HomeMy WebLinkAboutCarlisle Area Democratic Committee - 2021 Annual Report lePennsylvania 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-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 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
Carlisle Area Democratic Committee
Reporting Cycle Name
0 Cycle 1 0 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
IZI Cycle 7 0 Cycle 8 ❑ 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 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.
1/24/2022
Signature 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 111111111111111111111111111111111111
Campaign Finance Report 363033
(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 .� LOBBYIST
Number: (Filed By:
Name of Filing Committee,Candidate or Lobbyist: CARLISLE AREA DEMOCRATIC COMMITTEE
Street Address: PO BOX 993
City: CARLISLE State: PA I Zip Code: 17013
TYPE OF 6TH TUESDAY 1. 2ND FRIDAY PRE- 2. 30 DAY POST- 3. AMENDMENT Yes 1 No
REPORT PRE-PRIMARY PRIMARY PRIMARY REPORT?
6TH TUESDAY 4. 2ND FRIDAY PRE- 5. 30 DAY POST- 6. TERMINATION Yes No 14
(place X to PRE-ELECTION ELECTION ELECTION REPORT?
the right of
report type) ANNUAL REPORT 7.X Year 2021 FILING METHOD PAPER 1 DISKETTE
( )CHECK ONE
DATE OF ELECTION District Office Party Code County
Name of Office Sought by Candidate: Number Code Code
MO DAY YEAR
11 2 2021 (SEE INSTRUCTIONS FOR CODES)
Summary of Receipts and MO DAY YEAR MO DAY YEAR FOR OFFICE USE ONLY
Expenditures from: 11 23 2021 TO 12 31 2021
A.Amount Brought Forward From Last Report $ 9,206.01 C
B.Total Monetary Contributions And Receipts(From Schedule I) $ 81.00 C' C_. ,
rn 27.
C.Total Funds Available(Sum Of Lines A and B) 9,287.01
r
D.Total Expenditures(From Schedule III) 366.49
•
E.Ending Cash Balance(Subtract Line D From Line C) $ 8,920.52 C") •=Q
F.Value Of In-Kind Contributions Received(From Schedule II) 0.00
-�i C.0
G.Unpaid Debts And Obligations(From Schedule IV) 0.00
AFFIDAVIT SECTION
PART I-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 filed on paper or by electron( edium,are to the of
m kn ledge and belief,true
correct and complete.
Sworn to and subscribed before me this Signature of erson Submittin eport
day of 20 , J i 1
1f G- W 1 1 I I aAAA S
Printed Name/
Signature CL f W i I l( O.,VA S f(u a6ko e4 jf{-
My Commission Expires 7/7.Zf 9_ to(�/ f 7 Email
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 lune 3,1937(P.t..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
1/24/2022 10:12:06 AM
a
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
AliAllre )4YEAR
p
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
1/22/2022 2:51:29 PM
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 k x "n
1.:
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
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v J
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 - ,--
MO DAY ,YEAR''='
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
1/22/2022 2:51:29 PM
.vim 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
IAy
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
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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 7177 M '
MO OAY ' 'YEArt j
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
1/22/2022 2:51:29 PM
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: 11/23/2021 To: 12/31/2021
.1 UNITEMYZED.XN-KIND COMIRIBUTIONS'RECEIVED-VALUE OP$S0 ti0:OR LESS PEA CONTRIBUTOR
TOTAL for the Reporting Period (1) $ 0.00
Z•TN-KIND CONTRIBUTIONS R5CEIVEQ. VALUE OF•450.01 TO$450.00(FROM PART i:)
TOTAL for the Reporting Period (2) $ 0.00
3,Iti`KTND CONT'RIEUTION RELIEVE/-VALUE OVER$250:00(PROM PART 6)
TOTAL for the Reporting Period (3) $ 0.00
TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING PERIOD(Add and enter $ 0.00
amount totals from Boxes 1,2,and 3;also enter on Page 1,Reports Cover Page,Item F.)
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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
MO DAY YEAR
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
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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 'a j .,
Nfi DAY r X
Mailing Address
0.00
City State Zip Code(Pius 4)
Employer of Contributor Occupation
Employer Mailing Address/Principal Place of City State Zip Code(Plus Description of Contribution
Business 4)
Enter Grand Total of Part G on Schedule II,In-Kind Contributions Detailed PAGE TOTAL
Summary Page,Section 3. 0.00
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yr 1 1
SCHEDULE III
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Period
CARLISLE AREA DEMOCRATIC COMMITTEE From 11/23/2021 To: 12/31/2021
DATE AMOUNT
• To Whom Paid
MO DAY YEAR
Bosler Mem Library
Mailing Address 158 W High St 12 9 2021 $ 100.00
City Carlisle State Zip Code(Plus 4) Description of Expenditure
PA 17013 honorary donation
To Whom Paid
MO DAY YEAR
Constant Contact
Mailing Address 1601 Trapelo Rd Ste 329 12 17 2021
$ 33.39
City Waltham State Zip Code(Plus 4) Description of Expenditure
MA 02451 mailing management
To Whom Paid
MO DAY YEAR
Squarespace
Mailing Address 225 Varick St 12th floor 12 3 2021
$ 228.96
City new york State Zip Code(Plus 4) Description of Expenditure
NY 10014 web site platform
To Whom Paid
MO DAY YEAR
Act Blue
Mailing Address 366 Summer St 12 3 2021 $ 1:13
City Summerville State Zip Code(Plus 4) Description of Expenditure
MA 02144 transactation fees
To Whom Paid
MO DAY YEAR
vantiv/Worldpay Global
Mailing Address 85000 Governor's Hill Rd 12 9 2021 $ 3.01
City Symes twp State Zip Code(Plus 4) Description of Expenditure
OH 45259 transaction fee
PAGE TOTAL
Enter Grand Total of Expenditures on Page 1, Report Cover Page,Item D.
$ 366.49
1/22/2022 2:51:29 PM