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Home My WebLink AboutKaren Mallah for Camp Hill Schools - 2021 Annual Report TrjPennsylvania 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 unsworn 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 w _ 1 Ka Y.1, AAA,'lmA, 4, • H I 1 So)„,co1 s Reporting Cycle Name ❑ Cycle 1 ❑ Cycle 2 ❑ Cycle 3 ❑ Cycle 4 ❑ 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 RI Cycle 7 ❑ Cycle 8 ❑ Cycle 9 30 Day Post-Election Annual Report 2"d 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. _ Vi 101 j 22 Signature of reasur)Candidate, or Lobbyist Date (DD/MM/YYYY) —\> . �. \�� sow C \\ A` ,CI) \ ¶ Printed Name Location (City/State/Country) DSEB-502R Updated 6/24/2020 Tve Pennsylvania 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 Part II-If this form is submitted with a report by a Candidate's Authorized Committee, the candidate must sign here. I declare under penalty of perjury under the law of the Commonwealth of Pennsylvania that the foregoing is true and correct. 0/0/ 20 2� Signature of Treasurer, Candida , or Lobbyist Date (DD/MM/YYYY) /K'afVt bli/t C1 L1-ill �P/;1) , � 1-7- Printed Name Location (City/State/Country) DSEB-502R Updated 6/24/2020 Commonwealth of Pennsylvania PAGE 1 OF 9 . '- •• CAMPAIGN FINANCE REPORT (COVER PAGE) (NOTE: This report must be clear and legible. It may be typed or printed in blue or black ink.) Filer Identification ► Report , 1. Z. 3. Number: Filed By. CANDIDATE COMMITTEE LOBBYIST Name{{of Filing Committee, Candidate or Lobbyist: S 1� c't�^�'e.`n a-\`o.-� or 6...� \\, \\ 5G '- ®6`5 . Street Address: City: State: Zip Code: TYPE OF 6TH TUESDAY 1. 2ND FRIDAY 2. 30 DAY 3' AMENDMENT •YES NO REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY REPORT? '6TH TUESDAY 4. 2ND FRIDAY 5. 30 DAY S' TERMINATION YES NO (place X to PRE-ELECTION PRE-ELECTION POST ELECTION REPORT? the right of ANNUAL 7. YEAR FILING METHOD report type) REPORT PAPER DISKETTE X .�2 ` ( ) CHECK ONE � � Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County Se V'\ (s O L 1 R .cT O 9, MO. DAY YEAR 1 Number Code Code Code C R m c' i-t\r.� s e, ®c� � � v s� R k�-� \` 'a a-0-2 j 1 Ca V\ `D E M a \ t (SEE INSTRUCTIONS FOR CODES) FOR OFFICE USE ONLY MO. DAY YEAR MO. .DAY YEAR Summary of Receipts and Expenditures from: (t oI 4 Da). To (`a, j( 7..\ A. Amount Brought Forward From Last Report $ q. $3 \ C'? r B. Total Monetary Contributions and Receipts (From Schedule I) $ 0 • 1'ra OD 4 C. Total Funds Available (Sum of Lines A and B) $ �"+,l \.a 7:C7 . 3,y .f V D. Total Expenditures (From Schedule III) $ . SO Z E. Ending Cash Balance (Subtract Line D from Line C) $ 35 \ n ._� F. Value of In—Kind Contributions Received (From Schedule II) $ C 1 Co C -7� .0 2 G. Unpaid Debts and Obligations (From Schedule IV) $ 0 • ,ar 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, on paper or computer diskette, are to the best of my knowledge and belief true, correct and complete. Sworn to and subscribed before me this (� l`�\ day of 20 \%-..SS,-YC�x:----V>, .� _`')ogi=ry�•, Signature of Person Submitting Report Signature Printed Name r� My commission expires 1,� 5 1 '. S `• 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 /� Signat e i 2C4At Signature �/`� PrintedNam My commission expires 1 �-1 03.) 2.� 15 M0. DAY YR. IIISSS�✓✓/Areae Daytime Telephone Number Department of State • Bureau of Commissions, Elections and Legislation 303 North Office Building • Harrisburg, PA 17120-0029 • (717) 787-5280 DSEB-502 (7-99) SCHEDULE II PAGE a. OF 1-( 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 q \ Reporting Period V .:k-\c —`4\ Me,...\\ci rl -RC1 ,cQ,,„, �`\ J�10eAs From (l �� 'a \ To ku1.` \�,a- �a 1. UNITEMIZED.IN-KIND CONTRIBUTIONS RECEIVED - VALUE OF $50.00 OR LESS PER CONTRIBUTOR TOTAL for the Reporting Period (1) $ 2. IN-KIND CONTRIBUTIONS RECEIVED, VALUE OF $50.01 TO $250.00 (FROM PART F) TOTAL for the Reporting Period (2) I $ r l-O 5- 3. , IN-KIND CONTRIBUTION RECEIVED - VALUE OVER $250.00 (FROM PART G) • TOTAL for the Reporting Period (3) $ TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING PERIOD (Add and enter amount totals from Boxes 1, 2, $ 7b, o and 3; also enter on Page 1, Report Cover Page, Item F.) • OSEB-502 (7-99) SCHEDULE II PAGE OF y PART F IN-KIND CONTRIBUTIONS RECEIVED VALUE OF $50.01 TO $250.00 Name of Filing Committee` or Candidate � C Reporting Period t V\ C3X 2„Nc\ '� \ �--\\a,h;o`c- Q®-� `''\ '�‘ \ `Ic�n&,. From 11 1/2,3 21 To 12 V31 2 t DATE AMOUNT Full Name of Contributor ., MO,` , DAY.i'? HY.EAR r\Sa„.� c � 1.., a., \rA. 1 C1 a 5 ... .1 $ 1.19.,9 Mailing Address •gjillO. OAY Sa„YEAR. 5 v \\QA. t:_ 11 b a C $ y4 4 to City State Zip Code.(Plus 4) ,;,"'MO..,,,,'< ;DAY '' YEAR'' $ Q.,-01/4,,cr l-;\ ((1 k�l c'�1 — Description of Contribution: ( \Z.-T( ,.,—,cL 12\Lk z\ Pty C 1 ham, e. c) -b , era con'A ci�&--,vct\ . ic _¢-,�. Full Name of Contributor .,7 MO.' '_ .DAY.n :YEAR`, $ Mailing Address :, MO < ..DAY,: YEARN. $ City State Zip Code (Plus 4) . MO DAY,,,; 'YEAR;','' $ Description of Contribution: Full Name of Contributor : MO:.''" DAY; ',,WEAR,,,,, $ Mailing Address .MO. DAY '='"YEAR`--,; . $ City State Zip Code (Plus 4) : MO "r, DAY- YEAR:( $ Description of Contribution: Full Name of Contributor M0. "° DAY,•.'4 xi`YEAR?" $ Mailing Address k` MO:'.z'` , DAY°',' nY.EAR=z $ City State Zip Code (Plus 4) �= MO , is DAY...! YEAR _ $ Description of Contribution: Full Name of Contributor j,c MO.;;z '' OAY xYEAR ,:N $ Mailing Address 'i MO• ', kDAY :?.:'YEARS City State Zip Code (Plus 4) MO., _. ;DAY'.'?' YEAR r $ Description of Contribution: Full Name of Contributor ;i MOs ' DAY,i .YE7AR.. $ Mailing Address r,MO':;. DAY,•; ="YEAR? $ City State Zip Code (Plus 4) -' -MO - DAYt'! :YEAR;z $ Description of Contribution: PAGE TOTAL Enter Grand Total of Part F on Schedule II, In-Kind Contributions Detailed Summary Page, Section 2. $ 6. Ct.); w DSEB-502 (7-99) PAGE ii OF 14 , . SCHEDULE III STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period . \ ej\t\ c: '‘-•- Q.,__ ,:\...,‘, ,. k."\ ... (,.,Thc::)6.\c. From It 1 A 3 21 To I 2\31 To Who Paid ..71 ''':MO. ' . t5A,(''.; YEAR I Amount ca•-icl V`,V- e...C.CI yr)rcle. C-,e— is 9 2 i I $ ..5Ct Mailing Address Description of Expenditure 3L.4+ S rn r1142—"r Qak,- F-e..e..--A--- City State State Zip Code (Plus 4) — To Whom Paid I .. .41.410. ';'.'.::DiA, 7,YEAR.:1 Amount I $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid '.''.M0.. ,,,:4::::0-AY,.,' YEAR',;I Amount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid .; -,Mo. .;,Y,DAY:. : YEAR 1 Amount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid tlfol O.'.;,, ",,IIAY:, -YEAR',1 Amount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid ;,MCI.'<:.-t'.,:;':DAY.,". <,YEAR'1 Amount I $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid ''',M0..-q. t)Ay,.', ',.-YEAR:1 Amount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) To Whom Paid *:!JAW:. . ..•!DAY, , ,fiE AR Al Amount $ Mailing Address Description of Expenditure City State Zip Code (Plus 4) PAGE TOTAL Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. $ , 50 DSEB-502 (7-99)