HomeMy WebLinkAboutFriends of Lisa Grayson - 2021 2nd Friday Pre-Election Commonwealth of Pennsylvania
Campaign Finance Report PAGE 1 OF
(COVER PAGE
(NOTE: This report must be clear and legible. It may be ped or printed in blue or black ink.)
Filer Identification ® Report 1 2. 3.
Number: Filed by: ► CANDIDATE COMMITTEE ✓ LOBBYIST
Friends of Lisa Grayson
Street Address: P.O.Box 333
City:Carlisle State: PA Zip Code: 17013
TYPE OF 6TH TUESDAY 1. 2ND FRIDAY 2.1 30-DAY 3. AMENDMENT YES NO ✓
REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY REPORT?
6TH TUESDAY 4. 2ND FRIDAY 5. 30-DAY 6. TERMINATION YES NO ✓
(place X to PRE-ELECTION PRE-ELECTION POST ELECTION REPORT?
the right of ANNUAL 7. I YEAR FILING METHOD PAPER DISKETTE
report type) REPORT _ 1 ( v )CHECK ONEPlo
Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County
M0. DAY YEAR
Register of Wills Number Code Code Code
OTH REP 21
111 02 2021
(SEE INSTRUCTIONS FOR CODES)
Summary of Receipts
MO. DAY YEAR MO. DAY YEAR FOR OFFICE USE ONLY
and Expenditures from: 10' 06 07 2021 To 10 18 2021
C)
t;;; r•.a
A.Amount Brought Forward From Last Report $ 0.00
rrI CO
B.Total Monetary Contributions and Receipts(From Schedule I) $ :zc—)-_
C.Total Funds Available(Sum of Lines A and B) $ — > Ni
Ni
D.Total Expenditures(From Schedule III) $ -- *
E.Ending Cash Balance(Subtract Line D from Line C) $ — (
1 C) W
F.Value of In-Kind Contributions Received(From Schedule II) $ 1,564.00
IV
—4_, I
G.Unpaid Debts and Obligations(From Schedule IV) $ 22,650.00 ,,
AFFADAVIT SECTION
PART I—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 schedul: •n • •• or computer diskette,are to the best of my knowledge and belief true,correct and complete.
Ai
Swom to and subsoped before me this .yy 4 %�o.
iitrOV n ..1%
day of 2' !&.., flo J ;ryy
4%�� Signature of Person Submitting Report
o�ly,e%, g6 4 Kyle A.Cooper
/�' ature 'l�1r 44 Printe Name
of
My commission expires J e`L& / �66jojj (717)422 4457
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. •.-• committee has not violated any provisions of the Act of June 3,1937
(P.L.1333,No.320)as amended.
Sworn to and subscrAftd before me this
ditt
tp n October ,, E ;%
0� i�444s,:k .--- Signature of Candidate
////tL? - ;4. .:�� ,� Lisa M. Grayson
Sr • r -
,�� 6r+
^ � nJ�� Si, Printed Name
My commission expires `� � l O�a`3 zQ`b�6?oj3 (717) 580-1254
M0. DAY YR. Area Code Daytime Telephone Number
Page of
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
Name of filing committee or Candidate Reporting Period
Friends of Lisa Grayson From .6/8/2021 To 10/18/202'
1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR
TOTAL for the Reporting Period (1) I $
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 CONTRIBUTIONS RECEIVED-VALUE OVER$250.00 (FROM PART G)
TOTAL for the Reporting Period (3) I $ 1,564.00
TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS
REPORTING PERIOD(Add and enter amount totals from boxes 1, 2, $ 1,564.00
And 3;also enter on Page 1, Report Cover Page, Item F.)
DSEB-502(7-99)
Page of
SCHEDULE II
PART G
IN-KIND CONTRIBUTIONS RECEIVED
VALUE OVER$250.00
Name of filing committee or Candidate Reporting Period
Friends of Lisa Grayson From 6/8/2021 To 10/18/202'
DATE AMOUNT
Full Name of Contributor MO. DAY YEAR
Lisa Grayson 09 25 2021 $ 1064
Mailing Address MO. DAY YEAR
161 Shatto Dr 09 26 2021 $ 350
City State Zip Code(Plus 4) MO. DAY YEAR
Carlisle PA 17013-0000 - 09 26 2021 $ 100
Employer of Contributor Occupation
Cumberland County Register of Wills
Employer Mailing Address/Principal Piece of Business Description of Contribution
1 Courthouse Sq,Carlisle PA 17013 Signs,GOP Governor's Club,Farm Bureau
Full Name of Contributor MO. DAY YEAR
Lisa Grayson,Cont 10 5 2021 $ 50
Mailing Address MO. DAY YEAR
$
City State Zip Code(Plus 4) MO. DAY YEAR
Employer of Contributor Occupation
Employer Mailing Address/Principal Piece of Business Description of Contribution
Advertising
Full Name of Contributor MO. DAY YEAR
$
Mailing Address MO. DAY YEAR
$
City State Zip Code(Plus 4) MO. DAY YEAR
$
Employer of Contributor Occupation
Employer Mailing Address/Principal Piece of Business Description of Contribution
Full Name of Contributor MO. DAY YEAR
$
Mailing Address MO. DAY YEAR
$
City State Zip Code(Plus 4) MO. DAY YEAR
$
Employer of Contributor Occupation
Employer Mailing Address/Principal Piece of Business Description of Contribution
Full Name of Contributor MO. DAY YEAR
$
Mailing Address MO. DAY YEAR
$
City State Zip Code(Plus 4) MO. DAY YEAR
$
Employer of Contributor Occupation
Employer Mailing Address/Principal Piece of Business Description of Contribution
PAGE TOTAL
Enter Grand Total of Part G on Schedule II, In-Kind Contributions Detailed $ 1,564.00
Summary Page, Section 3.
DSEB-502(7-99)
Page of
SCHEDULE IV
STATEMENT OF UNPAID DEBTS
Use this Section to itemize all unpaid debts and obligations
Which are outstanding at the end of the reporting period.
Name of filing committee or Candidate Reporting Period
Friends of Lisa Grayson From 6,082,021.00 To 10/18/2021
Name of Creditor I Outstanding Balance of Debt
Lisa Grayson $22,650.63
Mailing Address MO. DAY YEAR
161 Shalto Dr 06 07 2021
City State — Z• ip Code(Plus 4)
Carlisle PA 17013-0000 -
Desaiption of Debt
Forward past debt
Name of Creditor Outstanding Balance of Debt
Mailing Address MO. DAY YEAR
City State Zip Code(Plus 4)
Description of Debt
Name of Creditor Outstanding Balance of Debt
Mailing Address MO. DAY YEAR
City State Zip Code(Plus 4)
Description of Debt
Name of Creditor Outstanding Balance of Debt
Mailing Address MO. DAY YEAR
City State - Z• ip Code(Plus 4)
Description of Debt
Name of Creditor Outstanding Balance of Debt
Mailing Address MO. DAY YEAR
City State 1 Zip Code(Plus 4)
Description of Debt
Name of Creditor Outstanding Balance of Debt
Mailing Address MO. DAY YEAR
City State - Z• ip Code(Plus 4)
Description of Debt
PAGE TOTAL
Enter Grand Total of Unpaid Debts on Page 1, Report Cover Page, Item G. $ 22,650.00
DSEB-502(7-99)