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.
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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)
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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