $ Hummelstown PA 17036 Full Name of Contributor Date[MM/DD/YYYY] $ David Black 10/18/21 100 House# Street Address Date[MM/DD/YYYY] $ 1217 Chelsen Cross City State Zip Code Date[NAM/DD/YYYY] $ Mechanicsburg PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ Richard Jordan,II 10/18/21 250 House# Street Address Date[MM/DD/YYYY] $ 4 Foxtail Court City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ Gary Schicchitano 10/18/21 100 House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ 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 FCU House# 5000 Street Address Louise Drive City State Zip Date[MM/DD/YYYYJ $ Mechanicsburg PA Code 17055 0.79 06/21-09/21 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/YYYYJ $ Code Receipt Description SCHEDULE III Statement of Expenditures Filer Identification Number: 46-1882427 To Whom Paid Date[MM/DD/YYYY] $ PENNSRUS 220.05 06/26/21 House# Street Address Description of Expenditure 12121 Scripps Summit Drive City State Zip San Diego CA Code 92131 pens To Whom Paid Date[MM/DD/YYYY] $ Cumberland County Republican Committee 300 10/05/2021 House# Street Address Description of Expenditure 212 N.Hanover Street City State Zip Carlisle PA Code 17013 Ad To Whom Paid Date[MM/DD/YYYY] $ Cumberland County Republican Committee 350 10/O5/21 House# Street Address Description of Expenditure 212 N.Hanover Street City State Zip Carlisle PA 17013 Dues(Gov's Club) Code To Whom Paid Date[MM/DD/YYYY] $ Judge Brobson for Supreme Court 200 10/10/21 House# Street Address Description of Expenditure PO Box 11683 City State Zip Harrisburg PA Code 17108 donation 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