HomeMy WebLinkAboutFoschi, Jean - 2022 6th Tuesday Pre-Primary Pennsylvania Department of State
Bureau of Campaign Finance&Lobbying Disclosure
Irill
vial
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 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-545)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
Je_&_y- F ScJ-L
Reporting Cycle Name
L 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
0 Cycle 6 0 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.
4r �fG--: ��� d//45"�70 7-�
re of Treasurer, Candidate, or Lobbyist Date (MM/DD/YYYY)
S-e-C.,_ -1-1)S6k, -
k. iqecke-itA:esbil , Piet 044
Printed Name Location (City/State/Country)
DSEB-502R
Updated 1/5/2022
fI1 I UI OUL I UI III s Belt 1 vim
Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be clear and legible.It should be typed)
Filer Identification Report Filed By - Candidate X Committee Lobbyist
Number (Mark))
Name of Filing Committee,Candidate or Jean Foschi
Lobbyist
Street Address 2195 Brunswick Avenue ,
City Mechanicsburg State pA Zip Code 17055
Type of Report(Place x under report type)
1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday 5-2nd Friday 6-30 Day Post 7-Annual Special 2"°Friday Special 30 Day
Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election
X '
Date Of Election Year 2022 Amendment Termination
(MM/DDIYYYY) Report Report
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
) 'I'i/ZA ZZ- 3/Z-f/Za2Z
A.Amount Brought Forward rom Last Report S
B.Total Monetary Contributions and Receipts S C) r.:.
(From Schedule I) t= N
C.Total Funds Available. $ CD .�o
(Sum of Lines A and B)
M —o
D.Total Expenditures S 1 '
(From Schedule III) 9/0 o v cn
E.Ending Cash Balance S o .
(Subtract Line D from Line C) -
O
F.Value of In-Kind Contributions Received S C S
(From Schedule II) Ol •- r
G.Unpaid Debts and Obligations S -G N.)
(From Schedule IV) Or - ,
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 knowledge and belief true,correct and complete.
Sworn to and subscribed before me this 1
day of 20 ' �.` � I
F6'
� 1 ,, �, r-of Pers.rI, 1`r. I ep y,
Signature Printed Name
My Commission expires S? 3 3
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 •
7-------_, ---"1
Signature of Candidate ,
Signature Printed Name
My Commission expires
MO. DAY YR. Area Code Daytime Telephone Number
SCHEDULE III
Statement of Expenditures
Filer identification Number:
To Whom Paid / f' Date[MM/DD/YYYY] $
V Ci{AtiCOOSk -(0 f a• S• Seivc,tt - o//Ze/.w Zv /0 • vim'
House# Street Address (,C) . Description of Expenditure
City Zip
Nd 1-6 (yet— State A Code /4 70I/ e�,..pecj— Sbals '-_.
To Whom Paid I Date[MM/DD/YYYY] $
�l 6"kt s 0 14(ASi-b— rn L'tit
S OZl oSh2a22- /Cb• ("4
House# No .) Street Address ajas • ct L Dpeription of E ditur
City State Zip
!'icke6p14F PA- Code /5f 3 a-
To Whom Paid �, Date[MM/DD/YYYY] S
-Ct d& Ot COP/.e./k--? / S/ 2 0 2-2 Z
House# Street Address Description of ExpendiUx .0_,(10--
ry
City S e Zip U
L ea_I S te_ rA ��Code /
To Whom Paid �. Date[MM/DD/YYYY] 8
�n ItndS 18 Star,- 4jet_745-v---- doz / /1/702.2 ZSZ , '
House# Street Address De}gription of Expendit
54 GJ, c1 rhpsp- S(- 4 L`eui.6,,. - rKahe1--)
City State Zip
get to Oht. U PA Code /`?0 5 S
To Whom Paid Date[MM/DD/YYYYJ S
House# *do
Street Address 64 / Description of Expenditure
City State r�t 1Zip
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n(ef/ `,[Slj, _ A Code /`7D$?) �. -iOZ�
To Whom Paid CJ Date[M D YYY] E
House# Street Address Description of Expenditure
City State Zip -
Code
To Whom Paid Date[MM/DD/YYYY] $
House# Street Address Description of Expenditure
City State Zip `
Code
To Whom Paid Date[MM/DD/YYYY] 8
House# Street Address Description of Expenditure
City State Zip
Code