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HomeMy WebLinkAboutLeading Hampden's Success Committee - 2021 30-Day Post Election Ili ll Reset Form Print Form Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be dear and legible.It should be typed) Filer Identification Lobbyist Number Report Filed By Candidate _---' Committee Name of Filing Committee,Candidate or {Mark X) Lobbyist Leading Hampdens Success Committee Street Address P.O.Box 283 C,ry Camp Hill State PA Zip Code 17001 Type of Report(Place x under report type) 1-6`"Tuesday 2- 2"d Friday 3-30 Day Post 4-6tTuesday 5-2nd Friday 6-30 Day Post 7-Annual Special 2 Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post Election x I L Li a a Termination Date Of Election Year Amendment (MM/DD/YYYY) Report n Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 1 - A.Amount Brought Forward From Last Report $ 5,221.18 B.Total Monetary Contributions and Receipts $ 2,088.00 (From Schedule I) � C C.Total Funds Available $ (Sum of linesA and B) 7,309.18 �,i C:a D.Total Expenditures $ 7,170.37 r-- (From Schedule ill) i E.Ending Cash Balance S 138.81 (Subtract Line D from Line C) c;.. F.Value of in-lOnd Contributions Received $ C'7 0 00 (From Schedule II) u G.Unpaid Debts and Obligations $ r r. 01 (From Schedule 1V) 393.00 - - 1 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 true,correct and complete. Sworn to and subscribed before me this , t day of 20 Signature o Person u mAi report 11 3v Signature Printed Name 1 1 &‹. My Commission expires 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. I Sworn to and subscribed before me this day of 20 Signature of Candidate Signature Printed Name ' My Commission expires MO. DAY YR. Area Code Daytime Telephone Number 8 Pennsylvania Department of State * Bureau of Campaign Finance&Civic Engagement ,'yet 210 North Office Building,Harrisburg,PA 17120 •717.787.5280(Option 4) + www.dos.pa.aov/campaignfinance • ra-stcampair nfinancePpa.Rov 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 unsworn 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. v. .r'"•K*;:h7;:Se, C:vw:••••'.n '�+1t4.t r1.: :..° !S. 'ra t 1 '}•.- f.-. 21,..;,ScrZ Ife�•1'f tg-,'.• 11 11 .q ` • 1Ui♦. • , ; {:if{w UU '��,.. .:� 7a�oAr cG— j L e&oL S lke.ee_s s Covvwx,64e - Reporting Cycle Name ';{4 �; ; r :f `; / M` rfikg oix p 4? 0 Cycle 1 0 Cyde 2 0 Cycle 3 0 Cycle 4 0 Cycle 5 6a'Tuesday 2nd Friday 30 Day 66'Tuesday 2"d Friday Pre-Primary Pre-Primary Post Primary Pre-Election Pre-Election Cycle b 0 Cyde 7 ❑ Cyde 8 0 Cycle 9 30 Day Post-Election Annual Report 2"°Friday Pre-Spedal 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. ► � )3 1a ► Signature of Treasurer, ndidate,or Lobbyist Date(DD/MM/YYYY) Printed Nadie Location(City/State/Country) DSEB-502R Updated 1/22/2021 II Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) -fliatIdenlift01.10ii It"001-M :.*::11,1:',:ca0.010.0,',.:,',.?:.;:-!.:,/: r---1 -soinoitioe - ...'..::,.,a1:::;..- 15—‹ -400yok — ..y.,.,,,. ..!Noilbeiii;I:•..,-,;:- -:...!..-:,.?:::: :,.t:i**10..:;i::::.c•-..v.i.',.;',...':-:::::-..:;f-:',-,'::.::: :" :::!',!••••:.:: 1 ...1 .NitinkotfOlicon.inigtee;:coothoate.*-. .;..;.-.::-.. litiiii44..-...,:::::-...,::::::,....-::;,•::"1..j. >;',..:::::.i....:1'.';.;,::"^:,'..i::':?,;....;::'::::;, Leading Hampden Success Committee '7Siteet•Addiiiii*,-i!.'•:.•••::,.:.';:s.-;::-:::....„.:, •::i2...:%..,.....'.;;.:-:::-. ''.':::.!•:. 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("21.:Sthi*le.:14)::::f:::::1'.'i: :.3:-.::: ::-::•":,.;:i.' ::...'.:-.::,':;:: :: 7,170.37 ...., ..f.'FitdliiPlikaalliii*::,:::; :Ti.::.•4':':::.,;.,:;:;;;',.,-'..,:-.,1...:.,,.:: .„. $ 138.81 At4ibtiiii*thirf:-.1)1,:011tittiiiiCF:::.::.. k-,-::,•Erg.:,,,...:::-..',!'.'f:.',..4 ...P.M*0--4111q1/**C4100010.0:..R.60004t.:-..i'...::.: ' $ 1r7iliffiSOIikd00:.S,,:!.F,:,::!...,:':,..,:.::::,;','...,.;'.:;.'F::::j%:./...::,::.. .';:.:.:.. ..,.... .. „ . ...*YPOOkIP40 .0-MONOIIM01*'*:::.7:?-:::;:..i.‘:,':::1].::',...:s', :7; $ 393.00 ‘'.4f;‘lit' 00:61:::::: ...,,.;,.:..1 :',. .'...:',.;' ,. . .S110: -;,-,:. C. Affidavit Section 1. 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 true,correct and complete. Sworn to and subscribed before me this . .... day of 20 Signature of Person Submitting report Signature 1 Printed Name My Commission expires 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 of Candidate Signature I • 1..._.-imrs-1-1-in.....-..) P• C Wt.--C-C.,be Printed Name • .-- My Commission expires MO. DAY YR. Area Code Daytime Telephone Number IDPennsylvania 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-stcampaienfinance(a7pa.Aov Part Il-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 accompanying Campaign Finance Report is true and correct. �t ( ZZ / Zo2. 1 Signature of Treasurer,Candidat ,or Lobbyist Date (DD/MM/YYYY) 1..D P, Si� [)-,C YVVE.c 1-1-ai xc-.S€14.>t , lea ( V Printed Name Location (City/State/Country) DSEB-502R Updated 1/22/2021 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 '. CANDIDATE I. COMMITTEE. i LOBBYIST 3. NUMBER Am ONBE�H/ALFOF .NAME OF FlLOKa COMMITTEE,CANDIDA �ii.OBB_ISY 6/C' tsi si �yvo�A I rT t STREET ADDRESS "/j�G'' 1, „'t Pr)- ox. . 33 CITY CeC I STATE /� ZIP CODE 9 i - TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY ! DATE OF ELECTION (CHECK ONE) MO. DAY YEAR 6111 : 'TUESDAY''_.. PRE-PRIMARY,>'' FOR OFFICE USE ONLY MO. -DAY-. YEAR MO:f DAY :':YEAR. .. .. 2ND`FRDAY 2. DATES OF PRE-PRatout :. PERIOD NG /O /? Ai TO / f �rt 30:DAY . 3. / 4 POST-PRIMARY :. r..1 CASH BALANCE AT END sTH TUESDAY. 4• OF REPORTING PERIOD: $ '<i:: PRE-ELECTION 6_i TOTAL AMOUNT OF FILER'S { OUTSTANDING DEBTS OR LIABILITIESlat - r.) PRE-ELECTION;. AT THE END OF REPORTING PERIOD: $ s. "i 30 DAY; PEST-ELECTION X AMENDMENT ) REPORT? YES NO t .. 7. r C) ANNUAL TERMINATION.. YES NO --y REPORT _,.. REPORT?; 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 UABIUTIES 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 BEUEF,TRUE,CORRECT AND COMPLETE. SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF 20 IGNA 0 P N SUB NG REPORT 1WW1 bt-E,a 11 INT ME SIGNATURE I9 MY COMMISSION EXPIRES 9 )'� /�] + MO. DAY YR. AREA46DE DAYTIME TELEPHONE NUMBER PART II- If statement is filed on behalf of a Candi•= e's Authorized Committee, Candidate must sign here. cod I SWEAR(OR AFFIRM)THAT TO THE BEST 0. KNOW.' ND BELIEF THIS POLITICAL COMMITTEE HAS NOT VI. ••TED • PROVISIONS OF THE ACT OF JUNE 3, 1937(P.L.1333,No.320) -AMENDEDd4I.Pd/t� �,/�/2 SWdDAYOF AND SUBSCRIB D BEFORE ' TH�Coi,) cP��p`O��s .... '00 , 4 /� 4j .. 6P^� SIGNATUREANDDATE VV / ���sk`�rF+o o Ad N 3k n_In oe L.i��� / p( 6P^ do C 2,r PRINTED NAMEg MY COMMISSION EXPIRES i"I. ��-,j•�4� / fl v01.� d•R CODE �E NUMBER MO. DAY YR. DSEB-503(12-99) Ir, I Reset Form I Print Form I ,GG I !I��ii • Commonwealth of Pennsylvania.CampaignFinance Report (Note:This report must be clear and legible.It should be typed) Flier identification Report Flied ByCandidate Committee Lobbyist Number (Mark X) 1 J y j� Name of Filing Committee,Candidate or _�__. Lobbyist Leading Hampdens Success Committee Street Address P.O.Box 283 ..- City Camp Hill State PA Zip Code (17001 M. Type of Report(Place x under report type) 1 1-6`"Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday 5-2"0 Friday 6-30 Day Post 7-Annual Special 2"0 Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election ' u H n x n n I ll .,....,.... Date Of Election .,......... Year Amendment ❑ Termination - ,,. - (MM/DD/YYYY) Report Report s ` Summary of Receipts and From Date To Date For Office Use Only Expenditures +v A.Amount Brought Forward From Last Report $ 5,221.18 -- •- B.Total Monetary Contributions and Receipts $ k•'. (From Schedule I) 2,088.00 -- .L e. C.Total Funds Available S. ,,.,,, • ,, (Sum of lines A and II) 7,309.18 D.Total Expenditures $ r:aJ µ - (From Schedule III) 7.170.37 ;-, r E.Ending Cash Balance $ ':) . --- (Subtract Une D from line C) 138.81 -- ,t• ._ F.Value of In-Kind Contributions Received $ (From Schedule II) 0.00 ` °' `s-" G.Unpaid Debts and Obfgatlons $ t• (From Schedule IV) 393.00 F' •. �_' Affidavit Section C11 Part 1-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here. L :'-� 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 Signature of Person Submitting report Signature Printed Name I My Commission expires -- MO. DAY YR. Area Code Daytime Telephone Number ' Part II-if this is a report of a Candidate's Authorised t ommittee,candidate shall sign here. t 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,NO310)as amended. Sworn to and subscribed before me this •41,i a day of 20 tg ture ndi• / 1 • OlVV```k 4.ji e.Lf Vn_ Signature Printed Name '] 1"1 °—)12`-1'% / My Commission expires • MO. DAY YR. Area Code Daytime Telephone Number . Pennsylvania Department of State y f , . Bureau of Campaign Finance&Civic Engagement 210 North Office Budding,Harrisburg,PA 17120 • 717.787.5280(Option 4) www dos pa Rov/campaiRnfmance • ra•stcampalpnfinance@pa Rov 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 accompanying Campaign Finance Report is true and correct. ,49 • of Treas er,Ca - or Lobbyist ate(D /MM/YYYY) ud(� ?„1 Printed Name Location (City/State/Country) 'f•f , DSEB-502R Updated 1/22/2021 e 1: Reset Form t Print Form • l in • Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) filer Identification Committee X Lobbyist II Number • . • Name of Filing Committee,Candidate or. ' Lobbyist Leading Hampdens Success Committee Street Address' ,' •. , . . • P.O.Box 283 CJty• Camp Hill kit PA PP ' 17001 Type of Report(Place x under report type) 1-6"'Tuesday 2-2n0.Friday 3-30 Day Post 4 6thTuesday •S. • Friday' 6-30 Day post .7z.Annual; 'Spedal 2`,Friday •.SpeciaII"30 i:4Y'.' Pre-Primary 'f re rimary,' Primary' Pre_Election Pre:EiecNoh •fiecm+ •''r�'�: •'S.'7 '1••,:` eaten '.;1;,' 1post-Etesiton,: r, r _ • .,.•.l..,.. :Y� .. rh.,z. • :JC: •.':it,j i!;,;;At^a;a,.-lq•.f•...F. ...,:.','N.+2' .S;.;. f E X [l E ,rte:Of giectfoit <a/r*4^g,: ea tine ( d ehtV* I`'ar,�in�trpri.f x � {MRUffOD/YYY v.,,r.?-,t, 4 ,y,l'�,a . i s ..h-,. (3`({•7 d`rt + a 4:,,t fl Summary of Receipts and From Date To Date t, : ' '•'For Office Use Only ' Expenditures • '• ,,. . " �• aV A.Amount Brought Forward From Last Report • $ 5,221.18 .. B.Total Monetary Contributions and Receipts"? .••- T•,, (Fiom Schedule I). '' 2,08B.00 ' C Total funds Available•- " . $ t•k (Su chofUnesAandB);,M`'1 7,309.18 r.ry D.TotalExpenditure*: "'r":'°' •;.,!; ,'- $ ...> i (From Sdtedule iII)`• ` '``••' ' j�' , 7,170.37 __ Ending Cash '"' '" $Er g .r,,.. ;r '`~ 138.81 t— y" (SubtiactUne'D•ffomline;C} ,;,,;�;:;1:'ilci,i:4*, 5 F:Yalue;'of i 140itd Cormibutions Aecetst ';' % $ ' (Fian SCliedule II).: .:•n•. ."e'.'^'' :*.t.ar,v ,A,n 00 . G.Unpaid Debts and oblrgations,.:j '��'�.:a' • $ ....-, .0 On*..SChedufe M .1,.* '�.:t.,ti:;'.1::: •li'i;i. .t, 393.00 Affidavit Section Part 1-If this Is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here. , I sweaflor 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 Signature of Person Submitting report Signature Printed Name My Commission expires MO. DAY YR. Area Code Daytime Telephone Number Part II-If this Is a report of a Candidate's Authorized Committer,candidate shall sign here. I swear(or affirm)that to the best of my knowledge and beget this political committee has not violated any provisions of the Act of June 3,1937(P.L 1333,N0320)as , amended. • i Sworn to and subscribed before me this day of 20 • /Y!'7 /�`'( f • c ff �j in1CIta.i��I•&��dosSe- e-t- Siyrature , Printed Name . My Commission expires 7 1"I 3O3- 4Tivr c MO. DAY YR. Area Code Oaytime telephone Number Ir 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.aov/camoaisnfinance • ra-stcampalgnfinance0oa.aov Part 1!-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 accompanying Campaign Finance Report is true and correct. • . .)--74-44,40 7.._-/ //f z4/Z,%'Z/ Signature of Treasurer,Candidate,or Lobbyist Date(DD/MM/YYYY) Printed Name Location ( ity/State/Country) • • , i • DSEB-502R Updated 1/22/2021 III' Reset Form Print Form Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) Filer Number Identification Report Filed By Candidate Committee `/ Lobbyist ( . X) n Name of Filing Committee,Candidate or Lobbyist Leading Hampden Success Committee Street Address P.O.Sox 333 City Camp Hill State PA Zip Code 17001 Type of Report(Place x under report type) 1-6e'Tuesday 2- 2n0 Friday 3-30 Day Post 4 611'Tuesday 5-2`d Friday 6-30 Day Post 7-Annual Special 2"°Friday Special 30 Day. Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election X Date Of Election Year Amendment Termination (MM/DD/YYYY) Report Report ri Summary of Receipts and From Date To Date For Office Use Only Expenditures A.Amount Brought Forward From Last Report $ 5,221.18 C., C"" B.Total Monetary Contributions and Receipts $ 2,088.00 (From Schedule I) ; C.Total Funds Available $ r•:-1 .7 (Sum of Lines A and B) 7,309.18 D.Total Expenditures $ (From Schedule III) 7,170.37 — E.Ending Cash Balance $ 138.81 (Subtract line D from Line C) r--y > F.Value of In-Kind Contributions Received $ C (From Schedule II) 0.00 = •• Crl G.Unpaid Debts and Obligations i :.=I (From Schedule IV) 393.00 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 true,correct and complete. Sworn to and subscribed before me this day of 20 • [ , Signature of Person Submitting report Signature Printed Name My Commission expires 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 1313,NO.320)as amended. ,Sworn to and subscribed before me this '3 ' )e-94\13 day of 20 ,_ - ' 1^N Ig re n h� � Signature IA Printed Name \ \ a My Commission expires '--10 C,Ck,s_CA MO. DAY YR. Area Code Daytime Telephone Number Pennsylvania Department of State Bureau of Campaign Finance&Civic Engagement ` 210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) www.dos oa.gov/camoaign(inance • ra sttamoalgnflnancePoa.eov Part ll-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 accompanying Campaign Finance Report is true and correct. 11/29/2021 Signature of Treasurer,Candida e,or Lobbyist Date(DD/MM/YYYY) Sherri B. Chippo Hampden Twp, PA, USA Printed Name Location(City/State/Country) DSEB-502R Updated 1/22/7.021 SCHEDULE I Contributions and Receipts Detailed Summary Page IFiler Identification Number r""m"•romolimmaroweirm•mivoimminummosummimirmiromoiminownomoommmilin•molmin 1.Unitemi:ed Contributions and Receipts•$50.00 or Less per Contributor Total for the reporting period (1) $ 0 00 2.Contributions of$-50.01 to $250.00(From Part A and Part B) Contributions Received from Political Committees(Part A) $ 350.00 All Other Contributions(Part B) $ 350.00 Total for the reporting period (2) $ 700.00 3.Contributions Over$250.00(From Part C and Part D) Contributions Received from Political Committees(Part C) $ 500 00 All Other Contributions(Part 0) $ 1,000.00 Total for the reporting period (3) $ 1,500 00 4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) II Total for the reporting period (4) $ (112.00) 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 2,088.00 Cover Page,Item 8) I 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. RkradenuBation Nun►ber Amount 101_ Nips of Caitdbutlita: :D .[MIV!�/OD/WYY�:: .S Cam.. , � :...:::•• Financial Business Planning Association 250 00 10/202021 .House I=. Sttaeet Address E M/ou l,: .` ' 2370 ,;• York Road f State ` PP Coder: .. Date(MMjDD/YYYY) $ Jamison _• . PA .. 18829 fall NetdaafCantrib itin:7 :.: DSti.(MWDD/Y-W1.; $' Committee :,',.... .Pennsylvania Progress PAC 9212021 100.00 ..Noise;#..: StrsetAddress DO.luf1N/DDIY YY1 -$ 941 • Mercer Road • • '. .Butler ...Shrte' PA Zip Cady. .. 1®001 'Date[MM/DDItYYY] :T.$.1 . .. Fulrlymtke'ofcontilbtrt •i .•;:. :t>ate•(Mpw/oprilri 1 $. Coinmit0o4 :: ,House* Sty± et Adds Date MM/oa/Yrw( :$ ;sty .ZIpCod . : Dite.(MM/Do/YYYY1 :$::: Date{MPAIDD/YYYYI.':' $.. ptq:l+atifaofCotrtr�reing: ' •, Heil s.s •i . . .. str t alddrissl 'Date{MM+t/OO!mitt._a -$' sty, -.wt. Zip Cod.:;: . -Data IP,Altit ./DD/VrY ^$ 1 Phil NamiofConteitiutint-. Deite(MNJDD1YYYY1.•' $`:.: '4mtnittsre" -Boise I'j tinitAikiiiiiiii Dstelt4 rl DD/YYYYI':. .;_$ . city. :,data .ZIP cod"- fiN _.: :.;,,: Oat.IMM/ODIWY►1 d,$ :Rill.Nime af.Contributint Guinan t�ir.._ - HPOrli#..I .Dat.;(MMI DO/YYYY1: : '$.; • t 9tll Slate` Zip Code :DeRe jMM/DD/YY1 $': PART 8 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.) Nter[ IdcntcationNumber .1 Full Name of Contributor Date(MM/OD/mnr) ' $ E Lee Stinnett li 10/18:2021 250 00 House# Street Address Date(MM/DD/YYYYJ ' $ 6120 Stag leap In City State Zip Code Date(MM/OD/YYYY) $ Enola PA 17025 1 Full Name of Contributor Date(MM/DD/YYYY) ,$ 9(26/2021 House a ' Street Addre s Date(MM/DD/YYYY) $ City State'i- Zip Code Date(MM/DD/YYYYJ $ Full Name of Contributor Date(MM/DD/YYYY) $ Jennifer CtuvertGbl 9:21,2021 100 00 House N Street Address Oats(MM/DD/YYYY) $ 1800 Unglestown Road State• ZI Code Date(MM/OD/YYI(Yj City — p $ Harrisburg PA 17110 '",. i Full Name of Contributor Date(MM/DDJYYYYI $ House N Street Ad 'Date(MM/DD/YYYYj ; $ City ' State Zip Code '^ ;Date(MM/OD!YYYYI $ Full Name of Contributor Date(MM/DD/YYY1f) $ House If Street Addr f Date(MM/DD/YYYYJ $ 1?. city State' 'Zip Code '' Date IMM/DDJYYYYI $ Full Name of Contributor Date(MM/OD/YYYYJ $1 House I Street Addr ;Date(MM/DD/YYYY( $ ply 'State Zip Code " :Date(MM/00/YYYYj $ 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: Full Name of Date(MM/DD/YYYYj $ Contributing Committee Regan for Senate 10/21/2021 500 00 House# Street Address Date[MM/DD/YYYYI $ PO Box 811 Gty State Zip Code Date[MM/DD/YYYY1 $ Mechanicsburg PA 17055 Full Name of Date[MMJDD/YYYY) $ Contributing Committee House N Street Address Date(MM/DD/YYYYJ $ City State:- ,Zip Code Date[MM/DD/YYYY) $ Full Name of Date(MM/00/YYYYI $ Contributing Committee House N Street Addral "?Date[MM/00/YYYYJ $ •, 3 . -/ City State. Zip Code r Date(MM/DDJYYYYj -$ ' Full Name of Date(MM/DD/YYYYJ $ Contributing Committee House N Street Addr } Date[MM/DD/YYYYI $ City State' Zip Code `. Date[MM/DD/YYYY) $ Full Name of Date[MM/DDJYYYYI $ Contributing Committee House I Street Address Date[MM/DD/YYYYj $ city Statti' Zip Code r' <Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House N Street Addr1 Date[MM/DDJYYYYJ f City - State 'Zip Code ;Date[MM/DDJYYYYJ $ PART D All Other Contributions Over$250.00 Use this Part to itemize all other contributions with an aggregate value over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C) ke ^ >' .o. ��•, , Richard Ya�gesY,Jr. 10202021 500.00 r o w _ .r.i...„.,„ r e 7100 !� a ri`'�" `Fishing Creek Road w , aria-ff'. :.,:'w.a .r.^, e • t Harrisburg PA s. `" , ` 17112 .Wi,a� ✓"+1t4tia �3`.� niY :S::.cL'4ii:Z " , •ern .� _ Robert L Schopper y'y2}3 500.00 " 9/22/2021 r-4y Y w 301 w4 Chestnut Ridge Dr. gam- ":1 y`...et-'.,,Y.7s. - ....,a • Mechanicsburh 4.0 PA .�', , 17055 t • A-�;;��������$�� , " .-:;.- may-; .aa .'_' .• �.Y% 7e r, 3. 14-' o;, „,gyp P?" +7 "`-�„y`J i •_ ';: PS. ''Rr:..Yst�•dc•.�.,a. ':: `5r; `t...�,',. _. tea, 4. -'-QS ' .fin-#!Iy'a"�,�"4,1,:,:o" S,--.C{u-..f. ,t11,. r� �IEr✓„-•' • •e..... d. .�': .'j^3u,�Tti?,i!-`a't�Y•';yr •.�9, } _VP f f .t:3a3: 3A�•'ah "' �,'T,. • aY�y ; '. R'+'esTN`• +,,r.�+-.. v:n "/�-sT,— •t to v Fr ¢ a,'<fli•y'�4- %.?ou3. .44aS .a5a• `B e. ,may -ram. s_ c' '':—^' •Kda 4ai'. 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 1defltlttonNumer. Full Name FNB Bank House p Street Address 4140 State Street City State Zip I Date(MM/DD/YYYY] $ Hermitage PA Code 16148 10/12/2021 11200 Receipt Description Full Name House N Street Address City State Zip Date(MM/DD/YYYY) $ Code -Receipt Description Full Name House N Street Addresst City Sate: Zip • . Date(MM/DD/YYYY( $ Code . Receipt Description Full Name House N r Street Address City State=, Zip Date(MM/DD/rYYY) $ Code a. Receipt Description Full Name House I Street Address City State Zip " 'Date(MM/DD/yrrYJ r $ Code 1. ._ Receipt Description Full Name House" Street Address City State Zip _ pate(MM/DDIYYYY) $ 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: 1. UNITfMIZED IN•KIND CONTRIBUTIONS RECEIVED VALUE OF$50.00 OR LESS PER CONTRIBUTOR TOTAL for the reporting period (1) I 2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) I TOTAL for the reporting period (2) I $ I 3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) I 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 11 PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 Filer Identification Number; Full Name of Contributor Date[MM/DD/YYYYj $ House N Street Address Date(MM/DD $ City State Zip Code Date(MM/DD/YYYYJ $ Description of Contribution Full Name of Contributor n Date(MM/DD/YYYYj $ House N Street Address Date[MM/DD/YYYYj $ . .1 City State': Zip Code Date(MM/DD/YYYYj $ Description of Contribution Full Name of Contributor Date(MM/OD/YYYYJ $ House N Street Address 40$te(MM/DD/YYYYj $ City 'State Zip Code : Date(MM/DD/YYYYJ $ w. Description of Contribution Full Name of Contributor Date(MM/OD/YYYYj $ House N Street Address Date(MM/DD/YYYYj $ City State' Zip Code • Date(MM/OD/YYYY] $ Description of Contribution Full Name of Contributor Date(MM/DD/YYYYj $ House If Street Address Date(MM/DDI'YYYYj $ City State •'Zip Code 7— Date(MM/DD/YYYYI $ Description of Contribution SCHEDULE II Part G In-Kind Contributions Received VALUE OVER$250 Flier Identification Number: T Full Name of Contributor' Date IMM/DD/YYYYJ $ Houses_ Street Address Date[MM/DD/YYYYJ $ City �s State Zip Code Date(MM/DD/YYYYJ $ Employer Name - + .+ Occupation ` Employer Mailing Address/Principal Description Place of Business of rr.�. Contribution Full Name of Contributor Date[MM/DD/YYYYJ $ House N Street Address i Data(MM/DD/YYYYJ $ City State' Zip Code Date(MMJDDf YYYYJ'4', $ Employer Name Occupation Employer Mailing Address/Prindpal Description Place of Business of Contribution Full Name of Contributor Date[MM/DD/YYYYJ $ House II Street Address Date(MM/DDJYYYYJ $ Gty State Zip Code rDate(MM/DD/YYYYJ • $ 'Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution Full Name of Contributor Date(MM/DD/YYYYJ $ House# Street Address Date(MM/DDIYYYY) $ City State Zip Code ' Date[MM/DD/YYYYJ $' Employer Name Occupation Employer Mailing Address/Prindpal Description Place of Business of Contribution a SCHEDULE III Statement of Expenditures Filer Identification Number: To Whom Paid Date(MM/DD/YYYY] $ Quantim Communications 2,720 25 10/21/2021 House N 123 Street Address Description of Expenditure State Street City Harrisburg State PA Copde 17101 Mailer To Whom Paid Date[MM/DD/YYYY] $ Quantum Communications 2,645.85 10/2612021 House N Street Address Description of Expenditure 123 State Street City Harrisburg 'State * PA Code 17101 Mader To Whom Paid Date MM/DD/YYYY) $ I Quantum Communications 950 00 10l29/2021 House fl Street Address' Description of Expenditure 123 I State Street r City I Harrisburg I State IPA I Zipde ' 117101 Campaig)consulting Co To Whom Paid _ Date[MM/DD/YYYY] F$ I Nate Silcox 11/22/2021 212 27 House N t —Street Atldrcssl Description of Expenditure 1313 (King Arthur Dr. x+M IMibCity urg [State jPA I�e I17050 Reimbursement for food To Whom Paid Date[MM/OD/YYYY] I $ I Red Maverick Media 229.00 11f22/2021 House N i Street Address N.3rd Street,Suite 310 Description of Expenditure l 1426 City State PA Zip 17102 Text messages HarrisburgCode Vex To Whom Paid Date(MM/DD/YYYY) $ Red Maverick Media 11/22J2021 413.00 House N Street Address Description of Expenditure 1426 N.3rd Street,Suite 310 City Harrisburg State PA Code 17102 Robo calls To Whom Paid Date[MM/OD/YYYY] $ House N Street Address Description of Expenditure . . :yr _ State' Zip Code To Whom Paid Date NM/OD/MY] $ 'House N Street Addres� -Description of Expenditure '• sty I 'State' I 1Code SCHEDULE IV Statement of Unpaid Debts Use this Section to itemize an unpaid debts and obligations which are outstanding at the end of the reporting period. Filer Identification Number: Name of Creditor Rea Mavenck Media Outstanding Balance of Debt House k Street Address DATE DEBT INCURRED $ 1426 N 3rd Street [MM/DD/YYYY] aty Hamsburg State PAZip Code 17102 393 00 Description of Debt Robo Calls Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYYI City "'`• State Zip 4` Code Description of Debt Name of Creditor Outstanding Balance of Debt House M -Street Address tt, DATE DEBT INCURRED $ r%I, ['VIM/OD/TM] • City - - State Zip • i.. Code 't' ik Description of Debt Name of Creditor Outstanding Balance of Debt House p Street Address '' DATE DEBT INCURRED $ [MM/OD/YYYY] City State . Zip Code '+ Description of Debt Name of Creditor Outstanding Balance of Debt House N Street Address + DATE DEBT INCURRED $ . [MM/DD/YYYY] city State , Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House 8 Street Address DATE DEBT INCURRED $ [MM/DD/YYYY] City ` State '. "Zip ., I Code 4._ Description of Debt