HomeMy WebLinkAboutCumberland County Republican Women - 2021 30-Day Post Election ,z_
flifPennsylvania Department of State
Bureau of Campaign Finance&Lobbying Disclosure
500 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 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
Cu (AV 7)1 a6-10&ffdavfit/ 1 zemmiza
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 0 Cycle 7 0 Cycle 8 ❑ Cycle 9
30 Day Post-Election
dlitit,0619 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.
2i�GW��cw� VC V4Z—
Signature of Treasurer, Candidate, or Lobbyist Date (MM/DD/YYYY)
Pc) — t > rzw10 AV Al-
Printed Name Location (City/State/Country)
DSEB-502R
Updated 1/5/2022
' ' Reset Form. _ f
I) II _Print Form
, 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 20180443 (Mark X) —
n
Name of Filing Committee,Candidate or
Lobbyist CUMBERLAND COUNTY REPUBLICAN WOMEN
Street Address' •
23 Central Boulevard
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 4-6thTuesday 5-141 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,
•
Date Of-Election Year Amendment Termination
(MM/DD/YYYY) 11/2/2021 2021 Report X Report
Summary of Receipts and From Date ' To Date. For Office Use Only ' '; . .. -.
Expenditures
1/2/2021 11/22/2021 .
A.Amount Brought Forward From Last Report $ 2,350.00
B.Total Monetary Contributions and Receipts $ C) rr:=
(From Schedule I) 4,400.00 C r.a
C.Total Funds Available $ - r3J S>* •
(Sum of Lines A and B) 6,750.00 rn "z7
D.Total Expenditures $ 5,400.00 r— (
(From Schedule III) = CJ1
E.Ending Cash Balance $ > ' y
1,350.00
(Subtract Line D from Line C) C) = •
.F.Value of In-Kind Contributions Received $ C. CO
(From Schedule II) -0- C
G.'Unpaid.Debts and Obligations - $ -.< '.0 '
1 (From Schedule IV) -0
•
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 b ' true, rrect and complete. •
Sworn to and subscribed before me this ••
day of 20 ���-'. —
nature of Person Submitting report
Robert M.Walker,Treasurer ,
Signature . Printed Name
My Commission expires 717 761-1200
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 Printed Name
•
;My Commission expires
MO. DAY YR. Area Code Daytime Telephone Number
SCHEDULE
Contributions and Receipts
Detailed Summary Page
Filer Identification Number
20180443
1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor • I
Total for the reporting period (1) $
-0-
2.Contributions of$50.01 to $250.00(From
Part A and Part B)
Contributions Received from Political Committees(Part A) $
-0-
All Other Contributions(Part B) $
-0-
Total for the reporting period (2) $
0-
13.Contributions Over$250.00(From Part C and Part D)
Contributions Received from Political Committees(Part C) $
-0-
All Other Contributions(Part D) $ 4,400.00
Total for the reporting period (3) $ 4,400.00 •
•
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 $
enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report
Cover Page,Item B) 4,400.00
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)
Filer Identification Number:
20180443
Full Name of Contributor Date[MM/DD/YYYY] $
Cumberland County Council of Republican Women 4,400.00
10/19/2021
House# Street Address Date[MM/DD/YYYY] $
P.O.Box 555
City State Zip Code Date[MM/DD/YYYY] $
New Kingston PA 17015
Employer Name Occupation
non-profit organization
Employer Mailing Address/
Principal Place of Business
Full Name of Contributor Date[MM/DD/YYYYj $
House# Street Address Date[MM/DD/YYYY] $
. City State Zip Code Date[MM/DD/YYYY] $
Employer Name Occupation
Employer Mailing Address/
Principal Place of Business
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $.
Employer Name Occupation
Employer Mailing Address/
Principal Place of Business
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Employer Name Occupation
Employer Mailing Address/
Principal Place of Business
SCHEDULE III
Statement of Expenditures
Filer identification Number: •
20180443
•
To Whom Paid Date[MM/DD/YYYYJ $
Judge Brobson for Supreme Court 10/19/21 1,000.00
House# Street Address Description of Expenditure
P.O.Box 11683
CityZip
. Harrisburg State PA Code 17108 Campaign Donation CK130
To Whom Paid Date[MM/OD/YYYY] $
Friends of Megan Sullivan 1,000.00
10/19/21
House# Street Address Description of Expenditure
P.O.Box 3425
City State Zip
West Chester PA Code 19380 Campaign Donation CK132
To Whom Paid Date[MM/DO/YYYY] $
Friends of Charley Hall 300.00
10/19/21
House# Street Address Description of Expenditure
776 Lancaster Avenue
City State Zip
Enola PA Code 17108 Campaign Donation CK134
To Whom Paid . Date[MM/DD/YYYYJ $
Citizens for Shearer 300.00
10/19/21
House If Street Address Description of Expenditure
P.O.Box 93
•
City State Zip
Carlisle PA Code 17013 Campaign Donation CK135
To Whom Paid Date[MM/DD/YYYY] $
• . " Friends of the Courthouse 300.00
10/19/21
House# 'Street Address Description of Expenditure
1 Courthouse Square
City,. State Zip {I
Carlisle PA Code 117013 Donation CK136 •
To Whom Paid 11 Date[MM/DD/YYYY] $
Friends of Lisa Grayson 10/19/21 300.00
House#I Street Address'P.O.Box 333 Description of Expenditure City Carlisle State I
PA Code 117013 Campaign Donation CK137
Zip
To Whom Paid Date[MM/DD/YYYYj $
Friends of Dale Sabadish 300.00
10/19/21
House#15
'Street Address! Description of Expenditure
Surrey Lane
City 1 State Zip 1
Mechanicsburg PA Code 17050 Campaign Donation CK138
To Whom Paid Date[MM/DD/YYYYJ $
Friends of Denny Lebo 300.00
10/19/21
House# Street Address Description of Expenditure .
396 Alexander Spring Road,Suite 5
City State Zip
Carlisle PA Code 17015 Campaign Donation CK139
•
SCHEDULE III
Statement of Expenditures
Filer Identification Number:
20180443
To Whom Paid Date[MM/DD/YYYY] $
Sibert for Judge 300.00
10/19/21
House# Street Address Description of Expenditure
P.O.Box 1194
City Zip
Camp Hill State PA Code 17001 Campaign Donation CK140
To Whom Paid Date[MM/DD/YYYY] $
Smith for Sheriff 300.00
10/19/21
House# Street Address Description of Expenditure
301 Market Street
City State Zip •
Lemoyne PA Code 17043 Campaign Donation CK141
To Whom Paid Date[MM/DD/YYYY] $
Crompton for Judge 1,000.00
11/1/2021
House# Street Address Description of Expenditure
P.O.Box 24
City State Zip
Harrisburg PA Cade 17108 Campaign Donation CK142 Replaced ck133 10/19/22
To Whom Paid • Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom.Paid Date[MM/DDJYYYY] $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DDJYYYY] $
House# Street Address Description of Expenditure
City State Zip
Code
L Reset Form I Print Form
111
Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be clear and legible.It should be typed)
Filer ddentifit ation Report Filed By Candidate I I
Committee XX Lobbyist
Number . 20180443 (INark X)
•
Name of Filing Committee,Candidate or
Lobbyist Cumberland County Republican Women
Street Address 281 N.Old Stonehouse Rd.
City Carlisle State PA • Tip Code 17015
Type of Report(Place x under report type)
1-6t Thy' 2- 2nd Friday, 3-'30 Day Post 4-6thTuesday 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
Date Of Election Year Amendment Termination
fpnippo/YYYY) 11/2/21 2021 Report Report
Summery of Receipts and ; From Date To Date For Office Use Only
Expenditures
1/2/2021 11/22/2021
A.Amount Brought Forward From Last Report $ 2,350.00
B.Total Monetary Contributions and Receipts $ —'
(Front Schedule 1) 4,400 00
C.Total Funds Available $
(Sum of Lines6,750.00
A and IQ) l,,J
D.Total Expenditures • $ CD
6,400.00
(Firom,5diedtalelll) 4.; ..0
E.Ending Cash Balance $ 350.00 ..
(Subtract tine D from Line C). , W
c'
F.Value of In-Kind Contributions Received $
(From Schedule II) . N
G.Unpaid Debts and Obligations $
(from Schedule IV) •
Affidavit Section
Part 1-If this is a Committee report,treasurer sign here. • is a Candidate report,candidate sign here.
I swear(or affirm)that this report,including the atta .•. •-. es on paper,is to the best of my knowledge and belief true,correct and complete.
Sworn to and subscribed before me this •ye i�
30141-day of we 20 a I k
c4441------""' .
,4�'/01 4• 40 �°` Si atur f Per�or} ubmt Oz,.rp` �
Si re J n/'� ? .47 70,diet„4 4* �// Printe ame• /�//
My Commission expirges� aK. ILl 2 91 'jai°°j°3 //7 �yD ^ " 3f3
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 Printed Name
My Commission expires •
MO. DAY YR. Area Code Daytime Telephone Number
a
SCHEDULE I
Contributions and Receipts
Detailed Summary Page
filer Identification Number
I
. .120180443 I
1:iiniternized Contributions and Receipts$50.00or.Less per Contributor
•
Total for the reporting period (1) $
I2.Contributions of$50.01 to $250.00(From
Part A and Part B).
Contributions Received from Political Committees(Part A) $
All Other Contributions(Part B) $
Total for the reporting period (2) $
3 Contributions Doer$250.00(From Part C andPart D) •
Contributions Received from Political Committees(Part C) $
All Other Contributions(Part D) $ 4,400.00
Total for the reporting period (3) $
4,400.00
4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E)
I
Total for the reporting period (4) $ -0-
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
4,400.00
Cover Page,Item B)
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)
Filer Identification Number:
I
20180443 I
Full Name of Contributor 'Date[MM/DD/YYYYJ • $
Cumberland County Council of Republican Women 4,400.00
•s 10/22/2021
House# Street Address Date(MM/DD/YYYYJ $
281 N.Old Stonehouse Rd.
City ': State Zip Code,' Date.jMM/DD/YYYy), . $
Carlisle . PA 17015
Employer Name N/A Occupation
non profit organization
Employer Mailing Address/ •
principal Wave of Business ''P.O.Box 711 Carlisle,PA 17013
Full Name of Contributor ' bate[MM/DD/YYYYI '$
House# Street Address Date[MM/DD/YYYYJ $
City State' Zip Cade Date[MM/DD/YYYYJ $
Employer Name .. t, . Occupation
Employer Mailing Address I •
Principal Place of Business ..
Full flame of Contributor Date[MM/DD/YYYYJ • $
House# Street Address Date[MM/DD/YYYYJ $
City State Zip Code Date[MM/DD/YWYJ $
Employer Name^ .. Occupation
Employer Mailing Address/ . •
Principal Place of Business
Full Name of Contributor Date{MM/DD/YYYYJ $
House# Street Address Date(MM/DD/YYYY) <. $
City State Zip Code Date[MM/DD/YYYYJ . $
Employer Name ., Occupation
Employer Mailing Address/ ; ;r.
Principal Place of Business : ,s.'y`•',4'
SCHEDULE Ill
Statement of Expenditures
Filer Identification Humber:
r . •:_'r 20180443
To Whom Paid Date[MM/DD/rmrl $
`"'^s. Judge Brobson for Supreme Court - 1,000.00
10/22/2021
House# Street Address Description of Expenditure .
P.O.Box 11683 '
• Harrisburg State ,PA copde 17108 campaign donation
To Whom Paid Date[MM/DD/YYYY]. $
Friends of Stacy Wallace 1,000.00
10/22/2021
House# `Street Address Description of Expenditure
248 Stardust Drive
• Johnstown State PA 15904 campaign donation
To Whom Paid, Date[MM/DD/YYYY] $
';, Crompton for Judge 1,000.00
_ 10/22/2021
House# Street Address Description of Expenditure
•P.O.Box 24
City
Harrisburg S•tate PA Code
17108 campaign donation
To Whom Paid Date[MM/DD/YYYYJ $
Friends of Charley Hall 300.00
10/2212021
House# Street Address Description of Expenditure • •
776 Lancaster Ave
City Enola State PA Bp
17025 Campaign donation
To Whom Paid Date[MM/DD/YYYY) $`
Citizens for Shearer 300.00
: •• 10/22/2021
House* Street Address P.O.Box 93 Description of Expenditure ; 1.
Carlisle ;StaCity te PA e . 17013 Campaign donation
CodTo Whom Paid Date[MM/DD/YYYYJ $
.•. Friends of the Courthouse • 300.00
10/22/2021
House#' Street Address Description of Expenditure . . . ., :.
1 Courthouse Square
City Zip
Carlisle State PA a 17013 Donation
CodTo Whom Paid Date[MM/DD/YYYYJ $
Friends of Lisa Gra• yson 10/22/2021 • 300.00
House# Street Address .Description of Expenditure
P.O.Box 333 •• i;;
• •Carlisle •
State PA Zip
` 17013 Campaign donation
1
To Whom Paid ' Date[MM/DD/YYYYJ $.
•; Friends of Megan Sullivan 10/22/2021 1,000.00
House# pb Street Address' Description of Expenditure •
P.O.Box 3425 ;�.
City p:;.
West Chester State PA Code 19380 Campaign donation
SCHEDULE III
Statement of Expenditures
Flier Identifikation Number:
20180443
To Whom Paid ; Date[MM/OD/YYYY] $
.'.•`4,. .r x Friends of Dale Sabadish 300.09
10/22/2021
House ft Street Address Description5 Surrey Lane of.Ex -penditure
Mechanicsburg State
PA Code 17050 Campaign donation
To Whom Paid Date[MM/DD/YYYY] $
Friends of Denny Lebo 300.00
1022/2021
House ff Street Address Description of Expenditure
396 Alexander Spring Rd.Suite 5
Cty Carlisle State PA Zip • 'Code 17015 Campaign donation
To Whore Paid q Date[MM/DD/YYYYj .$
' < Sibert for Judge
10/22/2021/2021 300.00
House$ Street Address Description of Expenditure
P.O.Box 1194s.
City Camp Hill State PA �e 17001 Campaign donation
To Whom Paid Date[MM/DD/YYYYJ $
,,,, Smith for Sheriff 300.00
10/22/2021
House S Street Address Description of Expenditure
301 Market Street
City State Zip
Lemoyne PA Code • i 7043 Campaign donation
To Whom Paid Date[MM/OD/YYYY] $
House ff' Street Address Description of Expenditure
City State Zip : .
Code
To Whom Paid Date[MM/DD/YYYYI $
House S Street Address besaiption of Expenditure ` •
City State Zip
Code "
y
To Whom Paid Date[MM/DD/YYYYJ $
House ff' Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYY] $
House S Street Address .Description of Expenditure •
City State . Tip
Code