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HomeMy WebLinkAboutFriends to Elect Morrow - 2021 30-Day Post Election v - illPennsylvania 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%carnpaig.,nfmance • ra-stcarnpaignfinance@7pa.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 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. Name of Filing Committee, Ca didat or Lobbyist r �Ire.J1015 4 . Efe_e.f- MDrr)LA Repotting Cycle g y me . ❑ Cycle 1 ❑ Cycle 2 ❑ Cycle 3 ❑ Cycle 4 ❑ Cycle 5 6th Tuesday 2nd Friday 30 Day 6th Tuesday 2nd Friday Pre-Primary Pre-Primary Post Primary Pre-Election Pre Election P® Cycle 6 ❑ Cycle 7 ❑ Cycle 8 ❑ Cycle 9 30 Day Post-Election Annua!Report 2nd 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 accompanying Campaign Finance Report is true and correct. (.4"-Wi— i Signa ur of Treasure , Candidate, or Lobbyist Dat (DD/MM/YYYY) PIG N gg/O W 6047,„ a 4 i'A ie,_(„i-----. Printed Name Location (City/State/Co6ntry) DSEB-502R Updated 1/22/2021 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 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 acc panying Campaign Finance Report is true and correct. /i/Z2f 2( Signature of Treasure andidat-; or Lobbyist Date (DD/MM/YYYY) cy,v4(1,5 L. vv\arib\A) C , rev-\ )j,e fl4 �5 Printed Name Location (City/State/Country) DSEB-502R Updated 1/22/2021 Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.it should be typed) Filer identification - e.i l t../(eh, Report Flied By Candidate I j {{ Committee 4 - 'scts6yisi Number i! N 117 +(Mark x) 1 1 t I i �9 , ) I Name of Filing Committee,Candidate or I f-,�a/ hi fr` _ r.- 11-1 Lobby►st iE^�JjfL.�• ' t f �`vC�f<l4 14/ Street Address _.- 7 f �jk • '}-tit 'i e City 4 P f tL z l t.e +%1� Pro( State 2lp ends ( f i6)`0 (�J j f o Type of Report(Place x under report type' i_6'Tuesday 2-2"°Friday 3.30 Day Pt�s2•4- 'hTuesday 5-2n°Friday 6-30 Day'Post 7-Annual Special 2'"'Friday Special 30 Day Pre-Election Pre-Election Election Pre-Election Post-Election Pre-Primarf Pre-Primary !Primary E 1-1 f ( l i 1 Date Of Election l/ a t`Year 1 J Amendment r- termination (MM/DA/YYYY) f f pi l• 4'�o Z t Report ! J Report Summary of Receipts and From Date 1 To Date f For Office Use Only Expenditures r i 1 r � 16 2i2II i 11/2'/.?c'2/ A.Amount Brought Forward Fro Las Report 1 $ r'_ -7 B.Total Monetary Contributions and Receipts {S r. -^� (from Schedule I) f a 4i�� • C.Total Funds Available $ ,/ �j (Sum of lines A and a) zi f". l D.Total Expenditures ' $ �yy I �� ,.: (From Schedule fit) � 1 �t , E.Ending Cash Balance I $ ! r _ • (Subtract Lino D from Line C) f E- , ,.. F.Value of in-Kind Contributions Received 5 ' (from Schedule II) 1 10 a O G.Unpaid Debts and Obligations S (From Schedule IV) 61..'""""` Affidavit Section '.•:r Part i-If this is a Committee report,treasure;sign here,if this is a Candidate report,candidate sign here. • . • I swear(Cr affirm)that this report,including the attached schedules on paper,is to the best of my knowled belief true.correct and cdmplete. _ Sworn to and subscribed before me this 44 ` i day of 20 j r vn sr. _ �� /..--.:-t{ �'1 1 C I ) lei; of •-on b itt�n�R r,F„p^ rt 1- Signature e V� Printed Name ii.� +i _/— tayCOMmissionexpires,_ __ "?'7 ?�c� � 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. e____ I sear(or affirm)that to the best of my knowledge and belief this political committee has not violated any provisions of the Act of June 3,2937(P.L.2333,NO.320)as amender!. Sworn to and subscribed before me this ! _ day of 2e7 _ Sign ore of C ndida,e � ` Signature ---...._.._..::._.L.---'7 -ap.....i ','7 �(f„�. C $ Printed Name My Commission expires _1(% k �7 MO. DAY YR. Area ode, Daytime Telephone Nu er Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) Filer Identification q Report Filed By Candidate Committee Lobbyist ' Number �� Q ! ��v5 (Mark X) Name of Filing Committee,Candidate or f� NAC 7` g/Ac` ��,f' / Rj2® lobbyist ` � �J�C-. I G/� 7✓�"/ Street Address 5/3 /9-2/C /J V��� City ,A j , / /Ou� � d �j State /—,Q U Zip Code �� �1 Type of Report(Place x under report type) 1-66' Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday S-2nd Friday 6-30 Day Post 7-Annual Special 2"d Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election I Date Of Election Amendment Termination (MM/DD/YYYY) 44 ,,Year G" 1 2o2--/ Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures / 02621 /7/7_,9/0702/ A.Amount Brought forward Fro Las Report $ 7y_c2, 7t B.Total Monetary Contributions and Receipts $ ��Q.,1/(f h Pi (From Schedule I) 7 C.Total Funds Available $ (Sum of Lines A and B) pip,s /,g D.Total Expenditures $ C; (From Schedule III) - 3393i/ /9 E.Ending Cash Balance $ ��n r c... (Subtract Line D from Line C) , q i-.- c F.Value of In-Kind Contributions Received $ : t L.)(From Schedule II) (J©` Q� C..) G.Unpaid Debts and Obligations $ `" (From Schedule IV) 0 0 Affidavit Section (.-...: fV Part 1-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here. .._..j .M' 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 ca 'iplete. Sworn to and subscribed before me this . L 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.1333,NO.320)as amended. Sworn to and subscribed before me this r.=:day of 20 Signature of Candidate Signature Printed Name My Commission expires MO. DAY YR. Area Code Daytime Telephone Number SCHEDULE I Contributions and Receipts Detailed Summary Page Filer Identification Number 43 --0 47°7 5g3 6 . 11.Unitemized Contributions and Receipts-$50.00 or Less per Contributor Total for the reporting period (1) $ f O 6%6 2.Contributions of$50.01 to $250.00(From. Part A and Part B) • Contributions Received from Political Committees(Part A) $ 0(5 to00 All Other Contributions(Part B) $ , /(0,...--; ^ � boo Total for the reporting period (2) $ g' ®a i 3.Contributions Over$250.00(From Part C and Part D) I Contributions Received from Political Committees(Part C) $ All Other Contributions(Part D) • $ Total for the reporting period (3) $ 1 -- 14.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) Total for the reporting period (4) $ Total Monetary Contributions and Receipts during this reporting period(Add and $ enter amount totals from Boxes 1,2,3 and 4;afso enter this amount on Page 1,Report 97o,Cover Page,Item B) iy 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 g2- 9Y___Ce-136 Amount Full Name of Contributing , // Date[MM,DD/YYYY] $ Committee 1(fI M/e -e( ALL9„Ah111-- 2 Da9' 7Zaz House# Street AddressBai-. 67/ Date[ MI $ City AdoState Zip Code Date[MM/DD/YYYY] $ ics&tie6...„ Full Name of Contributing Date[MM/-DD/YYYY] $ Committee House# Street Address Date[MM/DD/YYYY] $ City I 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/YYYYJ $ 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 All Other Contributions $50.01 TO$250 Use this Part to itemize all other contributions with an aggregate value from $50.01 TO$250 in the reporting period. (Exclude contributions from political committees reported in Part A.) Filer Identification Number: 2- _ Full Name of ContributorA‘ie-- J Date'[MM/DD YYYY1:3 -.$ /402- e 2-/ 49?‹°,96<:yX' House# Street Address Dat [MM/ D/YYYY] $ 3z 00©,'2/b .��. City .�- State° Zip Code Date',[MM/DD/YYYY]'�'."$ cii.64s F-:- Full Name of Contributor Date[MDDJYYYY) $ ViNCiV f ' D P M/ p� a 2 2 /00, %.,,,e House# Street Address .--~ ,, Date[MM/DO/YYYYJ $ 0.0172‘2 C. City State Zip Code, Date[MM/DD/YYYY] $ d%l dry ins ,�� ��-ry- /7sz) Full Name of Contributor Date,[M /DD/YYYY]'� $ m/J 0c Al. 0 ' /4 ZO� i House# 6 ' Date Mty!, D YY /� 'Street Address e4-,_a_ S�+ _ <_�1'1fYY] ':$ Gty /�/,,' J �,l'"�I� St .-e,. Zip Code en__ /7o7ã Date[NIMJD,p/Y1fY1f] $ Full Name of Contributor Date[MMJOD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY) $ Full Name of Contributor Date[MM/DDJYYYY] $ House# Street Address Date'[MM/DD/YYYY]J $ City '$tate°" Zip Code Date LMMvi/DD/YYYYJ $ Full Name of Contributor Date[MM/DDJYYYY] $ House# Street Address Date MM /YY DD[ / YY] $ 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: , _2 5.1� Full Name of Date.[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City •State. Zip Code Date-[MM/DD/Y1fYY].-. Full Name of Date[MINI/DD/YYYY] $ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date IMM/DD/YYYY] $ Contributing Committee House# Street Address1 Date[IVIAA/QDJYYYY]" $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Date'IMM/DD/YYVYI '$ Contributing Committee House# Street Address Date[MM/DD/YYYY] $ City State' Zip Code Date[NIIV1/DD/YYYY] $ Full Name of Date[MM/DD/YYYY] $ Contributing Committee House# Street Address Date[MVI/DD/YYYV] $ 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 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: C.'F .'7 e i 7cr-3,6 I Full Name of Contributor Date(MM/DD/YYYYJ $ House# Street Address Date[MM/DD/YYYYJ $ l City State Zip Code Date(MM/DD/YYYY) $ Employer Name Occupation- Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date IMM/OD/YYYY] $ House# Street Address Date(MM/DD/YYYY] $ City State Zip Code : Date(M'M/DD/YYYY]" $ r Employer Name Occupation Employer Mailing Address Principal Place of Business Full Name of Contributor Date,(MM/DD/YYYY] $ House# Street Address Date MIN DD. City r to Zip Code Date.[MM/DD/YYYYJ $ Employer Name Occupation;: ; :a Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYYJ $ 1 City State Zip Code Date(MM/DD/YYYY] $ Employer Name Occupa"'tion Employer Mailing Address/ Principal Place of Business 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. biter Identification Number: ^2. Full Name House# Street Address City State Zip Date[ISAM/DD/YYYY] $ Code Receipt Description Full Name House# Street Address City State Zip Date-[MM/DD/YYYYM $ Code Receipt Description • Full Name House# Street Address City State Zip Date[MMYDDrYYYYJ"`, $ 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[MINI/DDJYYYY] $ Code Receipt Description • Full Name House# Street Address City State Zip Date[MM/DD/YYYYJ $ Code Receipt Description SCHEDULE II 1N-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 0 0 dNti ifiOtio d urc 0';' gZ r0 9 ,6 I z JNITE IZ ON GO411.0.3 DI SYI ECI lUl #140. " F ( 7 ^_ PER Ci Il1t3 TOR „r z Aftff y qZ;i f ` a. :t ' TOTAL for the reporting period (1) $ `; 2 (A`fl,Wl�(H AbCOIF E �'v' 1 67., I, EV 17 VAL"UEI ;�'} .'' J5-Q'„l,.q( i '�l� ' ,, .�. , iY ,.�»<�»A �fC >. it T -- �y3 i, t a ", _. . TOTAL for the reporting period (2) $ -,2-4C3000W7 rl� , ev �� vA O $r fN- lu �tA ob P t �1+ '0 3 r' a f s 4 F ' „ 4 asy»�> „ .� �� ;• —,,' s � v ,' _ ' 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 II PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 Filer Identification Number: g2....... _5436 Full Name of Contributor /4cLs • /19< Date[MM/DD//Y�YY f], $ // 6&q/ Avatex,..:7 House# Street Address r� Da [MM•DD/YYY`(�j $ f / r�/'l v4f City State Zip Code Date[MM/DD/YVYY] $ miritimhix 44 Ale • Description p on of Con tri tion Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/-DD/YYYY] $ City State Zip Code Date[MM/DD/YYYV] $ Description of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $, Description of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYvYY],r, ;$ City -,State, Zip Code Date[NotiwoD/YYYYJ.,.,$ a Description of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date MM.DDI City State Zip Code Date[MMVI/DD/YYYY1 $ Description of Contribution SCHEDULE II ' ' PartG In-Kind Contributions Received VALUE OVER$250 Filer Identification Number: Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City date Zip Code Date[MM/DD/YYYY] $ Employer Name a Occupation, Employer Mailing Address/Principal Description Place of Business of Contribution 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 Descriptions fix; Place of Business of° °J Contribution=t 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, , Descripticn Place of Business of Contribution. Full Name of Contributor Date[MM/DD/YYY'I $ House# Street Address Date,[MM/DDJYYYY]"" City State. Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/Principal , Description Place of Business of Contribution SCHEDULE III ' Statement of Expenditures IFiler identification Number: sr- 6 et,...74.774 .6.- To Whom Paid �,� Date�[MM/DD YYYY] - $ /G 1) /W4 �fck /�'l,G/(� /0 ZoZ /°7� House#NA Street Address -64_3/d/V, 3i./3 De�cripti nsof Expenditure City State I Zip Zi., ® State Code / // —1)//k6'/Val (JJ UP ' To Whom Paid /4iøg,efcf4 J /) /� Date[MM/DD/YYYYJ $ �7� 0/`' /' ✓ / 5 f°/ziJ � A / _ House# 21 t/ Street Address a 4. Description of'Expenditure �--- City �'- / I;St, e`� �—�'"'Zip 1 �`}�n�%►�V C��' / code / 7i'l/ / fr z ,: e{/i/1"fli To Whom Paid [ Date[MM/DD $ mac ilz( /-1-r--/ 17A 2--e21 /e, We House# /,` Street Address ijot i- Descripti of Expenditure 7 City. /1/; 4te ] —P/1--- ZipCode. L /ace"�7''(/ (/To Whom Paid Date[MNI/DD YYYY] $ L_ frAlp&-cdill ' Al -r/ ? /��u zol% 7 z a' House# Street Address Descriptio ;of:Ex nditure ,21 City State"- Zip (7014/4 /� �) LGt7- pirk_ Code 17, To Whom Paid Date[MM/DD/YYYYJ $ House#I Street Address Description of Expenditure City State,' Zip Code To Whom Paid 1 Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure CityZip State o I Code To Whom Paid Date[MM/DD, YYY] - $ House# Street Address Description ofExpenditure City State4 Zip Code To Whom Paid Date[MM/DD/YYYY] '$ House# Street Address Description of Expenditure City State- Zip -.: Code SCHEDULE IV Statement of Unpaid Debts Use this Section to itemize all unpaid debts and obligations which are outstanding at the end of the reporting period. Filer Identification Number: s 2 -34 Name of Creditor „Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED $ [MM/DD/YYYYJ City State Zip Code Description of Debt Name of Creditor ,,Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED% $ [MM/DD/YYYYJ City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt • House# Street Address DATE DEBT INCURRED' $ [MM/DD/YYYYJ City State Zip Code Description of Debt Name of Creditor -Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED [MM/OD/YYYYp City State Zip Code Description of Debt Name of Creditor Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED,'='d -$- [MM/DD/YYYYJ City State Zip Code Description of Debt Name of Creditor 4:Qutstanding Balance of Debt House# Street Address DATE DEBT.INCURRED w°w-$ [MM/DO/YYYYJ City State Zip Code Description of Debt