HomeMy WebLinkAboutGHAR-PAC - 2021 30-Day Post Election •
111
Commonwealth of Pennsylvania-Campaign Finance Report-
(Note:This report must be clear and legible.It should be typed) • -
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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 true93Iect and complete.
Sworn to and subscribed before me this •
2.ei day of 20 •2
k-Commonwealtb of Pennsylvania-Notary Seal
. ki IX.NON‘12er CORINNE C MITCHELL-Notary PORI.
--5$ . ..----N
C LA_ _____
Signature Curftrland County
My CommisOn Expires Comml,st3n Number Ap387565ril 1,2025 Signature of P4rson S i b mtting report
PrInts_fid lame
1 •My Commission expires OL1 6 1 CM -'7"r " 3 6'4 - 1,D 0 . .
' 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
•
day of 20 •
•
Signature I . . Signature of Candidate
Printed Name . . .
•
' .
My Commission expires
MO. DAY YR. Area Code Daytime Telephone Number
. .
. "
• •
•
a. .
SCHEDULE I
Contributions and Receipts
Detailed Summary Page
Filer Identification Number
2007037
11.Unitemized Contributions and Receipts-$50.00 or Less per Contributor
Total for the reporting period (1) $
1
2.Contributions of$50.01 to $250.00(From
Part A and Part B)
Contributions Received from Political Committees(Part A) $
All Other Contributions(Part B) ' $
Total for the reporting period (2) $
I3.Contributions Over$250.00(From Part C and Part D) I
Contributions Received from Political Committees(Part C) $
All Other Contributions(Part D) $ -
Total for the reporting period (3) $ •
4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E)
1
Total for the reporting period (4) $
3.34
Total Monetary Contributions and Receipts during this reporting period(Add and $
enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report
Cover Page,Item B) 3.34
PART A
Contributions Received From Political Committees
$50.01 TO$250.00
Use this Part to itemize only contributions received from Political Committees
with an aggregate value from$50.01 TO$250.00 in the reporting period.
Filer Identification Number
2007037
Amount
Full Name of Contributing Date[MM/DD/YYYY] $
Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date(MM/DD/YYYY] $
Full Name of Contributing Date[MM/DD/YYYY] $
Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributing Date[MM/DD/YYYY] $
Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributing Date[MM/DD/YYYY] $
Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributing Date[MM/DD/YYYY] $
Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributing Date[MM/DD/YYYY] $
Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
PART B
All Other Contributions
$50.01 TO$250
Use this Part to itemize all other contributions with an aggregate value from
$50.01 TO$250 in the reporting period.
(Exclude contributions from political committees reported in Part A.)
Filer Identification Number:
2007037
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date IMM/DD/YYYY) $
City State Zip Code Date IMM/DD/YYYY] $
Full Name of Contributor Date IMM/DD/YYYY] $
s'ex
House# Street Address Date[MM/DD/YYYYJ $
City State Zip Code Date[MM/DD/YYYY] $'
Full Name of Contributor . Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYYJ $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYYJ $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
PART C
Contributions Received From Political Committees
Over$250.00
Use this Part to itemize only contributions received from Political Committees
with an aggregate value over$250.00 in the reporting period.
Filer Identification Number:
2007037
Full Name of Date[MM/DD/YYYY] $
Contributing'Committee
House# Street Address Date[MM/DD/YYYYj $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Date[MM/DD/YYYY] .: .$
Contributing Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date(MM/DD/YYYY] $
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
PART D
All Other Contributions
Over$250.00
Use this Part to itemize all other contributions with an aggregate value over$250.00 in the reporting period.
(Exclude contributions from political committees reported in Part C)
Filer Identification Number:
, .. 2007037
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] $
•
City State Zip Code;, Date;[MM/DD/YYYY] $
Employer Name Occupation
Employer Mailing Address/
Principal Place of Business
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] $
City - State Zip Code Date[MM/DD/YYYY] $
Employer Name Occupation
Employer Mailing Address/
Principal Place of Business
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Employer Name Occupation
Employer Mailing Address/
Principal Place of Business
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Employer Name Occupation
Employer Mailing Address/
Principal Place of Business
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:
2007037
Full Name . Members 1st Federal Credit Union
House#, Street Address
5000 Louise Drive
City State Zip Date[MM/DD/YYYY] $
Mechanicsburg PA Code 17055 3.34
10/31/2021
Receipt Description
Full Name
House# Street Address
City State Zip Date IMM/DD/YYYY] $
Code
Receipt:Description
Full Name
House# Street Address
City State Zip Date[MM/DD/YYYY] $
Code
Receipt Description
Full Name
House# Street Address
City State Zip Date[MM/DD/YYYY] $
Code
Receipt Description
Full Name
House# Street Address
City State Zip Date[MM/DD/YYYY] $
Code
Receipt Description
Full Name
House# Street Address
City State Zip Date(MM/DD/YYYY] $
Code
Receipt Description
SCHEDULE 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:
2007037
1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR
TOTAL for the reporting period (1) $
2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) I
TOTAL for the reporting period (2) $
I3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G)
TOTAL for the reporting period (3) $
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)
SCHEDULE II
PART F
In-Kind Contributions Received
VALUE OF$50.01 TO$250
Filer Identification Number:
2007037
Full Name of Contributor Date[MM/DD/YYYY]` '$
House# Street`Address. Date[MM/DD/YYYY] $
City State Zip Code Date IMM/DD/YYYY] $
Description of Contribution
Full Name of Contributor Date(MM/DD/YYYYJ $
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date(MM/DD/YYYY] $
Description of Contribution
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date(MM/DD/YYYY]; $
City State Zip Code Date(MM/DD/YYYY] $
Description of Contribution
Full Name of Contributor Date(MM/DD/YYYYJ $
House# Street Address Date(MM/DD/YYYY] $
City State Zip Code Date(MM/DD/YYYY] $
Description of Contribution
Full Name of Contributor Date(MM/DD/YYYY] $
House# Street Address Date(MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Description of Contribution
SCHEDULE II
Part G
In-Kind Contributions Received
VALUE OVER$250
Filer Identification Number:
2007037
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/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] $
House# Street Address Date[MM/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] $
House# Street Address Date[MM/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] $
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Employer Name Occupation
Employer Mailing Address/Principal Description
Place of Business of
Contribution
SCHEDULE III
Statement of Expenditures
Filer Identification Number:
2007037
To Whom Paid Date[MM/DD/YYYYJ $
46* Friends of Wanda Williams 3000
10/20/2021
House# Street Address Description of Expenditure
PO Box 61062
City State Zip
Harrisburg PA Code 17106 Campaign Contribution
To Whom Paid Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYYJ $
House# Street Address Description of Expenditure
City,. State Zip
Code
To Whom Paid Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date(MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code
SCHEDULE IV
Statement of Unpaid Debts
Use this Section to Itemize all unpaid debts and obligations which are outstanding at the end of the reporting period.
Filer Identification Number:
2007037
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
[MM/DD/YYYY]
City State Zip
Code
Description of Debt
Name of creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
(MM/DD/YYYY]
City State Zip.
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
(MM/DD/YYYY]
City State Zip
Code',
Description of Debt
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
[MM/DD/YYYY]
City State Zip
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
House# Street Address DATE DEBT INCURRED $
(MM/DD/.YYYY]
City State Zip
Code
Description of Debt
Name of Creditor Outstanding Balance of Debt
• House# Street Address DATE DEBT INCURRED $
[MM/DD/YYYY]
City State Zip
Code
Description of Debt