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Home My WebLink AboutHoover, Jennifer - 2021 2nd Friday Pre-Election • igPennsylvania Department of State Bureau of Campaign Finance&Civic Engagement 210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) www.dos.pa.aov/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 Reporting Cycle Name ❑ Cycle 1 ❑ Cycle 2 ❑ Cycle 3 ❑ Cycle 4 ® Cycle 5 6th Tuesday 2nd 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!- 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. 14,-6 .4,- 10/20/2021 Signature of Treasurer, Candidate, or Lobbyist Date (DD/MM/YYYY) Jennifer Hoover Camp Hill, PA, United States Printed Name Location (City/State/Country) DSEB-502R Updated 1/22/2021 II II Reset Form . Print Form Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) Filer Identification Report Filed By Candidate n\/I Committee l Lobbyist Number (Mark X) Name of Filing Committee,Candidate or Lobbyist Jennifer Hoover Street Address 127 S 31st Street City Camp Hill State PA Zip Code 17011 Type of Report(Place x under report type) 1-6th Tuesday 2- 2"d Friday 3-30 Day Post 4-60 Tuesday 5-2"d Friday 6-30 Day Post 7-Annual Special 2"°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) Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 06/07/2021 10/18/2021 A.Amount Brought Forward From Last Report $ 0 B.Total Monetary Contributions and Receipts $ - (From Schedule I) 1305.32 C.Total Funds Available $ o (Sum of Lines A and B) 1305 CO D.Total Expenditures $ f'n cc"> (From Schedule III) 2991.93 --., E.Ending Cash Balance ' $ > N (Subtract Line D from Line C) 0 F.Value of In-Kind Contributions Received $ C") j 222.13 (From Schedule II) C G.Unpaid Debts and Obligations $ 0 (From Schedule IV) -y 1 Affidavit Section e 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 Signa re of son Submitting report Jennifer Hoover Signature Printed Name My Commission expires 717 319-0858 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 SCHEDULE I Contributions and Receipts Detailed Summary Page Filer Identification Number 1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor 160.00 2.Contributions of$50.01 to $250.00(From I Part A and Part B) Total for the reporting period (1) $ Contributions Received from Political Committees(Part A) $ 68.44 All Other Contributions(Part B) $ 236.88 Total for the reporting period (2) $ 305.32 P3.Contributions Over$250.00(From Part C and Part D) I Contributions Received from Political Committees(Part C) $ 0 All Other Contributions(Part D) $ 1000.00 Total for the reporting period (3) $• 1000.00 P4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) I Total for the reporting period (4) $ 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 Cover Page,Item B) 1305.32 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 Amount Full Name of Contributing Date[MM/DD/YYYY] $ Committee Friends of Mercedes Evans 68.44 10/13/2021 House# Street Address Date[MM/DD/YYYY] $ 4218 Kirkwood Rd City State Zip Code Date[MM/DD/YYYY] $ Harrisburg PA 17110 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] $ 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: Full Name of Contributor Date[MM/DD/YYYY] $ Thomas Fink 10/16/2021 100.00 House# Street Address Date[MM/DD/YYYY] $ 514 Benton Rd City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Sherry A Bowman&Ray Givler 10/09/2021 68.44 House# Street Address Date[MM/DD/YYYY] $ 498 N 25th St City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Robert Forbes&Michele Forbes 10/16/2021 68.44 House# Street Address Date[MM/DD/YYYY] $ 2107 Chestnut St City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 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] $ Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ PART D AU 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: Full Name of Contributor Date[MM/DD/YYYY] $ Virginia Springen 500.00 06/18/2021 House# Street Address Date[MM/DD/YYYY] $ 134 N 32nd St City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Employer Name Occupation Retired Retired Employer Mailing Address/ Principal Place of Business N/A Full Name of Contributor Date[MM/DD/YYYY] $ Kerry Benninghoff 500.00 10/04/2021 House# Street Address Date[MM/DD/YYYY] $ 809 Green Street City State Zip Code Date[MM/DD/YYYY] $ Harrisburg PA 17102 Employer Name Occupation PA House of Representatives Legislator Employer Mailing Address/ Principal Place of Business Main Capitol Bldg,501 N Third St.,Harrisburg,PA 17120 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 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 Filer Identification Number: • I1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR I TOTAL for the reporting period (1) $ 25.43 I2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) TOTAL for the reporting period (2) $ 196.70 I3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) TOTAL for the reporting period (3) $ 0 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) 222.13 SCHEDULE 11 PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 Filer Identification Number: Full Name of Contributor Date[MM/DD/YYYY] $ Camp Hill Democrats 10/16/2021 196.70 House# Street Address Date[MM/DD/YYYY] $ P.O.Box 1415 City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Description of Contribution Campaign Outreach 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/OD/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 SCHEDULE III Statement of Expenditures Filer Identification Number: To Whom Paid Date[MM/DD/YYYY] $ Oriental Trading 25.98 06/07/2021 House# Street Address Description of Expenditure 4206 S 108th St City State Zip Omaha NE Code 68137 Event supplies To Whom Paid Date[MM/DD/YYYY] $ Rite Aid 32.00 06/08/2021 House# Street Address Description of Expenditure City State Zip Camp Hill PA Code 17011 Event supplies To Whom Paid Date[MM/DD/YYYY] $ Speedy Mart 16.80 07/02/2021 House# Street Address Description of Expenditure S 18th Street City State Zip Camp Hill PA Code 17011 Event supplies To Whom Paid Date[MM/DD/YYYY] $ HAAS Printing 21.20 06/15/2021 House# Street Address Description of Expenditure 1000 Hummel Ave City State Zip Lemoyne PA Code 17043 Yard sign To Whom Paid Date[MM/DD/YYYY] $ U.S.P.S. 14.80 06/11/2021 House# Street Address Description of Expenditure City State Zip Camp Hill PA Code 17011 Postage To Whom Paid Date[MM/DD/YYYY] $ Cornerstone Coffeehouse 24.23 07/03/2021 House# Street Address Description of Expenditure 2133 Market Street City State Zip Event catering To Whom Paid Date[MM/DD/YYYY] $ VistaPrint 115.92 09/19/2021 House# Street Address Description of Expenditure 170 Data Drive City State Zip Waltham MA Code 02451 Apparel and stickers To Whom Paid Date[MM/DD/YYYY] $ Staples 63.80 09/27/2021 House# 128 Street Address S 32nd St Description of Expenditure City State Zip Postcard Camp Hill PA Code 17011 SCHEDULE III Statement of Expenditures Filer Identification Number: To Whom Paid Date[MM/DD/YYYY] $ Staples 116.59 10/9/2021 House# 128 Street Address S 32nd St Description of Expenditure City State Zip Camp Hill PA Code 17011 Postcard To Whom Paid Date[MM/DD/YYYY] $ Staples 227.89 10/06/2021 House# 128 Street Address S 32nd St Description of Expenditure City State Zip Camp Hill PA Code 17011 Flyer To Whom Paid Date[MM/DD/YYYY] $ Staples 127.19 10/01/2021 House# 132 Street Address S 32nd St Description of Expenditure City State Zip Camp Hill PA Code 17011Flyer To Whom Paid Date[MM/DD/YYYY] $ Staples 50.36 10/09/2021 House# 132 Street Address s 32nd St Description of Expenditure City State Zip Camp Hill PA Code 17011 Envelopes To Whom Paid Date[MM/DD/YYYY] $ U.S.P.S. 34.80 10/09/2021 House# Street Address Description of Expenditure City State Zip Camp Hill PA Code 17011 Postage To Whom Paid Date[MM/DD/YYYY] $ Cumberland County Bureau of Elections 62.00 09/24/2021 House# Street Address Description of Expenditure Ritner Highway City State Zip Carlisle PA Code CD/labels To Whom Paid Date[MM/DD/YYYY] $ HAAS Printing 397.50 09/20/2021 House# Street Address Description of Expenditure 1000 Hummel Ave City State Zip Yard Lemoyne PA Code 17043Signs To Whom Paid Date[MM/DD/YYYY] $ HAAS Printing 159.00 10/08/2021 House# Street Address Description of Expenditure 1000 Hummel Ave City State Zip Lemoyne PA Code 17043 Yard Signs SCHEDULE III Statement of Expenditures Filer Identification Number: To Whom Paid Date[MM/DD/YYYY] $ HAAS Printing 450.50 10/08/2021 House# Street Address Description of Expenditure 1000 Hummel Ave City State Zip Lemoyne PA Code 17043 Postcard To Whom Paid Date[MM/DD/YYYY] $ HAAS Printing 455.80 10/12/2021 House# Street Address. Description of Expenditure 1000 Hummel Ave City State Zip Lemoyne PA Code 17043 Postcard To Whom Paid Date[MM/DD/YYYY] $ HAAS Printing 235.37 10/15/2021 House# Street Address Description of Expenditure 1000 Hummel Ave City State Zip e Posta Lemoyne PA Code 17043 9 To Whom Paid Date[MM/DD/YYYY] $ HAAS Printing 359.86 10/05/2021 House# Street Address Description of Expenditure 1000 Hummel Ave City State Zip Lemoyne PA Code 17043 Postage 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