HomeMy WebLinkAboutBucher, Joseph - 2021 30-Day Post Election ifoiPennsylvania Department of State
Bureau of Campaign Finance&Civic Engagement
210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4)
www.dos,paso /campatsnflnance • ra-stcamaaianfinancefta.gov
Unsworn Declaration in Lieu of Sworn Statement for
Campaign Finance Statements
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), 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 Statements. This form must be
signed by hand where a signature is required.
Name of Filing Committee, Candidate, or Lobbyist
3 pS' 'k ;c axok g
Reporting Cycle Name
0 Cycle 1 ❑ Cycle 2 ❑ Cycle 3 0 Cycle 4 El Cycle 5
6th Tuesday 2"d Friday 30 Day 6th Tuesday 2"Friday
Pre-Primary Pre-Primary Post Primary Pre-Election Pre-Election
0 Cycle 6 ❑ Cycle 7 0 Cycle 8 0 Cycle 9
30 Day Post-Election Annual Report 2"d Friday Pre-Special Election 30 Day Post-Special Election
Part I — if this form is submitted with a statement in lieu of full report by a political
committee, the treasurer must sign here. If this form is submitted with a statement in lieu
of a full report by a candidate, the candidate must sign here. If this form is submitted with
a statement in lieu of full 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 Statement is true and correct.
effik. 11/15/21
S nature of Treasurer, Candidate, or Lobbyist Date (DD/MM/YYYY)
Joseph Richards Bucher Mechanicsburg/PA/Cumberland
Printed Name Location (City/State/Country)
DSEB-503S •
Updated 1/22/2020
IIIt?A;" '':?u:'0:.14t.igTiiA�r1.::.i:.gr•!m,.•:sta,rs.+W:7,-.c
Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be clear and legible.It should be typed)
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Street•Add , i= __t':1s1 s s r'
503 Gale Street
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:;.:Pl -' ;_i ; ...i5 Mechanicsburg '-'State"s :Zip Code sii
Type of Report(Place x under report type)
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A►;:Amoru'nt Brought•�Forward;From t St J'Ireport;l
B__Total:Mrin tjt-y,ciri tribUtions an eceipts L $
=aa{e_ _- iarg;s'''=r --- -660.17
Sum of_Lihesll ttt.inli.. __ ' �:r
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FromShedule II) t —`G::Unpaid Debts n_d O ligations. t._ $
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F:romi'Schedule IVG - fr:;r_.4-r~;ram- 0
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 1
day of 20 • i_. i
M r./(1RJOStF PAe fc:4b 1,k1.5r.nn DLt X- E f .
Signature Printed Name
I
My Commission expires 1 7 � 3- it 6 6 G/ -
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 i
day of 20 '
Sleaturedtaii�g,�
Signature • e PrriihntedName / ,
My Commission expires , 717 SO-3 1'" .L
MO. DAY YR. Area Code Daytime Telephone Number •
SCHEDULE III
Statement of Expenditures
r« 11/09/21 mg
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_ 118 _ West Allen Street —
�_-_Mechanicsburg - .PA S` rI_A 17055 Physical Print Media/Mailer
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