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HomeMy WebLinkAboutFriends to Elect Morrow - 2021 Annual Report Pennsylvania Department of State Bureau of Campaign Finance&Lobbying Disclosure 500 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) www.dos.pa.gov/carnpaignfinance • ra-stcarnpaignfinance@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. mam"NamLof 1 i ing e; n id ate; or b. st N f''e id$ 4 E1 eC.-/- M0r ro w Repoili RytteitNarre a - ° 2 a ❑ 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 ❑ Cycle 6 14 Cycle 7 ❑ 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 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 accompanying Campaign Finance Statement is true and correct. (A ji , i i ii i foomph,_ /2-0 t I .' � ,f, �� Si natu - o reasurer, Candi ate, or Lobbyist a, .. " 'Date=(M'M/bD/YYYY) 1M I diClt I ‘I i bp.O i;;;Irietki ',00,1iFiard CA , (SA i 1 Printed Name Location (City/State/Country) DSEB-503S Updated 1/5/2022 Pennsylvania Department of State Bureau of Campaign Finance&Lobbying Disclosure 500 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) www.dos.pa,gov/campaignfinance • ra-stcampaignfinance@pa.gov Part II - If this is submitted with a statement in lieu of full report by a Candidate's Authorized Committee, candidate sign here. I declare under penalty of perjury under the law of the Commonwealth of Pennsylvania t t the accompanying Campaign Finance Statement is true and correct. bh 9 NiLwz //01)-14%.1 Signature of Candidate Date (DD/MM/YYYY)cp;.(t vt Cu Le( /�--0d PA- Printed��5 �. �© r�® /dew Name Location (City/State/Country) DSEB-5035 Updated 1/5/2022 Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) Filer Identification p Q / 1 Report Filed By Candidate Committee v Lobbyist Number —a/7-7 ci, .0 (Mark X) Name of Filing Committee,Candidate or , �� -diLobbyistLt ,esF11/V Q Street Address ,5/3 CG- City , ' /�„` 1q_/j State p14 Zip Code / 7O 70 Type of Report(Place x under report type,)//(/ / l7 v 1-6th Tuesday 2- 2nd Friday 3-30 Day Post14-6thTuesday 5-2n4 Friday 6-30 Day Post 7-Annual Special 2nd Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election >( Date Of Election Year Amendment Termination (MM/DD/YYYY) Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures — — ///200.21 .. . A.Amount Brought Forward From Last Report $ J2)�9. r"n B.Total Monetary Contributions and Receipts $ J (`) (From Schedule I) _-0 = C.Total Funds Available $ L. (Sum of Lines A and B) 5o 29.57 73 D.Total Expenditures $ I— ›„, (From Schedule III) -- -- Cl E.Ending Cash Balance $ C; • ,X. (Subtract Line D from Line C) 3oZ 9,.59 C $ • = F.Value of In-Kind Contributions Received �• (From Schedule II) 0 G.Unpaid Debts and Obligations $ •-‹ • Cn (From Schedule IV) - --Q_,,„ 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.nowl•dge and belief true,correct and complete. Sworn to and subscribed before me this ,, I �'� // day of 20 I . r 11-= === I /�` nat, ersoi�3L�iiijt report Signature 1 /r , Printed Name h My Commission expires "1,I'/ - ripcbbb 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 violated any pr isions of the Act of June 3,1937(P.L.1333,N0.320)as amended. • Sworn to and subscribed before me this A 1 i 11111War: 7 day of 20 • Signature ' I� S:nature andid to bb1l1, lip tI "' I Printed Name • My Commission expires `3 91)- iS a 5513 M0. DAY YR. Area Code Daytime Telephone Number