HomeMy WebLinkAboutShearer, Tammy - 2021 2nd Friday Pre-Election Pennsylvania Department of State
Irgiji 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
Tammy Shearer
Reporting Cycle Name
❑ Cycle 1 ❑ Cycle 2 ❑ Cycle 3 ❑ Cycle 4 0 Cycle 5
6th Tuesday 2"d Friday 30 Day 6th Tuesday 2t 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"a Friday Pre-Special Election 30 Day Post-Special Election
Part I - 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.
111 10/19/21
Sig .ture of nifi-r ►.&d. or Lobbyist Date (DD/MM/YYYY)
Tammy Shearer Carlisle, PA, USA
Printed Name Location (City/State/Country)
DSEB-502R
Updated 6/24/2020
COMMONWEALTH OF PENNSYLVANIA
CAMPAIGN FINANCE S TATEMENT
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 CANDIDATE I.X COMMITTEE 2 LOBBYIST
NUMBER
_.. ON BEHALF OF ,
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
Tammy Shearer
STREET ADDRESS
One Courthouse Square
CITY ZIP CODE
Carlisle STATE PA 17013
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) Recorder of Deeds MO. DAY YEAR
1. 1 11 02 2021
6TH TUESDAY ;- - - - - - -- - -- - - -
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR - -- -
ZND FRIOAY 2. DATES OF
PRE-PRIMARY REPORTING 06 08 21 TO 10 18 21
PERIOD
30 DAY 3.
cN'a
POST-PRIMARY
CASH BALANCE AT END tj
6TH TUESDAY 4. OF REPORTING PERIOD:
--I
PRE-ELECTION
TOTAL AMOUNT OF FILER'S lam)
5. OUTSTANDING DEBTS OR LIABILITIES 0
2ND FRloav X AT THE END OF REPORTING PERIOD: $ -
PRE-ELECTION_.
B. C
30 DAY AMENDMENT
POST-ELECTION X
REPORT? YES NO
7. .{ N.)ANNUAL TERMINATION
REPORT REPORT? YES 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 REPOR G PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS(S250.00)AND THIS REPORT IS,TO THE BEST OF MY KN .. •AND FIEF, UE, 'O COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
DAY OF 20 IGNATURE OF S SU JG ORT'�
Tam Shea
SIGNATURE PRINTED NAME
717 240.6376
MY COMMISSION EXPIRES _
MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
PART 11-
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.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
SIGNATURE OF CANDIDATE
DAY OF - 20
PRINTED NAME
-- - SIGNATURE
MY COMMISSION EXPIRES AREA CODE DAYTIME TELEPHONE NUMBER
MO. DAY YR.
Department of State • Bureau of Commissions,Elections and Legislation
DSEB-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280