HomeMy WebLinkAboutCamp Hill Democrats - 2021 2nd Friday Pre-Election Pennsylvania Department of State
Bureau of Campaign Finance&Civic Engagement
210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4)
wti%wv.dos.pa.sov/campa'enfinance • ra-stcamoaicnfinance@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 unworn
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
aa,41 • ,jl/ C' alS
�.ReportiotCycle Sian
D Cycle 1 0 Cycle 2 0 Cycle 3 0 Cycle 4 )X Cycle 5
6`"Tuesday 2nd Friday 30 Day 6`h Tuesday 2nd Friday
Pre-Primary Pre-Primary Post Primary Pre-Election Pre Election
❑ Cycle 6
❑ Cycle 7 ❑ Cycle 8 0 Cycle 9
30 Day Post-Election
Annual Report 2nd 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.
Act ��a�.l /b /22/ 0 2-I
Signature o r 2
easurer, Candidate, or Lobbyist Date (DD/MM/YYYY)
moo,fti y 1 re,/ar+o/ �'A.A.,p �i;i I /p✓-I C�,,,b<e J.,ro/
Printed Name Location (City/State/Country)
DSEB-502R
Updated 6/24/2020
II
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 (Mark X) X
Name of Filing Committee,Candidate or
Lobbyist Camp Hill Democrats
Street Address
PO Box 1415
City Camp Hill State PA Zip Code 17001
lType of Report(Place x under report type)
1-6"'Tuesday 2- 2nd Friday 3-30 Day Post 4-6"'Tuesday 5-2n0 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
X
Date Of Election Year Amendment Termination
(MM/DD/YYYY) 11/02/2021 2021 Report Report
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
6/8/2021 10/18/2021
A.Amount Brought Forward From Last Report $
1840.00
B.Total Monetary Contributions and Receipts $ C +
(From Schedule I) 6161.00 N-4
C.Total Funds Available $ CO
(Sum of Lines A and 8)
8001.00 Q
D.Total Expenditures $ I
(From Schedule ill) 614a.31 -, N
E.Ending Cash Balance $ ...
CD
(Subtract tine 0from Line C) 1856.69 C") -0
F.Value of in-Kind Contributions Received $ CD
(From Schedule II) 98.00 C Cfl
G.Unpaid Debts and Obligations $ C)(From Schedule IV) 0 ..‹ r.!
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
0.4....z.vc___
• LSig ature of Person Submitting report
Kathy Ireland
Signature Printed Name
My Commission expires 717 773-5700
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
I .
SCHEDULE I
Contributions and Receipts
Detailed Summary Page
I Filer Identification Number
ICamp Hill Democrats I
I
1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor
Total for the reporting period (1) $
834.00
I2.Contributions of$50.01 to $250.00(From
Part A and Part B)
Contributions Received from Political Committees(Part A) $
0
All Other Contributions(Part B) $
2197.00
Total for the reporting period (2) $
2197.00
3.Contributions Over$250.00(From Part C and Part D)I
I
Contributions Received from Political Committees(Part C) $
0
All Other Contributions(Part D) $
3130.00
Total for the reporting period (3) $
3130.00
I4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E)
Total for the reporting period (4) $
0
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
6161.00
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:
Camp Hill Democrats
Full Name of Contributor Date[MM/DD/YYYY] $
Albert Holliday 08/27/2021 100.00
House# Street Address Date[MM/DD/YYYY] $
1830 Walnut St
City State Zip Code Date[MM/DD/YYYY] $
Camp Hill PA 17011
Full Name of Contributor Date[MM/DD/YYYY] $
Alissa Packer 08/27/2021 100.00
House# Street Address Date[MM/DD/YYYY] $
501 Arlington Rd
City State Zip Code Date[MM/DD/YYYY] $
Camp Hill PA 17011
Full Name of Contributor Date[MM/DD/YYYY] $
Carl Schultz 08/05/2021 250.00
House# Street Address Date[MM/DD/YYYY] $
215 N 25th St
City State Zip Code Date[MM/DD/YYYY] $
Camp Hill PA 17011
Full Name of Contributor Date[MM/DD/YYYY] $
Charlie Wilson 6
08/05/2021
House# Street Address Date[MM/DD/YYYY] $
226 N.27th St 08/27/2021 10
City State ' Zip Code Date[MM/DD/YYYY] $
Camp Hill PA 17011 146
09/17/2021
Full Name of Contributor Date[MM/DD/YYYY] $
Diana Bermingham 06/14/2021 20
House# Street Address Date[MM/DD/YYYY] $
350
N 24th St 25
07/19/2021
City State Zip Code Date[MM/DD/YYYY] $ +
Camp Hill PA 17011 100
07/26/2021
Full Name of Contributor Date[MM/DD/YYYY] $
Gayle Sicchitano 07/01/2021 25
House# Street Address Date[MM/DD/YYYY] $
818 Sycamore Circle 100
08/05/2021
City State Zip Code Date[MM/DD/YYYY] $
Camp Hill PA 17011 10
08/27/2021
Coro nk)-e.d
PART B — pa►-45C ?-
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.)
Flier Identification Number. p.
Full Name of Contributor Date[MM/DD/YYYY] $
inlr,r, 134-4r6auk 08(o5(Znzl 250,00
House# Street Address Date[MM/DD/YYYY] $
A 5 I NI g.1 - sk
City C �. `` State P A Zip Code I�O 11 Date[MM/DD/YYYY] $
Osnn
Full Name of Contributor Date[MM/DD/YYYY] $
Jorge CO1/45.1r (0 [D j [►1 12oz1 150,00
House# Street Address Date[MM/DD/YYYY] $
1\6\3 r ...rwa-is
•
Gty t _�� O5 W State Zip Code Date[MM/OD/YYYYJ $
l�tn a O 1703 4
Full Name of Contributor Date[MM/OD/YYYY] $
..- V1;@-k MOrir ;e..\\0 o )]1J2•0z( ►00,00
House# Street Address Date[MM/DD/YYYY] $
3Ito r' • 24 5 -
City State Zip Code Date[MM/DD/YYYY] $
CA�„� H;\\ PA 1-10l1
Full Name of Contributor Date[MM/DD/YYYY] $
V°`k L.1, 17Z)'42-)6,10ic" 08105)202-< 100 ,00
House It Street Address Date[MM/DD/YYYY] $
2- l 3 N i a-s*L 5k
City c State Zip Code Date[MM/OD/YYYY] $
Full Name of Contributor Date[MM/DD/YYYY] $
tA�fT,„c a.-'k COrho•r5 0%IO2-1 Zoz.[ 100,oo
House# Street Address Date[MM/DD/YYY11 $
223 N ' 23"1 sk• oq Io242-D2 i 2.S5oo
City C M ; ( State n Zip Code 1 O`[ Date[MM/DD/YYYY] $
Full Name of Contributor f` Date[MM/DD/YYYY] $
1 \ t\,./y-i �'.11► Oj t. j.o21 200.00
House# Street Address Date[MM/DD/YYYY] $
a9act go,+1.-for, kpr
City State Zip Code Date[MM/DD/YYYY] $
CAM �;1� 1
Q ik 1101t
CGrt:ro.oLc1
PART® f Jt 5
MI 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.)
I Filer Identification Kumbe:
C4.l,,,f N k►\ O e.",o cf..k>
Full Name of Contributor Date IMM/DD/YYYY1 $
N00r k.kie_ \-\oke_ 0%1b512-o21 100,0.Q
House d Street Address Date[MM/DD/YYYY] $
3%3 t , 2$41. S'r
City $
CAw.P N i\\ State P Bp Code I„7 0 t I Date IMM/DD/YYYY]
Full Name of Contributor Date[MM/DD/VYYY] $
f& -to` Q>a\,1Nro6. 053I051202-t. 100600
Housed Street Address . Date IMM/DD/YYYY] $
Z829. r o,:Cvaw (kck o%17_1 12o2i 5 .00
Oty C.3:*.M N``` State ` -Zip Code el41, (1 Date IMM/DDIYYYY] $
Full Name of Contributor • Date IMM/DD/YYYY] $
(olNa.141 Pske-c otd`231 Zo 2l 2.5.0D
Housed Street Address Date IMM/DD/YYYY) $
I7 5 . 2-Y-`' S1/4" o4)/251 2.un 1.5.on
City State Tip Code Date IMM/DD/YYYY] $
C-PMp LA;�l rA 170tt 0ct11712-024 25.00
Full Name of Contributor Date[MM/DD/YYYV] $
Yowl L3e'I k-rort 0102-12024 1n0.00
Housed Street Address Date[MM/DD/YYYY] $
City CP.
w M 1 State Zip Code 11 PA 170 t l Date[MM/CO/YYYYI $
Full Name of Contributor , 1 Date[MM/DD/YYYY] $
House It Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributor , 1 Date[MM/DD/YYYY] $
Housed Street Address Date[MM/DD/YYYY] $
City State Tip Code Date[MM/DD/VYYY] - $
I
PART D
All 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:
Camp Hill Democrats
Full Name of Contributor Date[MM/DD/YYYY] $
Diane Neiper 100.00
08/27/2021
House# Street Address Date[MM/DD/YYYY] $
2626 Lincoln St 200.00
10/07/2021
City State Zip Code Date[MM/DD/YYYY] $
Camp Hill PA 17011
Employer Name Occupation
Camp Hill Borough Camp Hill Tax Collector
Employer Mailing Address/
Principal Place of Business 2626 Lincoln St,Camp Hill PA 17011
Full Name of Contributor Date[MM/DD/YYYY] $
Elizabeth Reilly 06/15/2021 25.00
House# Street Address Date[MM/DD/YYYY] $
117 S.17th St 250.00
07/26/2021
City State Zip Code Date[MM/DD/YYYY] $
Camp Hill PA 17011
Employer Name Occupation
retired
Employer Mailing Address/
Principal Place of Business
Full Name of Contributor Date[MM/DD/YYYY] $
Heather MacDonald 06/21/2021 25
House# Street Address Date[MM/DD/YYYY] $
2166
Yale Ave 25
06/29/2021
City State Zip Code Date[MM/DD/YYYY] $
Camp Hill PA 17011 250
08/12/2021
Employer Name Occupation
Joy Daniels Real Estate Group real estate agent
Employer Mailing Address/
Principal Place of Business 2166 Yale Ave,Camp Hill,PA 17011
Full Name of Contributor Date[MM/DD/YYYY] $
Mary Kathryn Schmitz 08/05/2021 100
House# Street Address Date[MM/DD/YYYY] $
759 Country Club Rd 30
08/23/2021
City State Zip Code Date[MM/DD/YYYY] $
Camp Hill PA 17011 250
09/22/21
Employer Name Occupation
Penn State College of Medicine Professor
Employer Mailing Address/
Principal Place of Business 700 HMC Cres Rd Hershey,PA 17033
Co✓Nkireoi
PARTD — P°`OJ4- a
,, All Other Contributions
Over$250.00
Use this Part to itemize ail other contributions wish an aggregate value over$250.00 in the reporting period.
(Exclude contributions from political committees reported in Part C)
Eder Identification Numer:
CD'.%p v i11 1)C:w►oc(Ak3
Full Name of Contributor Date IMM/DD/YYYY) $
0-e.<radekke. M't\lec' 6(0/13 f 20Z1 50`oe
House* Street Address Date[MM/DD/YYYYJ $
y g W Lorre.w,oal aok 06g1W 12021 50,°-
City State 1 Zip Code Date IMM/DD/YYYYJ S od
Cp.svg 0,i�1 PA 1700 "7 JV1 2oZ1 2 50.'—
I
Employer Name Occupation inowteM0.kc-e'
Employer Mailing Address/
Principal Place of Business
Full Name of Contributor Date IMM/DD/YYYYJ $
8cl-(v‘Aa4.- -c- M;l\er D�loq 'ZnZk \0,on
House it Street Address Date(MM/DD/YYYY) $
o�
5 t�bove, 0812.2.icy 2-1 ��
City State Zip Code Date[MM/DD/YYYYJ $ 5.a`
Employer Name Occupation 1 O rrl LYvtn 14 C.f.
Employer Mailing Address/ [l
Principal Place of Business
Full Name of Contributor Date[MM/DD/YYYYJ $
okt„/ -5-YeA.A."A 0(.4)Jwl202., I20,00
House tt Street Address Date[MM/DD/YYYYJ $
`6 Li 5 W va✓ •v. C.-WO o n dl l—a► 0"1 1 2(i 1 Zo Z l Z50 ,00
City State Zip Code Date[MM/DD/YYYYJ $
C..r.,.p 4;1i PA I'7nt1 0% 10912-P24 /0 .op
Employer Name Occupation
G4-665 Co �bvlk:r�5 -f<c.J
r ...,4„1 to",r01�.-4'
Employer Mailing Address/ To W S O g Principal Place of Business _30o F. ,f o p eo. RI . 5v:4(.- 30�, 1r , 2(2 (o
Full Name of Contributor Date[MM/DD/YYYYJ $
KAk"%i Trelo.r.al 07(22i2oZ1 20, 00
House it Street Address Date[MM/DD/YYYY) $
3 e..t. abo v-t_
City State Zip Code Date[MM/DD/YYYYJ $
Employer Name Occupation
Employer Mailing Address/
Principal Place of Business
I
Coi-% r%rvc.CA
PART D ?A.w.. 3
All 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 Cy
Iciterldendfication1Yundun '
nL.&►,vi 1-\-"t\ '0e.r•n0 ua cp -i
.
Full Name of Contributor n Date[MM/DD/YYYYJ $
L'rlAa NAn (AP/19)2021 25. 00
House* Street Address Date[MMJDD/YYYY[ $ '
3(9 0 N . 2 "' S+. o ? ) .712.02.1 2-50 ,o0
City
Cot MP F i l State ,14 Code O{I Date[MMfDD/ YYY $
Employer Name Q ` 4 ! Occupation -re
Jh E.�'
/e.n•n +..t'r. 61� r,,,sbv!aJ
Employer Mailing Address/ /
��AG
Principal Place of Business -71 7 In). I4o.f/I S b✓t 9 Pr kc. r
Full Name of Contributor el S�, Date[MM/DD/YYYYJ S
r 0 0
10II` 1Z.°21 �jpp � ..
House# Street Address Date[MM/DD/ J $
1 ac't 3 0}1' Sk
City tn a 4 i 11 State f ik Zip Code
MOO
O 1' Date[MM/DD/YYYY] $
Employer Name Occupation Y e.\''44-o1
Employer Mailing Address/
Principal Place of Business
Full Name of Contributor Date[MM/DD/YYYYJ $ O'O
(v
r,n ,n c vlH i
/Zpi
a
House II Street Address Date[MM/DD/YYYY[ $
5 14 8*-4o., go( v 1/2SrtQ / 2Sa ,vO
City Cp.r..p 14;if ' State PA Zip Code 11011 o Date zm $ S.o 0
Employer Name Occupation
Sc1f 4-�p4 pfycl,o(o9;$4"
Employer Mailing Address/
Principal Place of Business ,5-1 Y (j-c..4o., 'zit C•••r•P hl:// /,i- /1 c i 1
Full Name of Contributor Date[MM/DD/YYYYJ $
House# Street Address Date[MM/DD/YYYYJ $
City State Zip Code Date[MM/DD/YYUII $
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:
Camp Hill Democrats
I1. UN ITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR
TOTAL for the reporting period (1) $
0
I2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F)
TOTAL for the reporting period (2) 5
98
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) 98.00
SCHEDULE II
PART F
In-Kind Contributions Received
VALUE OF$50.01 TO$250
Filer Identification Number:
Camp Hill Democrats
Full Name of Contributor Date(MM/DD/YYYY] $
Charlie Wilson 08/22/21 98.00
House# Street Address Date[MM/DD/YYYY] $
226 N.27th St
City State Zip Code Date[MM/DD/YYYY] $
Camp Hill PA 17011
Description of Contribution beverages for summer reception
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
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:
Camp Hill Democrats
To Whom Paid Date[MM/DD/YYYY] $
SquareUp.com,credit card processing app 76.77
multiple
House# Street Address Description of Expenditure
City State Zip
Code transaction fees for credit card payments
To Whom Paid Date[MM/DD/YYYY] $
Print for Progress 2685.00
10/15/2021
House# Street Address Description of Expenditure
1635 Market St,Suite 1600
City State Zip
Philadelphia PA Code 19103 Postcard printed and mailed to residents
To Whom Paid Date[MM/DD/YYYY] $
Print for Progress 826.01
07/30/2021
House# Street Address Description of Expenditure
1635 Market St,Suite 1600
City State Zip t-shirts and hats
Philadelphia PA Code 19103
To Whom Paid Date[MM/DD/YYYY] $
Cornerstone Coffeehouse 1323
08/26/2021
House# Street Address Description of Expenditure
2133 Market St
City State Zip
Camp Hill PA Code 17011 catering
To Whom Paid Date[MM/DD/YYYY] $
MagneticSigns.com,a division of Igoodz,lnc. 189.07
07/28/2021
House# Street Address Description of Expenditure
City State Zip
Code car magnets
To Whom Paid Date[MM/DD/YYYY] $
Tanya's Cookie Boutique 90.00
08/25/2021
House# Street Address Description of Expenditure
2208 Market St
City State Zip
Camp Hill PA Code 17011 catering(cookies)
To Whom Paid Date[MM/DD/YYYY] $
Wix.com 253.81
10/12/2021
House# Street Address Description of Expenditure
City State Zip
Code website hosting
To Whom Paid Date[MM/DD/YYYY] $
Wix.com $63.60
10/15/2021
House# Street Address Description of Expenditure
City State Zip website add-on for email address
Code
C V'r' `' '\J .01 f�
SCHEDULE III t"'(}
.2.
Statement of Expenditures
Filer Identification Number.
Cett."-.p O'11 jDt...-.oC,re-+-.)
To Whom Paid •� Date(MM(DDftYYY] $ 7 r ,
DO m • Co rv► 0711`_12.0 Z f
House# Street Addressi Description of Expenditure
V i'r+,,.-1 11 rvt...4,4 has
City State Zip �o r, .F-1 'Q-ee
Code
��� . Date[MM/DD/YYY1] $
To Whom Paid (.7M w1 ,�• q
.0
o D8�I1 �Zaz1 _.,_.._
House II 'Street Address Description of Expenditure
� V.1 Vfv1 JJt H 8 4 j$
City State Zip f yi o r,T w]1 -',e Z
, Code
To Whom Paid Date[MM/DD/YYYY] $ 1(�
_oorN , Com 01 ill 12.07A 'f7`0 D
1 House# Street Address Description of Expenditure
City State Zip
Code
- To Whom Paid Date[MM/DD/YYYY] $
�0.tt\-2.f C.r.c—. (tot 221e, ,cz►-.) 10 051Zo2.1 i960.78
House l Street Address Description of Expenditure I
ii+c1.r . ed.- era�4-.eof
City State Zip
Code
To Whom Paid Date[MM/DD/YYYY] I$
2 o tz.1t, .-r C,. (.Za.zz-le , col'~.) lo'I242,o2,I 2-(0.5• `f`t
House# Street Address Description of Expenditure
(i{',e,r..4-1,/re,
City State Zip
Code
To Whom Paid Date[MM/DD/YYYY] ! $
1
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] I$
House# Street Address Description of Expenditure
City State Tip
Code
I .-- ---