HomeMy WebLinkAboutFriends of Lisa Grayson - 2021 30-Day Post Election Commonwealth of Pennsylvania
Campaign Finance Report PAGE 1OF
(COVER PAGE
(NOTE: This report must be dear and legible. It may be ped or printed in blue or black ink.)
Filer Identification ® Report 1. 2. 3.
Number: Filed by: CANDIDATE COMMITTEE 1V LOBBYIST
Friends of Lisa Grayson
Street Address: 161 Shako Dr
City:Carlisle PA
State: Zip Code: 17013
TYPE OF 6TH TUESDAY 1. 2ND FRIDAY 2. 30-DAY 3/ AMENDMENT YES NO ✓
REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY REPORT?
6TH TUESDAY 4. 2ND FRIDAY 5. 30-DAY 6. TERMINATION YES NO ✓
(place X to PRE-ELECTION PRE-ELECTION POST ELECTION REPORT?
the right of ANNUAL 7. YEAR FILING METHOD
report type) REPORT . I2o21 ( ,, )CHECK ONE PAPER ✓ DISKETTE
Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County
MO. DAY YEAR Number Code Code Code
Register of Wills . OTH REP 21
11 02 2021
(SEE INSTRUCTIONS FOR CODES)
Summary of Receipts
MO. DAY YEAR MO. DAY YEAR FOR OFFICE USE ONLY
and Expenditures from: 10 19 2021 To 12 2 2021 e
r , 1----s
A.Amount Brought Forward From Last Report $ 0.00
ri
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B.Total Monetary Contributions and Receipts(From Schedule I) $ 400.00 C"')
C.Total Funds Available(Sum of Lines A and B) $ 400.00 I`J
r_, V
D.Total Expenditures(From Schedule III) $
E.Ending Cash Balance(Subtract Line D from Line C) $ 400.00 CD
C; ••
F.Value of In-Kind Contributions Received(From Schedule II) $ - U1
r..!
G.Unpaid Debts and Obligations(From Schedule IV) $
AFFADAVIT 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 r or computer diskette,are to the best of my knowledge and belief true,correct and complete.
o,
Swom to and subscribed before e this -yet ai;h
grid�._d'r Deoem 2y % 1Zr '�
, C........__________-
day of J r;O buds•oyhd'•
Signature of Person Submitting Report
i('�'y�1/�/ 1,09 F+a'O•Cord)',o H
fir'�/�� / GS✓[—� Nsoz,d�,y p6jc�� Kyle A Cooper1
' �4 'j6'v j �di Printed Name
My commission expires 03 0o,s6 2z✓ (717)a22 4457
MO. DAY YR. Area Code Daytime Telephone Number
PART II—If this is a report of a Candidate's Authorized mmittee,candidate shall sign here.
I swear(or affirm)that to the best of my knowledge and belief this id mittee has not violated any provisions of the Act of June 3,1937
(P.L.1333,No.320)as amended. %n
Sworn to and subscribed before me this
4,40
2nd day December 20 y°��fs`''b 's�'''fy
J'o 4d''a+0 440'd Signature of Can date
'" °, `° ''° 'r.--W4_47 a.A.A--- " Lisa M. Grayson
Srgcci,LA.4..._m_ ,'r6'9 c i,. Printed Name
My commission expires J"""A' 'LI p(oa3 �66j�j� (717) 5$0-1254
MO. DAY YR. Area Code Daytime Telephone Number
Page 2 of
SCHEDULE I
Contributions and Receipts
Detailed Summary Page
Name of Filing Committee or Candidate Reporting Period
Friends of Lisa Grayson From To 10/19/2021 12/2/2021
1. UNITEMIZED CONTRIBUTIONS AND RECEIPTS-$50.00 OR LESS PER CONTRIBUTOR
TOTAL for the Reporting Period (1) $
2. CONTRIBUTIONS$50.01 TO$250.00 (FROM PART A AND PART B)
Contributions Received from Political Committees (Part A) $
AU Other Contributions (Part B) $ 100.00
TOTAL for the Reporting Period (2) $ loom
3. CONTRIBUTIONS OVER$250.00 (FROM PART C AND PART D)
Contributions Received from Political Committees (Part C) $ 300.00
All Other Contributions (Part D) $
• TOTAL for the Reporting Period (3) $ 300.00
4. OTHER RECEIPTS—REFUNDS,INTEREST EARNED,RETURNED CHECKS,ETC. (FROM PART E)
TOTAL for the Reporting Period (4) $
TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURING
THIS REPORTING PERIOD (Add and enter amount totals from $400.00
Boxes 1, 2, 3 and 4; also enter this amount on Page 1, Report
Cover Page, Item B.)
DSEB-502(7-99)
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.)
Name of Filing Committee or Candidate il Reporting Period
Friends of Lisa Grayson From 10"8'2021 To 1021
DATE AMOUNT
Full Name of Contributing Committee MO. DAY YEAR 100.00
Gary Reihart 10 22 2021
Mailing Address MO. DAY YEAR
150 Ore Bank Rd $
City State Zip Code(Plus 4) MO. DAY YEAR $
Dillsburg PA 17019-0000
Full Name of Contributing Committee MO. DAY YEAR
Mailing Address MO. DAY YEAR $
City State Zip Code(Plus 4) MO. DAY YEAR $
Full Name of Contributing Committee MO. DAY YEAR $
Mailing Address MO. DAY YEAR $
City State Zip Code(Plus 4) MO. DAY YEAR
$
Full Name of Contributing Committee MO. DAY YEAR
Mailing Address MO. DAY YEAR
$
City State Zip Code(Plus 4) MO. DAY YEAR $
Full Name of Contributing Committee MO. DAY YEAR $
Mailing Address MO. DAY YEAR $
City State Zip Code(Plus 4) MO. DAY YEAR $
y
Full Name of Contributing Committee MO. DAY YEAR $
Mailing Address MO. DAY YEAR $
City State Zip Code(Plus 4) MO. DAY YEAR $
Full Name of Contributing Committee MO. DAY YEAR $
$
Mailing Address MO. DAY YEAR
City Slate Zip Code(Plus 4) MO. DAY YEAR $
Full Name of Contributing Committee MO. DAY YEAR $
Mailing Address MO. DAY YEAR $
City State Zip Code(Plus 4) MO. DAY YEAR
$
PAGE TOTAL
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 2. $ 100.00
Page of
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.
Name of Filing Committee or Candidate Reporting Period
Friends of Lisa Grayson From 10/19/2021 To 12/2/2021
DATE AMOUNT
Full Name of Contributing Committee MO. DAY YEAR $ 300.00
Cumberland County Council of Republican Women 10 22 2021
Mailing Address MO. DAY YEAR
$
PO Box 711
City State Zip Code(Plus 4) MO. DAY YEAR
Carlisle PA 17013-0000-
i
Full Name of Contributing Committee MO. DAY YEAR
$
Mailing Address MO. DAY YEAR $
City State Zip Code(Plus 4) Ma DAY YEAR $
Full Name of Contributing Committee MO. DAY t YEAR $
Mailing Address MO. DAY YEAR
City State Zip Code(Plus 4) MO. DAY YEAR $
Full Name of Contributing Committee MO. DAY YEAR
$
Mailing Address MO. DAY YEAR
$
City State Zip Code(Plus 4) MO. DAY YEAR $
Full Name of Contributing Committee MO. DAY YEAR
Mailing Address MO. DAY YEAR
City State Zip Code(Plus 4) MO. DAY YEAR
$
Full Name of Contributing Committee MO. DAY YEAR $
Mailing Address MO. DAY YEAR
City State Zip Code(Plus 4) MO. DAY YEAR $
Full Name of Contributing Committee MO. DAY YEAR
Mailing Adder MO. DAY YEAR
City State Zip Code(Plus 4) MO. DAY YEAR $
Full Name of Contributing Committee MO. DAY YEAR
Mailing Address MO. DAY YEAR
City State Zip Code(Plus 4) MO. DAY YEAR
PAGE TOTAL
Enter Grand Total of Part C on Schedule I, Detailed Summary Page, Section 3. $ 300.00
DSEB-502(7-99)
December 2, 2021
To whom it may concern:
I hereby forgive my personal loan to my campaign committee, Friends of Lisa Grayson,
in the e tire amount of 22,650.
Lisa M. Grayson