HomeMy WebLinkAboutMacDonald, Heather - 2021 30-Day Post Election Dig'Sign Verified 1127D3D9-ll3111-ASD2-A0 4-70CD7O297bd,1
ir Pnylvania pt of State
Bureauen so l Campal:nDe Financear&ment CMc Engagement
210 North 011 cc Duildu�,Harrlsburd PA 17120 o 717.71
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Unsworn Declaration in Lieu of Sworn Statement for
Campaign Finance Reports
Note Per Act 2020-15, which was signed into low on April 20, 2020 and allows for unsworn
declarations, Campaign Finance Reports(form WEB-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
Heather MacDonald
Reporting Cycle Name
0 Cycle 1 0 Cycle 2 0 Cycle 3 0 Cycle 4 0 Cycle 5
6*Tuesday 2n°Friday 30 Day 6*Tuesday 2"r Friday
Pre-Primary Pre-Primary Post Primary Pre-Election Pre.Election
g Cycle 6 0 Cycle 7 0 Cycle 8 0 Cycle 9
30 Day Post-Election
Annual Report 2a Friday PreSpedal Election 30 Day Post•Spedal Election
Part 1-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.
12/02/2021
Signatt reasurer,Candidate,or Lobbyist Date(DD/MM/YYYY)
Sarah Verger Camp Hill, PA USA
Painted Name location(City/State/Country)
WI 502R
Updated 1/2217021
1 s.,
DigtS ign Verified:0227D3 D9-D311-4502-A f794-70CD 7029764A
ftPennsylvania Department of State
Bureau of Campaign Finance&Civic Engagement
210 North Office Budding,Harrisburg,PA 17120 • 737.7105280(option 4)
BERAWAVIEBEBBIBEntriM • altcamitaicirs ,
Part id-if this form is submitted with a report by a Candidate's Authorized Committee,the
candidate 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.
MAO/Avatalit
12412021
Signature of Treasurer,Candidate,or Lobbyist Date(DD/MIVM/YYYY)
Camp Hill,pa US
Heather MacDonald
Printed Name Location(City/State/Country)
D5EB.502R
Updated 1/22/2021
i)igiSign Verified:0I27D3C)9-d73FR-15173-Ai794-70C1)7O29164A
Commonwealth Of Parinweivania 11.11 11 �1 1
Campaign Finance Statement wadi,1 ��jj
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 NUMBER: 2070[1053 REPORT FILED ON BEHAL?OF: Canddata
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST MACDONALD,HEATHER N.
STREET ADDRESS 2166 YALE AVENUE
CITY CAMP HILL STATE PA ?IP CODE 1701 I
TYPE OF REPORT 30'12ay Post-Election
NAME OF OFFICE SOUGHT BY CANDIDATE REPRESENTATIVE IN THE GENERAL
ASSEMBLY
DISTRICT CODE 87th Legislative District PARTY CODE " DEM
DATE OF ELECTION 11/3/2020
DATES OF REPORTING PERIOD 10/22/202I TO I 1/22/2021 For Office Use Only
AMENDMENT REPORT'? NO TERMINATION REPORT? NO
F";;,' ry
rss
CASH BALANCE AT THE END OF REPORTING 0.00 1 i.M
PERIOD:
TOTAL AMOUNT OF FILER'S OUTSTANDING 0.00
DEBTS OR LIABILITIES AT THE END OF
REPORTING PERIOD:
AFFIDAVIT SECTION
PART I-
If statement Is filed on behalf of a Politica,Committee or Candidate's Committee,the Treasurer must sign here. f-
ir statement is Filed on behalf of a Candidate,the Candidate must sign here.
If statement is filed an behalf of a Contributing Lobbyist.the Lobbyist must sign here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR UABIUUES INCURRED DURING THE REPORTING PERIOD INDICATED A80VE t?i0
NOT EXC.ED TWO HUNDRED AND FIFTY DOLLARS 11254 OD)AND THIS REPORT IS,TO THE atST OF MT KNOWLEDGE AND BEUEf,TRUE.CORRECT AND COMPLETE
SWORN TO AND SUaSCRlarD SENOR?ME THIS .y� A /J
day of 29 # ttitteu,MpoVoit&
�.l �j�'�r1 6-� SIGNATURE OE POISON SUBMITTING moon
Agilt&.)1 Rutlo(lAt weather Macannald
SIGNATURE PRINTED NAM!
717-64543176
MY COMMKION ERPTR£S MO. DAY YR, AREA CODE DAYTIME TELEPHONE NUMITER
PART 11-
If Statement Is filed on behalf of a Candidate's Authorized Committee,Candidate must sign here.
Iseult(OR AFFIRM)THAT TO THE KESI OF MY KNOWLEDGE AND SBUFF THIS POLITICAL COMMITTEE HAS NOT VIOLATED ANT PROVISIONS Or TtE ACT OF LOG
3.1933(►.L.1311,No 32D)AS AMENDED.
SWORN TO AND SUstanceD strORe Me TT1IS
day of
--- - -. SIGNATURE Or PERSON SURMITTNG RETORT
SIGNATURE PRINTED NAME
MY COMMISION EXPIRES MO, DAY YR AREA CODE DAYTIME TELL:PHONE NUMBER
Department of State.Bureau of Commissions,Elections and Legislation 1212/2021 12;47:28 PM
210 North Office Building.Harrisburg,PA 17120-0020.(717)707-5280