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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