HomeMy WebLinkAboutBurton, Bryan - 2021 30-Day Post Election 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) __
Name of Filing Committee,Candidate or
Lobbyist Bryan Burton
Street Address 2312 Logan St
City Camp Hill State PA Zip Code 17011
n
Type of Report(Place x under report type)
1-6t"Tuesday a- 2"d Friday 3-30 Day Post 4-6e*Tuesday 5-2"d Friday 6-30 Day Post 7-Annual Special 2nd riday Special 30 Day
Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Electio Post-Election
x
Date Of Election Year Amendment , Terminatioi5
(MM/DD/YYYY) Report Report
Summary of Receipts and From Date To Date For Office Use O ly
Expenditures
10/19/2021 11/22/2021
A.Amount Brought Forward From Last Report $ 0.00
B.Total Monetary Contributions and Receipts $
(From Schedule I) 0.00 C; r
: c5
C.Total Funds Available $
(Sum of Lines A and B) 0.00 r- ,
D.Total Expenditures $ r,1 Cr1
0.00 ..1 ")
(From Schedule III)
E.Ending Cash Balance $ =,� I
0.00 •" is...)
(Subtract Line D from Line C)
F.Value of in-Kind Contributions Received $ j TJ
(From Schedule II) 583.07
CD
G.Unpaid Debts and Obligations $ U-1
"
(From Schedule IV) 0.00 __ -.._
Affidavit Section ,^ 1 !N.)
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 no ed e and belief true,correct and complete.
Sworn to and subscribed before me this v
day of 20
Signature of Person Submitting report
BR AN BURTON
Signature Printed Name
717 614-57413
My Commission expires
MO. DAY YR. Area Code Daytime Telephol a 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 ofiune 3,1937(P.L.1333,NO.320)as
amended.
Sworn to and subscribed before me this ,�
day of 20
Signs of Candi ate
BRYAN BURTON
Signature Printed Name
717 614-5742
My Commission expires
MO. DAY YR. Area Code Daytime Telepho ie Number
Pennsylvania Department of State
"°'A Bureau of Campaign Finance&Civic Engagement
210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4)
www.dos.pa.gov/campaignfinance • ra-stcampaignfinance@pa.gov
Part 11-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 foregoing is true and correct.
12/Z / Zo21
Signature of Treasurer, Candidate, or Lobbyist Date (DD/MM/YYYY)
.3c c. ba---\-0(-) Co:-1 , i
Printed Name Location (City/State/Country)
DSEB-502R
Up 1ated 6/24/2020
SCHEDULE II
IN-KIND CONTRIBUTIONS AND VALUABLE THINGS REC( IVED
USE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS DURING THE I REPORTING PERIOD
DETAILED SUMMARY PAGE
filer Identification Number.
I
Bryan Burton
1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR
TOTAL for the reporting period (1) T$
I0.00
,IIII
2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) f
TOTAL for the reporting period (2) $
3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G)
TOTAL for the reporting period (3) $ 583.07
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) 589.07
1
I
1
SCHEDULE II
Part G
In-Kind Contributions Received
VALUE OVER$250
Filer Identification Number:
I
Bryan Burton
Full Name of Contributor Date[MM/DD/YYYY] $
Camp Hil GOP Committee 583.07
11116I2021
House# Street Address Date[MM/DD/YYYY] 1 $
105 N.21 st St.
City State Zip Code Date[MM/DD/YYYY] $
Camp Hill PA 17011
Employer Name Occupation I
Employer Mailing Address/Principal Description.
Place of Business of mailing
' Contribution
Full Name of Contributor Date[MM/DD/YYYY] 1 $
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYYj $
Employer Name Occupation
Employer Mailing Address/Principal Description
Place of Business of
Contribution
Full Name of Contributor Date[MM/DD/YYYY] 1 $
House.# Street Address Date[IVIM/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] I $
House# Street Address Date IMM/DD/YYYY] 1 $
City State Zip Code Date[MM/DD/YYYYj i $
Employer Name Occupation
Employer Mailing Address/Principal Description
Place of Business of
Contribution
1