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Home My WebLink AboutKeystone Taxpayers Unite - 2021 30-Day Post Election 14 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-stcampaignfinance@pa.gov 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 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 Statements. This form must be signed by hand where a signature is required. Name of Filing Committee, Candidate, or Lobbyist Keystone Taxpayers Unite Reporting Cycle Name ❑ Cycle 1 ❑ Cycle 2 ❑ Cycle 3 ❑ 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 ❑ Cycle 7 ❑ 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. P1444 11/30/2021 Signature of Treasurer, Candidate, or Lobbyist Date (DD/MM/YYYY) Sandra M. Newfield Hollidaysburg, PA, USA Printed Name Location (City/State/Country) DSEB-503S Updated 1/22/2020 COMMONWEALTH OF PENNSYLVANIA CAMPAIGN FINANCE STATEMENT File this in lieu of a full report only if aggregate receipts, expenditures, or liabilities incurred each did not exceed $250.00 during the reporting period. FILER IDENTIFICATION ` REPORT FILED 1' 2' ✓ 3 NUMBER r 20180282 ON BEHALF OF CANDIDATE COMMITTEE LOBBYIST NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST Keystone Taxpayers Unite STREET ADDRESS 3908 Primrose Road CITY STATE ZIP CODE Enola Pa 17025 TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION (CHECK ONE) MO. . DAY YEAR 1. 11 02 2021 6TH TUESDAY PRE-PRIMARY FOR OFFICE USE ONLY MO. DAY YEAR MO. DAY YEAR 2ND FRIDAY 2. DATES OF PRE-PRIMARY REP ODTING 10 19 21 TO 11 02 21 30 DAY 3' I`-> POST-PRIMARY ..._. CASH BALANCE AT END 6TH TUESDAY 4. OF REPORTING FIELD: $ 1937.47 PRE-ELECTION TOTAL AMOUNT OF FILER'S C 5. OUTSTANDING DEBTS OR LIABILITIES 2ND FRIDAY PRE-ELECTION AT THE END OF REPORTING PERIOD: $ 0 r- 30 DAY 6. • �.:1 POST-ELECTION AMENDMENT REPORT? YES NO ✓ "^) w 7. ANNUAL TERMINATION REPORT REPORT YES NO AFFIDAVIT SECTION PART I If statement is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here. If statement is filed on behalf of a Candidate, the Candidate must sign here. If statement is filed on behalf of a Contributing Lobbyist, the Lobbyist must sign here. I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELIEF,TRUE,C RRECT ND CO PLETE. SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF 20 SIGNATURE OF PERSON SUBMITTIN REPORT Sandra Newfield SIGNATURE PRINTED NAME MY COMMISSION EXPIRES 814 207-4570 MO. DAY YEAR AREA CODE DAYTIME TELEPHONE NUMBER PART II If statement is filed on behalf of a Candidate's Authorized Committee, Candidate must 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(Pl.1333,NO.320)AS AMENDED. SWORN TO AND SUBSCRIBED BEFORE ME THIS SIGNATURE OF CANDIDATE DAY OF 20 PRINTED NAME SIGNATURE MY COMMISSION EXPIRES AREA CODE DAYTIME TELEPHONE NUMBER MO. DAY YEAR DSEB-503(12-99)