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Home My WebLink AboutColleen for PA - 2021 30-Day Post Election qt...:n 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-stcampaignfinancePoa.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. G9E09C30( ij Committee, Candidate,Cp Lobbyist Colleen for PA Reporting @Lig@ MEM ❑ Cycle 1 ❑ Cycle 2 ❑ Cycle 3 ❑ Cycle 4 ❑ Cycle 5 66 Tuesday 2nd Friday 30 Day 6th Tuesday 2nd Friday Pre-Primary Pre-Primary Post Primary Pre-Election Pre Election 8 Cycle 6 ❑ Cycle 7 ❑ Cycle 8 ❑ 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. 0-2) 11 Sign re of Treasurer, Candidate, or Lobbyist Date (DD/M /YYYY) Carol E. Thornton Mechanicsburg, PA, USA Printed Name Location (City/State/Country) DSEB-502R Updated 1/22/2021 Pennsylvania Department of State fai Bureau of Campaign Finance&Civic Engagement 210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) www.dos.Pa.gov/campaignfinance • ra-stcampaignfinancePpa.gov Part II- 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. tv I p 1 Signature of Treasurer, Can 'dat or Lobbyist Date (DD/MM/YYYY) Colleen Gray Nguyen Enola, PA, USA Printed Name Location (City/State/Country) GV " tom.-- DSEB-502R Updated 1/22/2021 Commonwealth of Pennsylvania PAGE 1 OF 8 Campaign Finance Report (NOTE: This report must be clear and legible. It may be typed or printed in blue or black ink.) Filer Identification Report Candidate Committee 2. Lobbyist s. Number: 20210153 Filed By: ❑ ❑ ❑ Name of Filing Committee,Candidate or Lobbyist: Colleen for PA Street Address: 1750 Yorkshire Place City: State: Zip Code: Enola PA 17025 6th Tuesday 1.❑ 2nd Friday 2.❑ 30 Day 3. ❑ Amendment Yes ❑ No ❑✓ TYPE OF Pre-Primary Pre-Primary Post Primary Report? REPORT 6th Tuesday 4.❑ 2nd Friday 5. 30 Day 6. ❑ Termination Yes ❑ No ❑✓ Pre-Election ❑Pre-Election Post Election '� Report? Other 7. Annual Report ❑ YEAR 2021 Name of Office Sought by Candidate: -T .. ' ,] District Number: Office Code: Party Code:: County Code: Representative in the General 11/08/2022 087 STH DEM 21 Assembly Summary of Receipts and From Date To Date FOR OFFICE USE ONLY Expenditures 10/19/2021 11/22/2021 A. Amount Brought Forward From Last Report $6,709'22 B. Total Monetary Contributions and Receipts(From Schedule I) $2,715.29 - C. Total Funds Available(Sum of Lines A and B) 0,424.51 __ D. Total Expenditures(From Schedule III) $932.82 • r~ E. Ending Cash Balance(Subtract Line D from Line C) $8,991.69 $1.13 F,. Value of In-Kind Contributions Received(From Schedule II) r ? CD N $0.00 G. Unpaid Debts and Obligations(From Schedule IV) tV Affidavit Section PART I-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 or by electronic medium,are to the best of my knowledge and belief true,correct,and complete. Sworn to and subscribed before me this day of 20 Signatur o erson Submitting Report Signature � Printed My commission expires l/ t/ S 7 /v> MO. DAY YR. Area ode 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 _ day of 20 �.. Signature of Person Submitting Report /1 ' Signature Prtilted Name My commission expires 1 1`7 'l`7 q 3 7'1 ( MO. DAY YR. Area Code Daytime Telephone Number SCHEDULE I PAGE 2 OF 8 Contributions and Receipts Detailed Summary Page Filer Identification Number: 20210153 1. UNITEMIZED CONTRIBUTIONS AND RECEIPTS -$50.00 OR LESS PER CONTRIBUTOR TOTAL for the Reporting Period (1) $765.00 2. CONTRIBUTIONS$50.01 TO$250.00 (FROM PART A AND B) Contributions Received from Political Committees (Part A) $0.00 All Other Contributions (Part B) $950.00 TOTAL for the Reporting Period (2) $950.00 3. CONTRIBUTIONS OVER$250.00 (FROM PART C AND D) Contributions Received from Political Committees (Part C) $0.00 All Other Contributions (Part D) $1,000.00 TOTAL for the Reporting Period (3) $1,000.00 4. OTHER RECEIPTS -REFUNDS, INTEREST EARNED, RETURNED CHECKS, ETC. (FROM PART E) TOTAL for the Reporting Period (4) $0.2 9 TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURING THIS REPORTING PERIOD (Add and enter amount totals from $2,715.29 Boxes 1,2,3 and 4;also enter this amount on Page 1,Report Cover Page,Item B.) PAGE 3 OF R PART B All Other Contributions $50.01 TO$250.00 Use this Part to itemize all other contributions with an aggregate value from $50.01 to$250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Filer Identification Number: 20210153 Full Name of Contributor I MO1 IDAYI, Y[�EAR7 Autumn Anderson 11 14 2021 $100.00 Mailing Address 1706 Susquehanna St City State Zip Code(Plus 4) Harrisburg PA 17102-2347 Full Name of Contributor [Moil IDAYII[Y ARI Kit Engelhardt 10 21 2021 $50.00 Mailing Address 2400 Deerview Dr City State Zip Code(Plus 4) Mechanicsburg PA 17055-9205 Full Name of Contributor lino.IDAYJ[YEAR'I Kit Engelhardt 10 23 2021 $100.00 Mailing Address 2400 Deerview Dr City State Zip Code(Plus 4) Mechanicsburg PA 17055-9205 Full Name of Contributor IiMO1 IDAYJ&YEARN Jean Foley 10 23 2021 $100.00 Mailing Address 17 Argali Ln City State Zip Code(Plus 4) Mechanicsburg PA 17055-4859 Full Name of Contributor fMOw IDAYA<Y0iR3 wayne landon 10 23 2021 $100.00 Mailing Address 872 Acri Rd City State Zip Code(Plus 4) Mechanicsburg PA 17050-2279 Full Name of Contributor UMOI 1DAYJ WEARS Christine Licata 10 27 2021 $100.00 Mailing Address 5006 Pellingham Cir City State Zip Code(Plus 4) Enola PA 17025-1293 Full Name of Contributor [MOA IDAyi MYEAR1 Bryan Lowe 11 5 2021 $100.00 Mailing Address 6010 Tyler Dr City State Zip Code(Plus 4) Harrisburg PA 17112-3160 Full Name of Contributor (MOl IDAYI WEAR. Alissa Packer 11 14 2021 $100.00 Mailing Address 501 Arlington Rd City State I Zip Code(Plus 4) Camp Hill PA 17011-2110 Enter Grand Total of Part B on Schedule I,Detailed Summary Page,Section 2. PAGE TOTAL $750.00 PAGE 4 OF 8 PART B All Other Contributions $50.01 TO$250.00 Use this Part to itemize all other contributions with an aggregate value from $50.01 to$250.00 in the reporting period. (Exclude contributions from political committees reported in Part A.) Filer Identification Number: 2 0210153 Full Name of Contributor MO. DAY YEAR.. Lisa Savadel 10 23 2021 $100.00 Mailing Address 72 Pine Ridge Cir City State I Zip Code(Plus 4) Enola PA 17025-2057 Full Name of Contributor MO. DAY YEAR Joseph Swartz 11 14 2021 $100.00 Mailing Address 1706 Letchworth Rd City State Zip Code(Plus 4) Camp Hill PA 17011-7528 Enter Grand Total of Part B on Schedule I,Detailed Summary Page,Section 2. PAGE TOTAL $200.00 PAGE 5 OF 8 PART D All Other Contributions OVER$250.00 Use this Part to itemize all other contributions with an aggregate value of over$250.00 in the reporting period. (Exclude contributions from Political Committees reported in Part C) Filer Identification Number: 20210153 Full Name of Contributor MO.. DAY, YEAR Anthony Foschi 10 123 12021 $500.00 Mailing Address 2195 Brunswick Ave City State Zip Code(Plus 4) Mechanicsburg PA 17055-9301 Employer Name Occupation Saxton and Stump Lawyer Employer Mailing Address/Principal Place of Business 4250 Crums Mill Rd Harrisburg, PA 17112-2889 Full Name of Contributor MO. DAY YEAR kimberly turner 10 127 2021 $500.00 Mailing Address 501 W Main St City State Zip Code(Plus 4) Mechanicsburg PA 17055-3244 Employer Name Occupation Centric bank Banking Employer Mailing Address/Principal Place of Business 1826 Good Hope Rd Enola, PA 17025-1233 Enter Grand Total of Part D on Schedule I,Detailed Summary Page,Section 3. PAGE TOTAL $1,000.00 PAGE 6 OF 8 PART E Other Receipts REFUNDS,INTEREST INCOME,RETURNED CHECKS, ETC. Use this Part to report refunds received,interest earned,returned checks and prior expenditures that were returned to the filer. Filer Identification Number: 20210153 Full Name MO. DAY YEAR Members 1st Federal Credit Union 10 31 2021 $0.29 Mailing Address 5000 Louise Dr City State Zip Code(Plus 4) Mechanicsburg PA 17055-4899 Receipt Description Dividend Enter Grand Total of Part E on Schedule I,Detailed Summary Page,Section 4. PAGE TOTAL $0.29 SCHEDULEPAGE 7 OF B II In-Kind Contributions And Valuable Things Received USE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS DURING THE REPORTING PERIOD Detailed Summary Page Filer Identification Number: 20210153 1.UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED VALUE OF$50.00 OR LESS PER CONTRIBUTOR TOTAL for the Reporting Period (1) $1.13 2.IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) TOTAL for the Reporting Period (2) $0.00 3.IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) TOTAL for the Reporting Period (3) $0.00 TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING PERIOD (Add and enter amount totals from Boxes 1,2, $1.13 and 3;also enter on Page 1. Report Cover Page, Item F.) Schedule Ill PAGE 8 OF 8 Statement of Expenditures Filer Identification Number: 20210153 0 om ai MO nAv YEAR ActBlue 11I 3 1 2021 $27.21 Mailing Address 366 Summer St City State Zip Code(Plus 4) Somerville MA 02144-3132 Description of Expenditure Service Fee To Whom Paid MO_ nay YEAR Dr. Don's Buttons 11 I 5 1 2021 $169.18 Mailing Address 3906 W Morrow Dr City State Zip Code(Plus 4) Glendale AZ 85308-7531 Description of Expenditure Rally signs To Whom Paid MO nAv vFAR Carol Thornton 11 1 14 12021 $159.00 Mailing Address 6201 Galleon Dr City State Zip Code(Plus 4) Mechanicsburg PA 17050-2916 Description of Expenditure Reimburse for November NGP VAN To Whom Paid MO nAY YEAR Vantiv, LLC 11 I 9 12021 $57.29 Mailing Address 8500 Governors Hill Dr City State Zip Code(Plus 4) Symmes Twp OH 45249-1384 Description of Expenditure Merchant processing fees To Whom Paid MO nAv YEAR Wix.com LTD 10 123 12021 $20.14 Mailing Address 40 Namal City State Zip Code(Plus 4) Tel Aviv Is 6350671 Description of Expenditure Web site fee Enter Grand Total of Expenditures on Page 1,Report Cover Page,Item D. PAGE TOTAL $432.82