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Home My WebLink AboutCitizens for Shearer - 2021 30-Day Post Election 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.gov/campaignfinance • ra-stcampaignfinance@pa.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 unsworn declarations, Campaign Finance Reports (form DSEB-502), Campaign Finance Statements In lieu of full reports (form DSEB-503), 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 Citizens for Shearer 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 2t Friday Pre-Special Election 30 Day Post-Special Election Part 1- 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. 11/28/2021 Signature of Treasurer, Candidate, or Lobbyist Date (DD/MM/YYYY) Geoff Shearer Carlisle, PA, USA Printed Name Location (City/State/Country) DSEB-502R Updated 6/24/2020 ififPennsylvania 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(alpa.gov Part!!-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 foregoing is true and correct. 11/28/21 Sign urer, Candidate, or Lobbyist Date (DD/MM/YYYY) Tammy Shearer, candidate Carlisle, PA, USA Printed Name Location (City/State/Country) • DSEB-502R Updated 6/24/2020 Reset Form Print Fort II 1111 I'II1III�IIIIIII�11II 1111 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 46-1882427 (Mark X) n Name of Filing Committee,Candidate or Lobbyist Citizens for Shearer Street Address PO Box 93 City Carisle State PA Zip Code 17013 Type of Report(Place x under report type) 1-6th Tuesday 2- 2' Friday 3-30 Day Post 4-6thTuesday 5-2nd Friday 6-30 Day Post 7-Annual Special 2"tl Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post Election 1 X Date Of Election Year Amendment Termination (MM/DD/YYYY) 11/02/21 2021 Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 10/19/21 11/22/21 A.Amount Brought Forward From Last Report $ 4,410.53 B.Total Monetary Contributions and Receipts $ • ^a (From Schedule I) 1,225.19 - C.Total Funds Available $ . . (Sum of Lines A and B) 5,635.72 . D.Total Expenditures $ (From Schedule III) 150 E.Ending Cash Balance $ 5,485.72 1 . (Subtract Line D from Line C) r` F.Value of In-Kind Contributions Received $ �� C=7 (From Schedule II) 0 C) G.Unpaid Debts and Obligations $ - C (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 belief true,correct and complete. Sworn to and subscribed before me this day of 20 ignature of Person Submitting report Signature r Geoff Shearer,treasurer Printed Name My Commission expires 717 763-6841 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 iipP day of 20 C. Signa . .ndidate Ta my Shearer,candid. Signature - I Printed Name 717 240-6376 My Commission expires MO. DAY YR. Area Code Daytime Telephone Number SCHEDULE I Contributions and Receipts Detailed Summary Page Filer Identification Number 46-1882427 1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (1) $ 75 I2.Contributions of$50.01 to $250.00(From I Part A and Part B) Contributions Received from Political Committees(Part A) $ 450 All Other Contributions(Part B) $ 400 Total for the reporting period (2) $ 850 3.Contributions Over$250.00(From Part C and Part D) I Contributions Received from Political Committees(Part C) $ 300 All Other Contributions(Part D) $ Total for the reporting period (3) $ 300 I4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) Total for the reporting period (4) $ 0.19 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 1,225.19 Cover Page,Item B) 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. Filer Identification Number I 46-1882427 Amount Full Name of Contributing Date[MM/DD/YYYY] $ Committee MKKeller PAC 200 10-21-21 House# Street Address Date[MM/DD/YYYY] $ 6441 Waggoners Gap Road City State I Zip Code Date[MM/DD/YYYY] $ Elliotsburg PA 17024 Full Name of Contributing Date[MM/DD/YYYY] $ Committee Friends for Sheryl Delozier 250 10/21/21 House# Street Address Date[MM/DD/YYYY] $ PO Box 66 City State Zip Code Date[MM/DD/YYYY] $ New Cumberland PA 17070 Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] _ $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ PART B AN 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.) Filer Identification Number: 46-1882427 Full Name of Contributor Date[MM/DD/YYYY] $ Keith Brenneman 10/19/21 200 House# Street Address Date[MM/DD/YYYY] $ 5808 Stephens Crossing City State Zip Code Date[MM/DD/YYYY] $ Mechanicsburg PA 17050 Full Name of Contributor Date[MM/DD/YYYY] $ Carol Swanson 10/19/21 100 House# Street Address Date[MM/DD/YYYY] $ 21 Sawmill Road City State Zip Code Date[MM/DD/YYYY] $ Medford NJ 08055Lar Full Name of Contributor Date[MM/DD/YYYY] $ Larissa Bailey 10/19/21 100 House# Street Address Date[MM/DD/YYYY] $ 118 Hawk Court City State Zip Code Date[MM/DD/YYYY] $ Hummeistown PA 17036 Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY] $ House It Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ 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: I 46-1882427 Full Name of Date[MM/DD/YYYY] $ Contributing Committee Cumberland County Republican Women 10/19/21 300 House# Street Address Date[MM/DD/YYYY] $ PO Box 711 City State Zip Code Date[MM/DD/YYYY] $ Carlisle PA 17013 Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of , Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ PART E • Other Receipts REFUNDS,INTREST 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 Identification Number: I 46-1882427 Full Name Members First FCU House# Street Address 5000 Louise Drive City State Zip Date[MM/DD/YYYY] $ Mechanicsburg PA Code 17050 0.19 10/31/21 Receipt Description Full Name House# Street Address City State Zip Date[MM/DD/YYYY] $ Code Receipt Description Full Name House# Street Address City State Zip Date[MM/DD/YYYYJ $ Code Receipt Description Full Name House#' Street Address City State Zip Date[MM/DD/YYYYj $ Code Receipt Description Full Name House# Street Address City State Zip ' Date[MM/DD/YYYY] $ Code Receipt Description Full Name House# Street Address City State Zip Date[MM/DD/YYYY] $ Code Receipt Description SCHEDULE III Statement of Expenditures Filer Identification Number: 46-1882427 To Whom Paid Date[MM/DD/YYYY] $ Hampden Township Republican Committee 50 10/21/21 House# Street Address 'Description of Expenditure City State Zip Mechanicsburg PA Code 17050 candidates night fee To Whom Paid Date[MM/DD/YYYYj $ Mechanicsburg Football Boosters 100 • 10-21-21 House# Street Address Description of Expenditure City State Zip football program ad Mechanicsburg PA Code 17055 To Whom Paid. Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYYJ $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYYJ $ House# 'Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYYI $ 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/YYYYJ $ House# Street Address Description of Expenditure City State Zip Code