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HomeMy WebLinkAboutKaren Mallah for Camp Hill Schools - 2021 30-Day Post Election i r o ,� Pennsylvania Department of State ` '' Bureau of Campaign Finance&Civic Engagement • r p�� 210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) .,,.M '"e:" www.dos.pa.eov/campaignfinance • ra-stcampaignfinance@pa.gov Unsworn Statement 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), 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. GIEGIONOThE Committee, Candidate,lY Lobbyist _ _ _ _ Qke-e_ v 'm o`,1\,., V G s Cs c---s-c-v k k_ t k Jr‘0 a k.c. - Reporting 0 Cycle 1 0 Cycle 2 0 Cycle 3 ❑ Cycle 4 0 Cycle 5 6th Tuesday 2"d Friday 30 Day 6th Tuesday 2nd Friday Pre-Primary Pre-Primary Post Primary Pre-Election Pre Election 5i. Cycle 6 0 Cycle 7 ❑ Cycle 8 0 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 foregoing is true and correct. Cs�. 9:-s,--- ). A ..\:`,'',, . 30 i It. I as \ Signature of Treasurer, Candidate, or Lobbyist Date (DD/MM/YYYY) Printed Name LocationCity/State/Country) DSEB-502R Updated 6/24/2020 R MI " 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/camoaignfinance • 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 foregoing is true and correct. ' 4,:4 - D2 i 2/WJ Signature of Treasu r, Candidate, or obbyist Date (DD/MM/YYYY) ill t.dat...JII M.,. 1.4.di (AN V11111 PA 2 U g A- , i Printed Name Location (City/State/Country) DSEB-502R Updated 6/24/2020 f Commonwealth of Pennsylvania PAGE 1 OF k - CAMPAIGN FINANCE REPORT (COVER PAGE) (NOTE: This report must be clear and legible. It may be typed or printed in blue or black ink.) -Filer Identification , Report , CANDIDATE 1 COMMA tot 1t' LOBBYIST 3 Number: Filed By. l^ Name of Filing Committee, �Canndidate or Lobbyist \ IN c 'C P_`&N `t `t \ Ck\`11 `c CI`t Q Q— 'N\\ G`1®C1\ 5 Street Address: City: State: Zip Code C- c c� \--\; \\ t1© I, ` _ TYPE OF 8TH TUESDAY 1• 2ND FRIDAY• 2• 30 DAY 3' AMFJIOMEri YES NO REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY , REPORT? 8TH TUESDAY 4• 2ND FRIDAY" 5• 30 DAY e`j ''TERMINATION. (place X to • PREELECTION ' PRE-ELECTION POST ELECTION N REPORT? NO • the right of ANNUAL 7. YEAR FILING METHOD report type) REPORT ( ) CHECK ONE , PAPER DISKETTE Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County I Rb d` \�t -' Qt' Number Code Code Code MO. DAY' YEAR , C�c.-m-.. VA: \ Sc— cIQ Q k 7) k s r t c� ( I 2-C)Z t k-! Ern D.•k (SEE INSTRUCTIONS FOR CODES) -FOR OFFICE USE ONLY Summary of Receipts MO. DAY YEAR _ MO. DAY YEAR and Expenditures from: , 1 O icl a.C1a,N To t\ a a a,.©a,l C": _ A. Amount Brought Forward From Last Report $ 'a 4,a♦ ,- �, B. Total Monetary Contributions and Receipts (From Schedule I) $ t '�v5,d0 F3 `�. C) C. Total Funds Available (Sum of Lines A and B) $ 'A 15Q 1-- t D. Total Expenditures (From Schedule III) $ L -1 E. Ending Cash Balance (Subtract Line D from Line C) $ Or O I C.) F. Value of In-Kind Contributions Received (From Schedule II) $ Q G • Cli G. Unpaid Debts and Obligations (From Schedule IV) $ d AFFIDAVIT SECTION 'PART I - If:this is a Committee report, treasurer sign here. If this is a Candidate repori, candidate sign'here., , .. I swear (or affirm) that this report, including the attached schedules, on paper or computer diskette, are to the best of my knowledge and belief true, correct end complete. Sworn to and subscribed before me this day of 20 Signature of Person Submitting Report C\N--2o,r\ems "n 1_ ',\% •t:N'N1`) Signature Printed Name My commission expires `A \1 5"l`— ' \ 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 �s Gl /�/ $igpabi andidate Signature / )�� •f Printed Name n J My commission expires 22'� 2 n MO. DAY YR. Area Code Daytime Telephone Number Department of State • Bureau of Commissions, Elections and Legislation 303 North Office Building • Harrisburg, PA 17120-0029 • (717) 787-5280 I DSEB-502 (7-99) SCHEDULE I PAGE 2 OF _ , CONTRIBUTIONS AND RECEIPTS Detailed Summary Page Namee of Filing Committee `or Candidate t i Reporting Period fV. -x'ex\ V 1 ov`\c�`4 �'o‘c- C0.xcl P .\t‘i\\ t erc,\S From 4lt-�{l D-1 To 1( 1 j.1‘ 1. UNITEMIZED CONTRIBUTIONS AND RECEIPTS - $50.00 OR LESS PER CONTRIBUTOR.. TOTAL for the Reporting Period (1) I $ Gj 5 { 2. CONTRIBUTIONS $50.01 TO $250.00 (FROM PART'A AND PART B) Contributions Received from Political Committees (Part A) $ All Other Contributions (Part B) $ CCU . TOTAL for the Reporting Period (2) $ S 0 • 3. CONTRIBUTIONS OVER $250.00 (FROM PART C AND PART D) Contributions Received from Political Committees (Part C) $ All Other Contributions (Part D) TOTAL for the Reporting Period (3) $ 0 4. OTHER RECEIPTS '- REFUNDS, INTEREST EARNED, RETURNED CHECKS, ETC. (FROM PART E) TOTAL for the Reporting Period (4) $ O TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURING THIS REPORTING PERIOD (Add and enter amount totals from $ \'~i 1 BoXes 1, 2, 3 and 4; also enter this amount on Page 1, Report Cover Page, Item B.) OSEB-S02 (7-99) PART B PAGE 3 OF 9 • 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 ` . ` Reporting Period` i \ Q`c�`m m O.���m� � CI C 'Q,o_�(�\-\r`\ �c�Qo\S From (©A l et `'X\ To IX ),,a Va\ DATE AMOUNT Full Name of Contributor MO. DAY YEAR o.r e.--rt 'M Q.«dj\c‘ I ci 30 'L I $ GO Mailing Address ' MO. DAY YEAR 1103 � 0.1c\A Z ca-. \ $ City State Zip Code (Plus 4) MO. DAY YEAR .VC)? V"\1't `t Qc\ viO\ k - $ Full Name of Contributor MO. DAY YEAR $ Mailing Address MO. DAY YEAR $ City State. Zip Code (Plus 4) MO. DAY :. YEAR — $ Full Name of Contributor MO. DAY YEAR . $ Mailing Address MO. DAY YEAR. $ City State Zip Code (Plus 4) MO. DAY. YEAR — $ Full Name of Contributor MD. DAY YEAR $ Mailing Address MO. DAY YEAR $ City State Zip Code (Plus 4) MO. DAY YEAR — $ r Full Name of Contributor MO. DAY YEAR $ Mailing Address MO. DAY"" YEAR $ City State Zip Code (Plus 4) MO. DAY YEAR — $ Full Name of Contributor MO. DAY YEAR $ Mailing Address MO. DAY. YEAR $ City State Zip Code (Plus 4) MO- DAY. YEAR — $ Full Name of Contributor MO. DAY YEAR Mailing Address MO. DAY 'YEAR City State Zip Code (Plus 4) MO. DAY YEAR — $ Full Name of Contributor MO. DAY YEAR " $ Mailing Address MO. DAY YEAR . ' $ City State Zip Code (Plus 4) MO'- DAY YEAR — $ I . PAGE TOTAL Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 2. $ $Q DSEB-502 (7-99) M. - SCHEDULE Ill PAGE OF STATEMENT OF EXPENDITURES Name of Filing Comm or`Candiidate� ` Reporting Period v\Or vc.(\ `� 1 itittee l G.�' \ —�- d Y l:/7_ossc1 Q\� \`SCh_kOc\S From IG 1 l t 1 c�.k To k\``Z'2`f Z-k To Whom Paid ` MO. DAY YEAR Amount �.1- ,n"\ car ?-4 oegr 5 ► as at $ it.3`ba.65- Mailing Address Description of Expenditure 1 L3 ar �A co*. S.--,-k�. t Lao m�:t 1 c ��..c City State Zip Code (Plus 4) 4 l \t aae.,..\0 Vs'k. PA 19\03 — Ta Whom Paid MO. DAY YEAR Amount c_A `J` k) e_.. (.. V ci..u)-\t v e�C.,,z,m1'(-1)42_rc n 5 i I 9 a c Jsai e3,N Mailing Address Description of Expenditure `3 L9 C, S U m M-Q—.c cb "C'rr 0 c-c.s Q a r a_- o c1 5, City State Zip Code (Plus 4) Souk, e.,ry \' , C-1 .s\ -1efl \M - To Whom Paid H10. • DAY YEAR; Amount Mailing Address Description of Expenditure $ i City State Zip Code (Plus 4) To Whom Paid MO. DAY YEAR Amount Mailing Address Description of Expenditure $ City State Zip Code (Plus 4) To Whom Paid MO. DAY YEAR Amount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid 'MO:. DAY YEAR-: Amount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) — To Whom Paid °' MO. DAY• YEAR. Amount $ Mailing Address Description of Expenditure City State Zip Code (Plus 41 To Whom Paid MO: DAY YEAR Amount $ Mailing Address Description of Expenditure f City State Zip Code (Plus 4) l PAGE TOTAL Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. $ I Lk 3 L . \q. DSEB-502 (7-99)