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Home My WebLink AboutFriends of Mercedes Evans - 2021 30-Day Post Election LIII Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) Filer identification Report Filed By, Candidate — Committee Lobbyist — Number . , . (MarkX).'. ' Name of Filing Committee,Candidate or . Lobbyist Friends of Mercedes Evans ..StreetAddress .. P.O.Box 3213 City -State... .Zip Code Camp Hill PA 17011 Type of Report(Place x under report type) 1 1:61h•Tuesday :2- 2nd Friday .3-30 Day Post 4-BthTuesday •5-2nd Friday -fi&30 Day Post` :7-Annual .Special 200 Friday Special 30 Day Pte•-Primary..'. Pre-Primary• Primary. Pre-Election' Pre-Election Election . Pre-Election ' Post-Election I Li X Date Of Election Year Amendment �/ Termination- 1� (MM/DD/YYYY) • X 11/02/202f . 2021 Report • Report f Summary.of Receipts and From Date . To Date • ' . • . For 3ffice Use Only Expenditures . •• . ' . . 10/19/2021 11/22/2021 . .A.Amount Brought Forward Prom Last Report 8 4812.33 C"? B.Total Monetary Contributions and receipts ,, 8 ,. '(From Sail-ed(le I) 1050.16 m 3,. r-ii o C.Total Funds Available . $ :77 (Sum oflines A and B) 5862.49 r— i 'D.Total:Expenditures '. 8 �' (From Schedule Ili) 2851.86 C:, __ E.Ending Cash Balance. • • 8 = 3010.63 (Subtract Line.D from Line C) - N F.Value of In-Kind Contributions Received 8 (From Schedule II) 0 —G G.Unpaid Debts.and Obligations ' 8' (From Schedule.IV) -. . , • • .• 0 Affidavit Section Part 1-It 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 true,correct and complete. Sworn to and subscribed before me this day of 20 •• F '�,[ —C Signature of Person Submitting report Patricia Smith Signature Printed Name My Commission expires 717 919-8585 MO. DAY YR. Area Code Daytime Telephone Number Part II-If this Is a report of a Candidate%Authorized Committee,candidate shall signliere. 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 'V( (4 SignatU4(ur of Candidate Mercedes Evans Signature Printed Name My Commission expires 717 303-3932 MO. DAY YR. Area Code Daytime Telephone Number SCHEDULE I Contributions and Receipts Detailed Summary Page Flier Identification Number I 1:Unitemized Contributions and Receipts 8.50.00.br Less pet;Contributor Total for the reporting period (1) 3 50 2.contributions of 850.01(o g250.00(From . Part A and fart B) . 1 Contributions Received from Political Committees(Part A) 8 0 All Other Contributions(Part B) 8 0 Total for the reporting period (2) 8 0 3..Contributions Over 8250.00(From.Part G and Part.D) Contributions Received from Political Committees(Part C) = 1000 All Other Contributions(Part D) 1 0 Total for the reporting period (3) 8 1000 4.Other Receipts-Refunds,interest Earned,Returned Checks,ETC.(From Part E) Total for the reporting period (4) 8 16 Total Monetary Contributions and Receipts during this reporting period(Add and 8 enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report Cover Page,item B) 1050.16 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. IFiler Identification Number: FUII Name.._ Members 1st Federal Credit Union Douse#.' Street Address P 0.Box 40 City State Zip Date[MM/DD/YYYY]. , 8 Mechanicsburg PA Code 17055 10l31/2021 16 Receipt Description Dividend Full Name. House# Street Address City • State Zip Date IMM/DD/YYYY] 8 Code. Receipt'.Description Full Name ". House# Street Address -tity'_ State.. Zip Date(MM/DD/11YYY] 8 Code Receipt Description Full Name House# Street Address City. State Tip Date•[MM/DD/YYYY] 8 — 'Cade Receipt Description Full flariie' House# Street Address City, State Zip Date[MM/DD/YYYY] S Code Receipt Description Full Name , :House# Street Address City., State Zip Date[MM/OD/YYYY] .- S Code Receipt Description lePennsylvania Department of State Bureau of Campaign Finance&Civic Engagement 210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) www.dos.oa.eov/camaaienfinance • ra-stcampaianfinanceC)pa.aov 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.unworn 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 Friends of Mercedes Evans Reporting Cycle Name ❑ Cycle 1 0 Cycle 2 0 Cycle 3 0 Cycle 4 ❑ Cycle 5 6th Tuesday 2nd Friday 30 Day 6th Tuesday 2"d Friday Pre-Primary Pre-Primary Post Primary Pre-Election Pre-Election Cycle 6 p Cycle 7 ❑ Cycle 8 ' I Cycle 9 30 Day Post-Election Annual Report 2"d Friday Pre-Special Election 30 Day Post-Special Election Part I-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. egticu_lq 11/30/2021 Signature of Treasurer, Candidate, or Lobbyist Date.(DD/MM/YYYY) Patricia Smith Harrisburg, PA, USA Printed Name Location (City/State/Country) DSEB-502R Updated 1/22/2021 1rPennsylvania Department of State - , , - . , Bureau of Campaign Finance&Civic Engagement 210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) www.dos.pa.Qov/campaignfinance • ra-stcampaienfinance(aIpa.Rov Unsworn Declaration in Lieu of Sworn Statement for Campaign Finance Statements ,;, Note: Per Act 2020-15, which was'signed into law on April 20; 2020 and allows for unworn , declarations, Campaign Finance Reports(form DSEBL502),.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 Statements. This form must be signed by hand where a signature is required. Name of Filing Committee, Candidate, or Lobbyist ' I e rtas • o-c Mercedes Evans • ' ' Reporting Cycle Name 0 Cycle 1 0 Cycle 2 0 Cycle 3 0 Cycle 4 0 Cycle 5 6th Tuesday 2nd Friday 30 Day 6th Tuesday 211d Friday Pre-Primary Pre-Primary Post Primary Pre-Election Pre-Election li Cycle 6 0 Cycle 7 0 Cycle 8 Cycle 9 30 Day Post-Election Annual Report 2"d Friday Pre Special Election 30 Day Post-Special Election Part I — if this form is submitted with a statement in lieu of full report by a political committee, the treasurer must sign here. If this form is submitted with a statement in lieu of a full report by a candidate, the candidate must sign here. If this form is submitted with a statement in lieu of full 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 Statement is true and correct. dt/i— 11/30/2021 Signature of Treasurer, Candidate,or Lobbyist Date(DD/MM/YYYY) Mercedes Evans Camp Hill, PA, USA Printed Name Location (City/State/Country) DSEB-5035 Updated 1/22/2020 1111nCbt\runt'-` nti!1._ - �___ 1-tins-,-a Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) Filer identification Report Flied By Candidate Committee Lobbyist Number (Mark X) 1><- Name of Filing Committee,Candidate or Lobbyist Friends of Mercedes Evans Street Address • P.O.Box 3213 City Camp Hill State PA Zip Code 17011 Type of Report(Place x under report type) 1-6th Tuesday 2- 2`d Friday 3-30 Day Post 4-6t"Tuesday 5-re Friday 6-30 Day Post 7-Annual Special 200 Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election Li x, n n . ,_ Date Of Election Year Amendment Termination (MM/DD/YYYY) 11/02/2021 2021 Report J Report 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 $ 4;e23.16 8.Total Monetary Contributions and Receipts $ moo a_ (From Schedule I) .• C.Total Funds Available 2 (Sum of lines A and B) 5,sz3.16 c D.Total Expenditures $ r i • (From Schedule Ill) se5136 N E.Ending Cash Balance $ (Subtract Line D from Line C) 2,9713o `-•. (� • C7 . F.Value of In-Kind Contributions Received : o • C) w (From Schedule II) G.Unpaid Debts and Obligations $ o { — (From Schedule IV) Affidavit Section • Part 1-If this is a Committee report,treasurer sign here.It 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 true,correct and complete. Sworn to and subscribed before me this _ day of 20 ' -r G1 • a Smith • Signature 01 Person Submitting report Patrici Signature Printed Name My Commission expires 717 919 s585 _ 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 affirr)that to the best of my knowledge and belief this political committee has not violated any provisions of the Act of tune 3,1937(P1.1333,NO.320)as amended. 071//faCia. Sworn to and subscribed before me thisal/ day of 20 Signature of Candidate • Mercedes Evans Signature Printed Name My Commission expires 717 303 3032 l MD. DAY YR. Area Code Daytime Telephone Number SCHEDULE I Contributions and Receipts Detailed Summary Page Filer Identification Number J • -1.Unitemizeed Contributions and Receipts-t 50.00 or Less per Contributor Total for the reporting period (1) $ 0 2.contributions of 150.01 to 1250.00(From • • Part A and Part II) . . Contributions Received from Political Committees(Part A) $ o All Other Contributions(Part S) $ 0 • Total for the reporting period (2) $ 0 3.Contributions Over 8250.00(From Part C and Part D) 1 Contributions Received from iolttical dommittees(Part C) $ 'woo All Other Contributions(Part 0) 1 0 Total for the reporting period (3) i • t000 4.Other Receipts-Refunds,.interest Earned,Returned Checks,ETC.(From Part-E) • Total for the reporting period (4$ $ 0 • Total Monetary Contributions and Receipts during this reporting period(Add and 1 enter amount totals from Boxes i,2,3 and 4;also enter this amount on Page f,Report woo Cover Page,Item 8) 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 1250.00 in the reporting period. Hier identification Plumber. :Full Name of Date[MM/6D/YYYY] $ Contributing Committee second Generation 1,000 ton9rm21 House# Street Address Date[MM/OD/YYYY] t PA.Box 39738 City State DP Ode ; Date[MM/DD/YYYY] Philadelphia PA 19106 • Full Name of Date[MM/DD/YYYY) $ Contributing Committee • House# = Street Address •Date[MM/Db/YYYY] 1 City. State Zip Code Date[MM/DOIYYYY] `t Full Name of Date[MM/D6/YYYY] 1 Contributing Committee House# Street Address —Date[MM/OD/YYYY] f City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address- Date[MM/DD/YYYY] t -City State Zip Code Date[MM/OD/YYYYI $ Full Name of. I Date[MM/DD/YYYY]• $ Contributing Committee House# Street Address Date[MM/DD]YYYY]; $ City State Zip.Code pate[Mlvd/DD/YYYY] $ Full Name of , Date[MMID6/YYYY). $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City `.state Zip Code. Date[MM/DD/YYYY] $ SCHEDULE III Statement of Expenditures Pier identification Number: . -To Whom Paid Date[MM/DD/YYYY] $ • Print for Progress 10/28/2021 2,195.94 House# Street Address Description.of Expenditure ` , 1635 Market street,Suite 1600 City Philadelphia State JPA CZiPOde 19103 Section Mailer To Whom'Paid Date[MM/DD/YYYY] fi • PosterMyWall 5.98 10/22/2021' House# 6965 Street Address Ei Camino Real,suite 51s Desl�cription of Expenditure City Zip Carlsbad State CAcode 92009 Graphic design template L To Whom Paid Date[MM/DD/YYYY) t Cornerstone Coffeehouse 50.75 10/24/2021 House# 2133 Street Address Market street Description of Expenditure City ,' y p Camp Hill StatePA .Code . 17011 Refreshments for volunteers To Whom Paid • '.Date[MM/DD/YYYY] -r i Staples 116.59 10/24/2021 House# Street Address Description of Expenditure 128 South 32nd Street City Camp Hill State. PA Zip 17011 Postcards To Whom Paid Date[MM/DD/YYYY] i uses 80 10/23/2021 House# 1675 -'Street Address Camp Hill Bypass Description of Expenditure City ' State Zip Camp Hill PA Code . 17011 Postcard Postage To Whom Paid Date[MM/DD/YYYY) I • Perpetual Fortitude,LI.G 100 11/01/2021 House# 1831 Street Address Description of Expenditure Vista Dr . City • • Mechanicsburg State r PA CCoode 17055 Robocalls •To Whom Paid • DatejMM/DD/YYYY] $ Van*,LLC 3.85 11/09/2021 t House* Street Address` Description of Expenditure : .. - 8500 • Governors Hill Drive SymmesCity Township State OH Conde 45249 Merchant Fees To Whom Paid. Staples, Date[MM/DD/YYYY) t. 48.75 10/28/2021 • House# 128 Street Address sous,32nd street Description of Expenditure City Camp Hill . Statg PA Code 17011 Campaign Literature SCHEDULE III Statement of Expenditures filer Identification Number: To Whom Paid Date[MM/DD/YYYY] 8 Elizabeth Reilly 250 11/23R02i House# 117 Street Address 1>th Street Description of Expenditure SouthCity Camp Hill State PA de 17011 Reimbursement for costs of candidate&volunteer eves To Whom Paid ' Date jMM/DD/YYYY] 8 House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] 8 House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date LMMJDD/YYYY] 8 House# Street Address Description of Expenditure • City State Zip Code To Whom Paid Date[MM/DD/YYYY] 8 House#' Street Address' Description of Expenditure City State Zip Code To Whom Paid _Date IMM/DD/YYY1�] E House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] 8 House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DDIYYYY] 8 House# Street Address Description of Expenditure City State Zip Code