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