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Home My WebLink AboutForbes, Michele - 2021 2nd Friday Pre-Election if Pennsylvania Departmnt of State Bureau of Campaign Finance&Civice Engagement 210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) vs: ,CL`4 f __ .,1t.'Yijf:liT .44 • __ J:f r :t find-ccLi. 1, 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 Michele Forbes Reporting Cycle Name ❑ Cycle 1 0 Cycle 2 ❑ Cycle 3 0 Cycle 4 ® 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 0 Cycle 8 ❑ Cycle 9 30 Day Post-Election Annual Report 2nd 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 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. dill '- ,� 14 11/19/2021 Si at of Treasurer, Candidate, or Lobbyist Date (DD/MM/YYYY) Michele Forbes Camp Hill, PA USA Printed Name Location (City/State/Country) DSEB-502R Updated 1/22/2021 - InReset Form I 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 X. Committee lobbyist Number (Mark X) X, Name of Filing Committee,Candidate or Lobbyist Michele Forbes Street Address 2107 Chestnut Street City Camp Flit State PA Zip Code 17011 ' Type of Report(Place x under report type) 1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday 5-2"1 Friday 6-30 Day Post 7-Annual Special 2"0.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/OD/YYYY) 2021 Report Report Summary cif Receipts and -From Date To Date - •For Office Use 0n1y Expenditures 09/14/2021 10/18/2021 A.Amount Brought Forward From last Report $ 0 . B.Total Monetary Contributions and Receipts $ ° - (From Schedule I) C.Total Funds Available $ LJ rrt(Sum of Lines A and B) 0 o D.Total Expenditures S r"" (From Schedule Ill) 647.7o • .Y> CN E.Ending Cash Balance $ ' CD• (Subtract Line 0 from Line C) 0 C7 > F.Value of in-Kind Contributions Received $ C5 _ (From Schedule II) 0 e : P G.Unpaid Debts and Obligations ! (From Schedule IV) ° .c 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 be y knowledge and belief true,correct and complete. Sworn to and subscribed before me this day of 20 ignature of Per on Submitting report .• E Michele Forbes Signature Printed Name My Commission expires 717 717-462-3354 MO. DAY YR. Area Code Daytime Telephone Number Part II-It this is a report of a Candidate's Authorized Committee,candidate shall sign here. • "I swear(or atlirm)•thet•tothe best of my knowledge and'beliefthis political committee has net violated any provisions Of•the'ACt ofJune 3,1937(P.L.1333,N0:320)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 9 SCHEDULE III Statement of Expenditures Filer Identification Number: To Whom Paid Date[MM/DD/YYYY] $ , Crazy Cheap Political Signs 359.72 09/18/2021 House# Street Address Description of Expenditure 11525A Stonehollow Dr Ste 100 City State Zip Austin TX Code 78758 yard signs To Whom Paid Date[MM/DD/YYYY] $ VistaPrint 108.25 10/07/2021 House# Street Address Description of Expenditure 275 275 Wyman Street City State Zip Waltham MA Code 02451 door hangers To Whom Paid Date[MM/DD/YYYY] $ Staples 111.29 10/15/2021 House# Street Address Description of Expenditure 128 South 32nd Street City State Zip 5x7 cards Camp Hill PA Code 10711 To Whom Paid Date[MM/DD/YYYY] $ Jennifer Hoover 68.44 10/16/2021 House# Street Address Description of Expenditure City State Zip Code flyers 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/YYYYJ $ House# Street Address Description of Expenditure City State Zip Code