HomeMy WebLinkAboutCarlisle Area Democratic Committee - 2021 30-Day Post Election Pennsylvania Department of State
Bureau of Campaign Finance&Civic Engagement
ye
210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4)
www.dos.pa.eov/campaienfinance • ra-stcampaignfinancePpa.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 unworn
declarations, Campaign Finance Reports (form DSEB-502), Campaign Finance Statemgts In lieu
of full reports (form DSEB-503), and Independent Expenditure Reports(form DSEB=50 '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
Car l's le ceA_ , , .,,
Reporting Cycle Name
❑ Cycle 1 ❑ Cycle 2 ❑ Cycle 3 ❑ Cycle 4 D Cycle 5
6th Tuesday 2nd Friday 30 Day 6th Tuesday 2"d Friday
Pre-Primary Pre-Primary Post Primary Pre-Election Pre Election
CD 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 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.
11/29/2021
Signa ure of Treasurer, Candidate, or Lobbyist Date (DD/MM/YYYY)
Donna Williams Carlisle PA
Printed Name Location (City/State/Country)
DSEB-502R
Updated 6/24/2020
Commonwealth of Pennsylvania 111111111111111111111111111111
Campaign Finance Report 358988
(NOTE:This report must be clear and legible.It may be typed or printed in blue or black ink.)
Filer Identification 20190121 Report CANDIDATE 'COMMITTEE Y LOBBYIST.
Number: Filed By: ..a•;. r. _ `,:`'' f •1,,....2.- .,.L-
Name of Filing Committee,Candidate or Lobbyist: CARLISLE AREA DEMOCRATIC COMMITTEE
Street Address: PO BOX 993
City: CARLISLE State: PA 1 Zip Code: 17013
TYPE OF 6TH TUESDAY 1. 2ND FRIDAY PRE- + 2. 30 DAY POST- 3. AMENDMENT Yes No
REPORT PRE-PRIMARY PRIMARY PRIMARY REPORT? ,.;
6TH TUESDAY • 4. 2ND FRIDAY 1 PRE 5. 30.DAY• - POST- 6.X TERMINATION. Yes No . /+
(place X to PRE-ELECTION, : ELECTION:,'.,„:.: , ELECTION _, r'M.':' REPORT? ` '"-i TT
the right of '
report type) ANNUAL REPORT 7. Year 2021 FILING METHOD PAPER ,' '.- DISKETTE
i•. (-)CHECK ONE •
DATE OF ELECTION District Office 'Party Code County
Name of Office Sought by Candidate: Number Code Code
MO i , DAY s _, YEAR
11 2 2021 (SEE INSTRUCTIONS FOR CODES)
Summary of Receipts and MO ,:,_-.4 DAY ; YEAR MO _ DAY YEAR ! :.FOR OFFICE USE ONLY"
Expenditures from: 10 19 2021 TO 11 22 2021
A.Amount Brought Forward From Last Report $ 10,120.39
B.Total Monetary Contributions And Receipts(From Schedule I) $ 131.00
C.Total Funds Available(Sum Of Lines A and B) 10,251.39 t V
D.Total Expenditures(From Schedule III) 1,045.38
c_5
E.Ending Cash Balance(Subtract Line D From Line C) $ 9,206.01 r —__
• • NJ
F.Value Of In-Kind Contributions Received(From Schedule II) $ 0.00
G.Unpaid Debts And Obligations(From Schedule IV) $ 0.00 '
AFFIDAVIT SECTION
PART I-If this le a Committee report,treasurer sign here.If this is a Candidate r p candidate sign here. "1;�w µ
I swear(or affirm)that this report,induding the attached schedules filed on paper or by electron dium,are to a b4st o/ n ledge and belief,true
correct and complete. -/,) AAA
Sworn to and subscribed before me this Signature of Person`Submitting Report
dayof
20
� 0. L
trArlqi I I ittiVW;
I Printed Name
Signature I Wl I`i a/i'1A-c Z-j @ eifYNCL-, - Yl Q-
My Commission Expires Email 7)7 g.l G i 7
MO DAY YR Area Code Daytime Telephone Number
Part II-If this is a report of acandidate's authorized Committee,Candidate shall sign here. fir- .--'.';. ' + _ ' .. Lac `'
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.r..1333,
No 320)as amended.
Sworn to and subscribed before me this
Signature of Candidate
day of 20
Printed Name
Signature
My Commission Expires Email
MO DAY YR Area Code Daytime Telephone Number
11/29/2021 10:38:03 AM
yr L
SCHEDULE I
CONTRIBUTIONS AND RECEIPTS
Detailed Summary Page
Name of Filing Committee or Candidate Reporting Period
CARLISLE AREA DEMOCRATIC COMMITTEE From: 10/19/2021 To: 11/22/2021
1.tlnitemized Contribution$Received-$50.00 or Less Per Contributor .
TOTAL for the Reporting Period (1) $ 131.00
2.Contributions Received-'$$0.01 To$250 00"(Fioin part A,and Part-B)f 5 3i' .. 1T ~`* *,'^'u ,";• w ' y h «�.;,
Contributions Received From Political Committees(Part A) $ 0.00
All Other Contributions (Part B) $ 0.00
TOTAL for the Reporting Period (2) $ 0.00
3.'Contributions Received Over$250.00(From Part C and Part D)'.y; '' • a , , • Y 4
Contributions Received From Political Committees(Part C) $ 0.00
All Other Contributions (Part 0) $ 0.00
TOTAL for the Reporting Period (3) $ 0.00
4.Other Receipts,Refunds,Interest Earned,Returned Checks, Etc (from Part E) t: } -
TOTAL for the Reporting Period (4) $ 0.00
Total Monetary Contributions and Receipts During this Reporting Period(Add and enter amount $ 131.00
totals from Boxes 1,2,3 and 4;also enter this amount on Pagel,Report Cover Page,Item B.)
11/29/2021 10:38:03 AM
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.
Name of Filing Committee or Candidate Reporting Period
From: To:
DATE AMOUNT
Full Name of Contributing Committee
MO' DAY YEAR
Mailing Address
0.00
City State Zip Code(Plus 4)
PAGE TOTAL
Enter Grand Total of Part A on Schedule I, Detailed Summary Page,Section 2. 0.00
11/29/2021 10:38:03 AM
PART B
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
From: To:
DATE AMOUNT
Full Name of Contributor
.NO ;DAY> YEAR'
Mailing Address
0.00
City State Zip Code(Plus 4)
PAGE TOTAL
Enter Grand Total of Part A on Schedule I, Detailed Summary Page,Section 2. $ 0.00
11/29/2021 10:38:03 AM
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 from Over $250.00 in the reporting period.
Name of Filing Committee or Candidate Reporting Period
From: To:
DATE AMOUNT
Full Name of Contributing Committee
'440 1AY YEAR e:
Mailing Address
$ 0.00
City State Zip Code(Plus 4)
PAGE TOTAL
Enter Grand Total of Part C on Schedule I, Detailed Summary Page,Section 3. $
0.00
11/29/2021 10:38:03 AM
v� V
PART D
ALL OTHER CONTRIBUTIONS
OVER $250.00
Use this Part to itemize all other contributions with an aggregate value of
over $250.00 in the reporting period.
(Exclude contributions from political committees reported in Part C.)
Name of Filing Committee or Candidate Reporting Period
From: To:
DATE AMOUNT
Full Name of Contributor
MO DAT,, .YEAR l
Mailing
Address $ 0.00
City State Zip Code(Plus 4)
Employer Name Occupation
Employer Mailing Address/Principal Place of City State Zip Code(Plus 4)
Business
PAGE TOTAL
Enter Grand Total of Part C on Schedule I, Detailed Summary Page,Section 3.
0.00
11/29/2021 10:38:03 AM
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.
Name of Filing Committee or Candidate Reporting Period
From: To:
DATE AMOUNT
Full Name
ya.M�'O x AY Y *:
Mailing Address $ 0.00
City State Zip Code(Plus 4)
Receipt Description
PAGE TOTAL
Enter Grand Total of Part E on Schedule I, Detailed Summary Page,Section 4.
$ 0.00
11/29/2021 10:38:03 AM
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
Name of Filing Committee or Candidate Reporting Period
CARLISLE AREA DEMOCRATIC COMMITTEE From: 10/19/2021 To: 11/22/2021
1:3.141TEMT2EDINITICENIS;001MTRIBI.MONS`ReCEIVitOl'ALOOF:$50.00:0121ESS;EFCCONTRuityrOR44.6 .0k
TOTAL for the Reporting Period (1) $ 0.00
2:*1P!,;• 14.TCFMTIgilt!TAM:RECIY-EP':-57Ai-"PCP-f;$52 :7237.4),:AftritiP"Wk-Ws*W'.44AH*,°,4**F.**
TOTAL for the Reporting Period (2) $ 0.00
110CP1/" . BYT-U".NASFIPc.**Y-k141CPrk$ASce,#:Ittl,t,RT,,9).4;
TOTAL for the Reporting Period (3) $ 0.00
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,Reports Cover Page,Item F.) 0.00
11/29/2021 10:38:03 AM
SCHEDULE II
PART F
IN-KIND CONTRIBUTIONS RECEIVED
VALUE OF $50.01 TO $250.00
Name of Filing Committee or Candidate Reporting Period
From: To:
DATE AMOUNT
Full Name of Contributor a
DAY Off*Y',f-
Mailing Address $ 0.00
City State Zip Code(Plus 4)
Description of Contribution:
Enter Grand Total of Part F on Schedule II, In-Kind Contributions Detailed Summary Page, PAGE TOTAL
Section 2.
0.00
11/29/2021 10:38:03 AM
SCHEDULE II
PART G
IN-KIND CONTRIBUTIONS RECEIVED
VALUE OVER $250.00
Name of Filing Committee or Candidate Reporting Period
From: To:
DATE AMOUNT
Full Name of Contributor
+ MO DAY YEAR
Mailing Address
$ 0.00
City State Zip Code(Plus 4)
Employer of Contributor Occupation
Employer )
Mailing Address/Principal Place of City State Zip
Business
Enter Description of Contribution
Enter Grand Total of Part G on Schedule II,In-Kind Contributions Detailed PAGE TOTAL
Summary Page,Section 3. 0.00
11/29/2021 10:38:03 AM
SCHEDULE III
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Period
CARLISLE AREA DEMOCRATIC COMMITTEE From 10/19/2021 To: 11/22/2021
DATE AMOUNT
To Whom Paid - A
MO DAY;i YEAR
Cumberland County Democratic Committee • ;� ; ;, •
Mailing Address 46 W Louther St 10 29 2021 $ 1,000.00
City Carlisle State Zip Code(Plus 4) Description of Expenditure
PA 17013 HQ renovation
To Whom Paid
Constant Contact MO DAY YEAR
F
Mailing Address 1601Trapelo Rd, Suite 329 11 17 2021 $ 33,39
City Waltham State Zip Code(Plus 4) Description of Expenditure
MA 02451 messaging service
To Whom Paid
YEAR
Vantiv/Worldpay Global _
Mailing Address 85400 Governor's Hill Rd 11 9 2021
# 8.61
City Symmes Twp State Zip Code(Plus 4) Description of Expenditure
OH 45259 transaction fees
To Whom Paid
MO.:t DAY •= • YEAR e
Act Blue
. r
Mailing Address 366 Summer St 11 3 2021
# 3.38
City Summerville State Zip Code(Plus 4) Description of Expenditure
MA 02144 transaction fees
PAGE TOTAL
Enter Grand Total of Expenditures on Page 1, Report Cover Page,Item D.
$ 1,045.38
11/29/2021 10:38:03 AM