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Home My WebLink AboutMangan, Jennifer - 2021 2nd Friday Pre-Election g2.7 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(camaignfinance e ra-stcampaignfinancempa.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. Ma:jag cQ Filing Committee,,Candi;.ate,ci Lobbyist -Seim i , nc.Ay c.,..✓\ Reporting kit;tab& 0 Cycle 1 0 Cycle 2 0 Cycle 3 0 Cycle 4 I Cycle S 6th Tuesday 2"d Friday 30 Day 6th Tuesday 2"d Friday Pre-Primary Pre-Primary Post Primary Pre-Election Pre Election C7 Cycle 6 0 Cycle 7 LI Cycle 8 0 Cycle 9 30 Day Post-Election Annual Report • 2"d Friday Pre-Special Election 30 Day Post-Special Election Part l- 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 ,.submiUceci 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 fore oing is true and correct. g0/00,9,1 Sign re of T. asurer, Candidate, or Lobbyist Date (DD/MM/YYYYY) vs creel �� Mkvi...y.v) the ,esb( /9,d/ Printed Name Location (City/State/Country) DSEB-502R Updated 6/24/2020 VVIIIIIIViIWGQINI VI ref lliylvdllid-1idaiq.ct1911 ri11d114.e r(CIJV11. (Note:This report must be dear and legible.It should be typed) Filer Identification Report Filed By Candidate Committee Lobbyist Number (MarkX) Name of Filing Committee,Candidate or Lobbyist Jennifer Mangan Street Address 415 Mercury Dr. City State Zip Code ,' Mechanicsburg PA .17050 Type of Report(Place x under report type) 1_6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6thTuesday 5.2nd Friday 6-30 Day Post 75Annual Special 2na Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election I X Date Of Election t( a, al Year Amendment Termination 080282 (MM/DD/YYYY) i1�I Z 2021 Report �� Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 06/08/2021 10/18/2021 A.Amount Brought Forward From Last Report $ c B.Total Monetary Contributions and Receipts $ I..• (From Schedule I) I C C.Total Funds Available - $ t-" N.)(Sum of Lines,A and B) a= — D.Total Expenditures $ c (From Schedule III) c') 3 E.Ending Cash Balance $ (n ..0 (Subtract Line D from Line C) F.Value of In-Kind Contributions Received $ -- (From Schedule II) $275 G.Unpaid Debts and Obligations $ (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 m know ge and belief true,correct and complete. Sworn to and subscribed before me this day of 20 ' 1 • Signatu e o erson Submitting report Jen 'fer Man an Signature Printed Name My Commission expires 501 501-605-4211 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 IN-KIND CONTRIBUTIONS AND VALUABLE THINGS RECEIVED USt I HIS SCHEDULt (U KtF'UK I ALL IN-KIND(:UN I KILIU I IONS Ut- VALUAULt !MINUS UUKINV !Mt KtI'UK I INIi I'tKIUU DETAILED SUMMARY PAGE 4 Filer Identification Number: I 1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR 1 TOTAL for the reporting period (1) $ r 2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) TOTAL for the reporting period (2) $ I 3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) • TOTAL for the reporting period (3) $ $275 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) $275 In-Kind Contributions Received VALUE OVER$250 Filer Identification Number. Full Name of Contributor Date[MM/DD/YYYY] $ Friends of David Fish 10/14/2021 $275 House# Street Address Date[MM/DD/YYYY] $ 405 Lamp Post Ln. City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Employer Name ' Occupation Employer Mailing Address/Principal Description Place of Business of Contribution Inclusion on yard signs Full Name of Contributor Date[MM/DDIYYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business 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] $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business 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] $ Employer Name Occupation Employer Mailing Address I Principal Description Place of Business of Contribution