The URL can be used to link to this page

Home My WebLink AboutCamp Hill Democrats - 2022 2nd Friday Pre-Primary -� 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.eov/campaignfinance • ra-stcampaignfinance@pa.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 _ Cl,v > l/ 0 raj- Garmommrrnmismimanaminammom ❑ Cycle 1 14 Cycle 2 0 Cycle 3 0 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 ❑ Cycle 7 0 Cycle 8 ❑ 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 foregoing is true and correct. Signatur o f Treasurer,Candidate,or Lobbyist Date(DD/MM/YYYY) H-l.'11 IPA 11,154 7Printed Name Location (City/State/Country) DSEB-502R Updated 6/24/2020 thu Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) Filer Identification Report Filed By Candidate Committee ` Lobbyist Number (Mark X) n Name of Filing Committee,Candidate or Lobbyist Camp Hill Democrats Street Address PO Box 1415 City Camp Hill State PA Zip Code 17001 Type of Report(Place x under report type) 1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6thTuesday 5-2"d Friday 6-30 Day Post 7-Annual Special 2n°Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election x Date Of Election Year Amendment Termination (MM/DD/YYYY) 05/17/2022 2022 Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 03/29/2022 05/02/2022 A.Amount Brought Forward From Last Report $ 5179.61 C.) r.: B.Total Monetary Contributions and Receipts $ t--- (From Schedule I) 7g0.00 r� C.Total Funds Available m Tx- (Sum of Lines A and B) 5959.61 r-- I D.Total Expenditures $ )73.0 (From Schedule III) 279.g5 E.Ending Cash Balance $ "0 5679.76 C -^' (Subtract Line D from Line C) C F.Value of In-Kind Contributions Received $ (From Schedule II) 50.75 CZ G.Unpaid Debts and Obligations $ -< FV (From Schedule IV) 0 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 , day of 20, ' I q r:y r__L. Sig ure of Person Submitting report Kathy Ireland Signature r i Printed Name My Commission expires 717 773-5700 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 • Signature of Candidate Signature Printed Name My Commission expires MO. DAY YR. Area Code Daytime Telephone Number 1 - — _ SCHEDULE I Contributions and Receipts Detailed Summary Page 1 Filer Identification Number I Camp Hill Democrats Political Committee I 1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor I Total for the reporting period (1) ' $ • 130.00 I2.Contributions of$50.01 to $250.00(From I Part A and Part 8) Contributions Received from Political Committees(Part A) $ 0 All Other Contributions(Part B) $ 650.00 Total for the reporting period (2) $ 650.00 3.Contributions Over$250.00(From Part C and Part D) I Contributions Received from Political Committees(Part C) $ 0 All Other Contributions(Part D) $ 0 Total for the reporting period (3) $ 0 I4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) Total for the reporting period (4) $ 0 Total Monetary Contributions and Receipts during this reporting period(Add and $ enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report 780.00 Cover Page,Item B) PART B All Other Contributions $50.01 TO$250 Use this Part to itemize all other contributions with an aggregate value from $50.01 TO$250 in the reporting po g period. (Exclude contributions from political committees reported in Part A.) Filer Identification Number: Camp Hill Democrats Political Committee Full Name of Contributor Date[MM/DD/YYYY] $ Linda Roberts 04/19/2022 150.00 House# Street Address Date[MM/DD/YYYY] $ 215 N.23rd St City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Katharine Ireland 04/20/2022 250.00 House# Street Address Date[MM/DD/YYYY] $ 845 Wynnewood Rd City State Zip Code Date[MM/DD/YYYYJ $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Thomas Fink 04/28/2022 250.00 House# Street Address Date[MM/DD/YYYY1 $ 514 Benton Rd City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYYJ $ Full Name of Contributor Date[MM/DD/YYYYJ $ • House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date(MM/DD/YYYY1 $ Full Name of Contributor A Date[MM/DD/YYYYj $ House# Street Address Date[MM/DD/YYYYJ $ City State Zip Code Date[MM/DD/YYYY] $ SCHEDULE II PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 J Filer Identification Number: Camp Hill Democrats Political Committee I Full Name of Contributor Date[MM/DD/YYYY] $ Kristen Acrl 04/09/2022 50.75 House# Street Address Date[MM/DD/YYYY] $ 1709 Lincoln St City State Zip Code Date[MM/DD/YYYYJ $ ' Camp Hill PA 17011 Description of Contribution calendar app for website,1 year subscription Full Name of Contributor Date[MM/DD/YYYYJ $ House# Street Address Date[MM/DD/YYYYj $ City State Zip Code Date[MM/DD/YYYY] $ Description of Contribution Full Name of Contributor Date[MM/DD/YYYYJ •$ House# Street Address Date[MM/DD/YYYYJ $ City State Zip Code Date[MM/DD/YYYY] $ Description of Contribution Full Name of Contributor Date[MM/DD/YYYYJ $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Description of Contribution Full Name of Contributor Date[MM/DD/YYYYJ $ House# Street Address Date[MM/DD/YYYYj $ City State Zip Code Date[MM/DD/YYYYJ $ Description of Contribution SCHEDULE II PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 J Filer Identification Number: Camp Hill Democrats Political Committee Full Name of Contributor Date[MM/DD/YYYY] $ Kristen Acrl 04/09/2O22 50.75 House# Street Address Date[MM/DD/YYYY] $ 1709 Lincoln St City State Zip Code Date[MM/DD/YYYY] $ ' Camp Hill PA 17011 Description of Contribution calendar app for website,1 year subscription Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Description of Contribution Full Name of Contributor Date[MM/DD/YYYYj •$ House# Street Address Date(MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Description of Contribution Full Name of Contributor Date[MM/DD/YYYYj $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Description of Contribution Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Description of Contribution SCHEDULE III . Statement of Expenditures Filer Identification Number: Camp Hill Democrats Political Committee f' To Whom Paid Date[MM/DD/YYYY] $ PNC bank 15.00 04/01/2022 House# Street Address Description of Expenditure 110 S.32nd St City State Zip Camp Hill PA Code 17011 service fee To Whom Paid Date[MM/DD/YYYYJ $ Camp Hill US Post Office ' 83.00 04/20/2022 House# Street Address Description of Expenditure - 1675 Camp Hill Bypass City State Zip Camp Hill PA Code 17011 Post Office box rental,6 months To Whom Paid Date[MM/DD/YYYYJ $ Egoditor GmbH 172.42 04/25/2022 House# Street Address Description of Expenditure 13 Am Lenkwerk City State Zip Bielefeld,Germany Code 33609 QR code renewal,1 year To Whom Paid Date[MM/DD/YYYYI $ PNC bank 5.17 04/26/2022 House# Street Address Description of Expenditure 110 S.32nd St City State Zip Camp Hill PA Code 17011 service fee To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYYj $ 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/YYYYj $ House# Street Address Description of Expenditure City State Zip Code