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HomeMy WebLinkAboutCumberland County Republican Women - 2021 Annual Report Pennsylvania Department of State 9-7T 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 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. _VIDVGCtJge113 Committee, Candidate,®?Lobbyist UtAtt Lcr-/Om cte COuvl.l- ., leaukeetiq 00/44e4) 7 /W'/t/3 Reporting(§09 G ❑ 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 YCycle 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 accompanying Campaign Finance Statement is true and correct. °�/ `Tv Z Wqb Signature of Treasurer, Candidate, or Lobbyist Date (MM/DD/YYYY) iselbedi0 �i' C� '�r Corcii M Arm Printed Name Location (City/State/Country) DSEB-503S Updated 1/5/2022 COMMONWEALTH OF PENNSYLVANIA CAMPAIGN FINANCE STATEMENT File this in lieu of a full report only if aggregate receipts, expenditures, or liabilities incurred each did not exceed $250.00 during the reporting period. FILER IDENTIFICATION ' ,�7 o/ ©�/ /3 REPORT FILED ' CANDIDATE - I" COMMITTEE. ') LOBBYIST 3. NUMBER L L!y(L� ON BEHALF OF /� NAME OF FILING COMMITTEE,CANDIDATE OR LOIipYISnI CUM&It kW 00/1 4 4,1)&/6411 ktjtaWeltj STREET ADDRESS ?$ (e“i( .1 & kt / CITY CPAA4/ I STATE ^ILL r� ZIP CODE 1/ — TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION (CHECK ONE)- / JMO. 1. / U6lJ, / f gYEAR 6TH TUESDAY r / ^ ' `' PRE-PRIMARY FOR OFFICE USE ONLY MO. DAY YEAR MO. DAY YEAR C) - P.... DATES OF CZ 2ND.FRIDAY REPORTING �,// TO // PRE-PRIMARY- PERIOD 0 "�/ • 5/ 2.1 CO 30 DAY 3' POST-PRIMARY. 00- I CASH AT ENDtRE / $ L).5J va. OF REPORTING PERIOD: Q6TH"TUESDAY PRE-ELECTION TOTAL AMOUNT OF FILER'S C'? = 5 OUTSTANDING DEBTS OR LIABILITIES Q C3 2No:#wDAY AT THE END OF REPORTING PERIOD: $ . Cco PRE-ELECTION 21 ---1 — tV 30 DAY POST-ELECTION AMENDMENT YES NO REPORT? )I(( ANNUAL \/ TERMINATION- REPORT >< REPORT? YES NO AFFIDAVIT SECTION PART I- If statement is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here. If statement is filed on behalf of a Candidate,the Candidate must sign here. If statement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here. I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY KNOWLEDGE AND BELT UE, RECT AND COMPLETE. SWORN TO AND SUBSCRIBED BEFORE ME THIS p4e.W�-4--- DAY OF 20 SIGN URE OF PERSON BMITTING REPORT Robe t1-Gfi Gail/es/I, Tr GeG/L_ PRINTED NAME SIGNATURE MY COMMISSION EXPIRES 7 17 7/L l !2-00 MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER PART II- If statement is filed on behalf of a Candidate's Authorized Committee,Candidate must 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 SIGNATURE OF CANDIDATE DAY OF 20 PRINTED NAME SIGNATURE MY COMMISSION EXPIRES AREA CODE DAYTIME TELEPHONE NUMBER MO. DAY YR. Department of State • Bureau of Commissions,Elections and Legislation DSLB-503(12-99) 210 North Office Building • Harrisburg,PA 17120.0029 • (717)787-5280 COMMONWEALTH OF PENNSYLVANIA CAMPAIGN FINANCE STATEMENT File this in lieu of a full report only if aggregate receipts, expenditures, or liabilities incurred each did not exceed $250.00 during the reporting period. FILER NUMBER IDENTIFICATION 10, 01 fo 9 93 ON B REPOREHALF OF T FILED ' CANDIDATE I COMMITTEE. y LOBBYIST 7 NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST a lim,�P,ly'/art.d Dawn Repa Eh'an Wrnteyt STREET ADDRESS zr'l N. ce/fd s t,4 al. CITY STATE ZIP CODE ,ill it i P a"' - TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION (CHECK ONE) RAP• MO. PAY YEAR, ,. /l a 2J -/ `6TH TUESDAY PRE-PRIMARY FOR OFFICE USE ONLY -MO. DAY YEAR MO. DAY YEAR 2ND:FRlDAY 2. DATES OF � � REPORTING /� TO ,�// PRE-PRIMARY PERIOD // �+^ /� / ^�""2 / 30 DAY s. �e� POST-PRIMARY 'TM CASH BALANCE AT END /�L,�J t V CO L 4. OF REPORTING PERIOD: $ ✓✓ " ' r 3," 6TH TUESDAY XI = PRE ELECTION N TOTAL AMOUNT OF FILER'S A 2NoRtbAtr' OUTSTANDING DEBTS OR LIABILITIES ,_� 173 PRE4LE'CTiYN "" AT THE END OF REPORTING PERIOD: $ C) e. 0 30 DAY C CO AMENDMENT POST!ELECTION' YES NO REPORT?i ppp '{ .. 4 ANNUAL _° \/ .-TERMINATION YES NO (REPORT h REPORT? AFFIDAVIT SECTION PART I- If statement is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here. If statement is filed on behalf of a Candidate,the Candidate must sign here. If statement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here. I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR' MENTS OR LIABILITIES INCURRED DURING THE REPORTING Pq1100 INDICATED ABOVE DID NOT EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00) . • T ' '•RT IS,TO THE BEST OF MY KNOWLEDGE AND ELIEF,T CORRECTPLETE. 4, SWORN TO AND SUBSCRIBED BEFORE ME T - .yy *4 4�bo cL N o/( nn ''-- ,, , COS C �.,-.• SIGNA URE O PERSO SUBMITTING/REPORT/ ,7 �/ OAY OF {/�(�1� -00 .".,i.i �4 41 /✓Cal�G/Y/"' SI 'A RE 1 ��_ o" Os °6i�,:i INTED N [ I 2n _ %, { VVVVVV sl'9 MY COMMISSION EXPIRES�G1,,,G1-• /-I !/`✓� ,j6�066j01� �� (Y 36 _ MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER PARTII- If statement is filed on behalf of a Candidate's Authorized Committee, Candidate must 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 SIGNATURE OF CANDIDATE DAY OF 20_ PRINTED NAME SIGNATURE MY COMMISSION EXPIRES AREA CODE DAYTIME TELEPHONE NUMBER MO. DAY YR. Department of State • Bureau of Commissions,Elections and Legislation DS1 B-503(12-99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280 __ -