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HomeMy WebLinkAboutKeystone Taxpayers Unite - 2021 Annual Report Pennsylvania Department of State Bureau of Campaign Finance&Civic Engagement 1.0 210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) www,dos.Da.gov/campaignfinance • ra-stsamnaignfinance(apa•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, Candidate, or Lobbyist Ke sion..e 1 ax• -e,cs 1ani3-e. Reporting Cycle Name ❑ Cycle 1 ❑ Cycle 2 0 Cycle 3 0 Cycle 4 0 Cycle 5 6th Tuesday 2nd Friday 30 Day 6th Tuesday 2nd Friday Pre-Primary Pre-Primary Post Primary Pre-Election Pre-Election ❑ Cycle 6 lb 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 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. /,t 1AJ / ,i/4, ,f1 bi-i-ad,a Signature of Treasurer, andidate, or Lobbyist Date (DD/MM/YYYY) S ro. Th A)&13Grici ch, PA) USM Printed Name Location City/Sate/Country) DSEB-502R Updated 1/22/2021 Commonwealth of Pennsylvania Campaign Finance Report PAGE 1 OF ,. (COVER PAGE N (NOTE: This report must be clear and legible. It may be pad or printed in blue or black ink.) Filer Identification Report 1. 2• 3. Number: 0. ,Zp] g O R$a Filed by: CANDIDATE COMMITTEE ✓ Lg13t Y1ST Keystone Taxpayers Unite Street Address:3908 Primrose Road City:Eno. State: Pa Zip Code: 17025 r TYPE OF $TH TUESDAY 1. 2ND'PRIDAY 2. SO,DAY 3. AMENDMENT `%ES , NO ✓ REPORT Pt -P:FUMARY R!j('•PfiiMAfiY' POST PRIMARY REPORT? GFftTUESDAY 4. 2NDFRIDAY 5. 8045AY 6. TERMINATE:IN YES 1/ NO (place X to pFtE ELEG/ION PRE-ELECTION Tlk N p0$T ELEDTION f2Elriol1Tz the right of AN r, . 7V YEAR 2021 FILING'MET[fIS) report type) RPO T._ ( v }east-K eNE PAPERDISKETTE IF 1 Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County Number Code Code Code • Ma DAY YEAR 11 32 •' 1 (SEE INSTRUCTIONS FOR CODES) Summary of Receipts MO. _DAY YEAR Ma. DAY YEAS FOR t�;FF.iCE USE ONLY and Expenditures from: Ifir 11 23 2021 TO )1 21 2022 c) A.Amount Brought Forward From Last Report $ 1,139.88 C rwa 14.1 B.Total Monetary Contributions and Receipts(From Schedule I) $ 0.00 C.Total Funds Available Sum of Lines A and B D.Total Expenditures(From Schedule Ili) $ 1,139.88 d E.Ending Cash Balance(Subtract Line D from Line C) $0.00 C) = F.Value of In-Kind Contributions Received(From Schedule II) $0.00 C C) C.. G.Unpaid Debts and Obligations(From Schedule IV) $0.00 AFFADAVIT SECTION ,P'AKr,i ,.Ifthis is a COSMIlltteEr ci6p0r,t,IrOasuretEign here. if this is a CAndidate.repott„candidate Sign hers... . . . . I swear(or affirm)that this report,including the attached schedules,on paper or computer diskette,are to the best of my knowledge and belief true,correct end complete. Sworn to and subscribed before me this !1 ! day of 20 fP Person Signature of P�r/s�on�Sou �,[hng� epori Signature /a.lt. c 1 v @-4)Rel Printed Name My commission expires � Li 0'7 L IS- C) MO. DAY YR. Area Code Daytime Telephone Number PART 11—If this is,a re{,x rt pf a'Candidate's APthorized Committee,candidate shell sign hare.... 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.920)as amended. 1 Sworn to and subscribed before me this i. day of 20 1 Signature of Candidate Signature Printed Name My commission expires MO. DAY YR. Area Code Daytime Telephone Number • Page 2„,.of-.7 SCHEDULE III STATEMENT OF EXPENDITURES Name of filing committee or Candidate Reporting Period Keystone Taxpayers Unite From 1 1123/2 0 21 To To Whom Paid atUAt °Y` .A Amount lake Rack Our Schools PAC ,arc „xQ a'Z $1139.88 Mailing Address Description of Contribution 390s Primrose Road donation City State Zip Code(Plus 4) Enola Pa To Whom Paid (tt£ >+ [ A4 l Amount Mailing Address Description of Contribution City State Zip Code(Plus 4) To Whom Paid ;=` vf�t' #` ". 'Y Amount s Mailing Address Description of Contribution City State Zip Code(Pius 4)• To Whom Paid =7 Ae :lifiyeAmil Amount $ Matting Address Description of Contribution City State Zip Code(Pius 4) To Whom Paid Amount � $ Mailing Address Description of Contribution City State Zip Code(Plus 4) To Whom Paid ,": l iX.W r AY.' ', Amount Mailing Address Description of Contribution City State ' Zip Code(Plus 4) To Whom Paid `MiO:,: ,..`' ikt3VOOYS.WitRge Amount Mailing Address. Description of Contribution City State Zip Code(Plus 4) To Whom Paid k 'SAY,7,7011 Amount $ L � Meiling Address Description of Contribution City State Zip Code(Plus 4) PAGE TOTAL Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. $ ) 1 3q,$g DSEB-502(7-gg)