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HomeMy WebLinkAboutFoschi, Jean - 2021 Annual Report Pennsylvania Department of State Bureau of Campaign Finance&Lobbying Disclosure vfif 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 Statements 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 Statements. This form must be signed by hand where a signature is required. Name of Filing Committee, Candidate, or Lobbyist Jean Foschi Reporting Cycle Name ❑ Cycle 1 0 Cycle 2 0 Cycle 3 0 Cycle 4 0 Cycle 5 6th Tuesday 2"d Friday 30 Day 6th Tuesday 2nd Friday Pre-Primary Pre-Primary Post Primary Pre-Election Pre-Election ❑ Cycle 6 EI Cycle 7 0 Cycle 8 0 Cycle 9 30 Day Post-Election Annual Report 2nd Friday Pre-Special Election 30 Day Post-Special Election Part I — If this form is submitted with a statement in lieu of full report by a political committee, the treasurer must sign here. If this form is submitted with a statement in lieu of a full report by a candidate, the candidate must sign here. If this form is submitted with a statement in lieu of full 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 accom ying Campaign Finance Statement is true and correct. //7--(.,2/Z-0 Signa re of Treasurer, Candidate, or Lobbyist Date (MM/DD/YYYY) /� Jean Foschi Mechanicsburg, PA Cumberland/ fir Printed Name Location (City/State/Country) DSEB-503S Updated 1/5/2022 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 (MarkX) x Name of Filing Committee,Candidate or � G� Lobbyist ��0-1%- Street Address L/q� zi't/j(,4 /VO( -L City 'ik( I_C (_ r[State �j -.� ZipCode /goS Type of Report(Place x under rrerplort type) L� 46.— 1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6t Tuesday 5-2nd Friday 6-30 Day Post 7-Annual Special 211°Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election Date Of Election Year gloov Amendment Termination (MM/DD/YYYY) Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 414 /di3//leiA.Amount Brought Forward Froea-83/01,4zleport S n B.Total Monetary Contributions and Receipts S C igg (From Schedule I) d . 00 CE3 C- C.Total Funds Available S to (Sum of lines A and B) Q Gt9 N D.Total Expenditures S >. (From Schedule Ill) - a E.Ending Cash Balance S a = (Subtract Line D from Line C) 0, 0° 0 F.Value of In-Kind Contributions Received S 2' (From Schedule II) 0 c C1t• G.Unpaid Debts and Obligations S (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 _ -"�a- Iure• 4: p—. IA Signature Printed Name y� My Commission expires S'� 3 `� 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 • rSignature of Candidate Signature Printed Name • My Commission expires MO. DAY YR. Area Code Daytime Telephone Number • SCHEDULE III Statement of Expenditures Filer Identification Number: To Whom Paid ` �M 1,osi geki94-c-- Date[MM/DD/YYYY] 8 6-Do �a-Re/zoo House# Street Address O (6 ✓ 217 r• ripti n of E ndit ` City NZip -- State Code M11011 To Whom Paid Date[MM/DD/YYYY] 8 House# Street Address Description of Expenditure City • State Zip Code To Whom Paid Date[MM/DD/YYYY] 8 House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] 8 House# Street Address Description of Expenditure City State Zip Code To Whom Paid • Date[MM/DDIYYYY] i House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] 8 • House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] 8 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