HomeMy WebLinkAboutMacDonald, Heather - 2021 2nd Friday Pre-Election DigiSign Verified: D9E66BEC-97F9-4D7D-A6DB-7D3B20ABCB43
Pennsylvania Department of State
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
Unsworn Declaration 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 unsworn
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 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
❑ Cycle 1 0 Cycle 2 0 Cycle 3 0 Cycle 4 IA Cycle 5
6th Tuesday 2td Friday 30 Day 66 Tuesday 2"d Friday
Pre-Primary Pre-Primary Post Primary Pre-Election Pre-Election
❑ Cycle 6
0 Cycle 7 ❑ Cycle 8 0 Cycle 9
30 Day Post-Election
Annual Report 2nd Friday Pre-Special Election 30 Day Post-Special 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.
10/21/2021
Signatu , r easurer, Candidate, or Lobbyist Date (DD/MM/YYYY)
Sarah Yerger Camp Hill, PA USA
Printed Name Location (City/State/Country)
DSEB-502R
Updated 1/22/2021
DigiSign Verified: D9E66BEC-97F9-4D7D-A6DB-7D3B20ABCB43
TigPennsylvania Department of State
Bureau of Campaign Finance&Civic Engagement
210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4)
www.dos.pa.gov/campaignfinance • ra-stcampaignfinancegDpa.Rov
Part!!-!f 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.
h JV ccopoi d' 10/21/2021
Signature of Treasurer, Candidate, or Lobbyist Date (DD/MM/YYYY)
Heather MadDonald Camp Hill, PA USA
Printed Name Location (City/State/Country)
DSEB-502R
Updated 1/22/2021
DigiSign Verified: D9E66BEC-97F9-4D7D-A6DB�D3B2OABCB4�tNNJYLVHNIA
CAMPAIGN FINANCE STATEMENT
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 IDRENTIFICATION
2020C 1 053 ON BEHALF OF 10, �\ 1REPORT FILED CANDIDATE y COMMITTEE z LOBBYIST
NUMBE
NAME OF FLUNG COMMITTEE,CANDIDATE OR LOBBYIST
Heather MacDonald
STREET ADDRESS - _-- -2166 Yale Avenue
CITY STATE ZIP CODE
Camp Hill PA 17011
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) MO. DAY YEAR
I Representative in the General Assembly 87 Democratic
6TH TUESDAY 11 02 2021
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
2ND FRIDAY 2. DATES OF
PRE-PRIMARY • PE ODTNG 06 08 21 TO 10 18 21
30 DAY a -
POST-PRIMARY
CASH BALANCE AT END O.00
6TH TUESDAY 4_ OF'REPORTING PERIOD: $
PRE-ELECTION
TOTAL AMOUNT OF FILER'S
' 5. ! OUTSTANDING DEBTS OR LIABILITIES
PRE-FRIDAY
ECTI " AT THE END OF REPORTING PERIOD $ 0.00
PRE=ELECTdOT! ,X` - - - -
30 DAY 9,
POST-ELECTION AMENDMENT YES 1 NO V
REPORT?
7_
ANNUAL TERMINATION
REPORT REPORT? YES ND X
AFFIDAVIT SECTION
PART
If statement is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here.
If statement is filed on behalf of a Candidate,the Candidate must sign here.
If statement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS(5250.00)AND THIS REPORT IS,TO THE BEST OF MY KNO EDG • D BELIEF,TRUE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS �T "k``
DAY OF 20 SIGMA •• O-�•SON SUBMITTING REPORT
Sarah Verger
PRINTED NAME
SIGNATURE
MY COMMISSION EXPIRES 717 856-1388
MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
PART II-
If statement is filed on behalf of a Candidate's Authorized Committee, Candidate must 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. (, AA _ -_Qp J.�
SWORN TO AND SUBSCRIBED BEFORE ME THIS ( sh'i?A.IvA 4at/Do ix�i - 1
SIGNATURE OF CANDIDATE
DAY OF 20 , Heather MacDonald
PRINTED NAME
SIGNATURE 717 645-8176
MY COMMISSION EXPIRES AREA CODE DAYTIME TELEPHONE NUMBER
MO. DAY YR.
Department of State • Bureau of Commissions,Elections and Legislation
t)SEt3•503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280