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HomeMy WebLinkAboutColleen for PA - 2022 2nd Friday Pre-Primary Pennsylvania Department of State Bureau of Campaign Finance&Lobbying Disclosure be 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-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 Colleen for PA Reporting Cycle Name ❑ Cycle 1 IR Cycle 2 0 Cycle 3 ❑ 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 ❑ Cycle 7 ❑ Cycle 8 El 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 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. 05/03/2022 Signature of Treasurer, Candidate, or Lobbyist Date (MM/DD/YYYY) Carol E. Thornton Mechanicsburg, PA, USA Printed Name Location (City/State/Country) DSEB-502R Updated 1/5/2022 TryPennsylvania Department of State Bureau of Campaign Finance&Civic Engagement 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 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 accompanying Campaign Finance Report is true and correct. C05/03/2022 Signature of Treasurer, Candidate, or Lobbyist Date (MM/DD/YYYY) Colleen Gray Nguyen !! n l a , �� T-I L,`)A Printed Name Location (City/State/Country) DSEB-502R Updated 1/5/2022 PAGE 1 Commonwealth of Pennsylvania 1®1I1111111111111®®111I1NI11111 Campaign Finance Report 367421 (NOTE:This report must be clear and legible. It may be typed or printed in blue or black ink.) Filer Identification 20210153 Report CANDIDATE COMMITTEE 1 LOBBYIST Number: Filed By: Name of Filing Committee,Candidate or Lobbyist: COLLEEN FOR PA Street Address: 1750 YORKSHIRE PLACE City: ENOLA State: PA J Zip Code: 17025-2745 TYPE OF 6TH TUESDAY 1. 2ND FRIDAY PRE- 2.X 30 DAY POST- 3. AMENDMENT Yes No y, REPORT PRE-PRIMARY PRIMARY PRIMARY REPORT? (place X to 6TH TUESDAY 4. 2ND FRIDAY PRE- 5. 30 DAY POST- 6. TERMINATION Yes No PRE-ELECTION ELECTION ELECTION REPORT? the right of report type) ANNUAL REPORT 7. Year 2022 FILING METHOD PAPER i DISKETTE ( )CHECK ONE DATE OF ELECTION District Office Party Code County Name of Office Sought by Candidate: Number Code Code MO DAY YEAR DEM 21 11 8 2022 (SEE INSTRUCTIONS FOR CODES) Summary of Receipts and MO DAY YEAR MO DAY YEAR FOR OFFICE USE ONLY Expenditures from: 3 29 2022 TO 5 2 2022 A.Amount Brought Forward From Last Report $ 8,947.03 C __ B.Total Monetary Contributions And Receipts(From Schedule I) $ 0.72 N m 33. C.Total Funds Available(Sum Of Lines A and B) 8,947.75 ;TJ C I— D.Total Expenditures(From Schedule III) $ 2,000.00 › �- CD E.Ending Cash Balance(Subtract Line D From Line C) $ 6,947.75 L-) F.Value Of In-Kind Contributions Received(From Schedule II) $ 0.00 G.Unpaid Debts And Obligations(From Schedule IV) $ 0.00 --I 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 filed on paper or by electronic medium,are jswt of my knowledge and belief,true correct and complete. /(/ '/ Sworn to and subscribed me this l/�r Signature of Person Submitting Report day of 20 aLCI2—L—E. :740 e.+4.1— — ,,,,ryryryry per'(�Jf Printe�dd Na a r� ��j//� y�Sign re 0,fi �n/i( `G/ UA (T!\(�l` ins•x-�(' My Commission E G /-J Email y// �7� /� 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 ny provisions of the act of June 3,1937(P.L.1333, No 320)as amended. Sworn to and subscri• • •, •re me this Signature of Candida l day• 20 Ct -c- -N N tJy Printed Nellie n y�� ignatu CP.12•{n C?►v1Cjv\f ,, goc/f"ield .co, My Commission Expi EmailV l v 11-7 4'37 - -i--7 cz MO . .y YR Area Code Daytime Telephone Number PAGE 2 SCHEDULE I CONTRIBUTIONS AND RECEIPTS Detailed Summary Page Name of Filing Committee or Candidate Reporting Period COLLEEN FOR PA From: 3/29/2022 To: 5/2/2022 1:�Jriitem(zed Contri6utionsfRecelved ;�50:"00_orrless?Per Contributor:' TOTAL for the Reporting Period (1) $ 0.00 2.COntrlbUtions Received=`$50 OPTo•$250:00'(From aW0.0.Part B) by ; h fi' s ; Contributions Received From Political Committees(Part A) $ 0.00 All Other Contributions (Part B) $ 0.00 TOTAL for the Reporting Period (2) $ 0.00 • 3 Con'tr'ibutions�Receivedl Over'$250"00)(From7Part C anBiPartfiD)A , Contributions Received From Political Committees(Part C) $ 0.00 AU Other Contributions (Part D) $ 0.00 TOTAL for the Reporting Period (3) $ 0.00 4.Other Receipts,Refunds,.Interest."Earned i eturned'Checks,�iEtCSFromOPart`E)R r ,,TT;;: TOTAL for the Reporting Period (4) $ 0.72 Total Monetary Contributions and Receipts During this Reporting Period(Add and enter amount $ 0.72 totals from Boxes 1,2,3 and 4;also enter this amount on Pagel,Report Cover Page,Item B.) 5/3/2022 8:04:28 AM PAGE 7 PART E OTHER RECEIPTS REFUNDS, INTEREST INCOME, RETURNED CHECKS, ETC. Use this Part to report refunds received, interest earned, returned checks and prior expenditures that were returned to the filer. Name of Filing Committee or Candidate Reporting Period COLLEEN FOR PA From: 3/29/2022 To: 5/2/2022 DATE AMOUNT Full Name Members 1st Federal Credit Union MO DAY YEAR Mailing Address 5000 Marketplace Way $ 0.34 City State Zip Code(Plus 4) 4 30 2022 Enola PA 17025 Receipt Description Dividend Full Name Members 1st Federal Credit Union MO DAY YEAR Mailing Address 5000 Marketplace Way $ 0.38 State Zip Code(Plus 4) City Enola 3 31 2022 PA 17025 Receipt Description Dividend PAGE TOTAL Enter Grand Total of Part E on Schedule I,Detailed Summary Page,Section 4. 0.72 5/3/2022 8:04:28 AM PAGE 8 SCHEDULE II 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 Reporting Period COLLEEN FOR PA From: 3/22/2022 To: 5/2/2022, 1.UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR TOTAL for the Reporting Period (1) $ 0.00 2.IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) TOTAL for the Reporting Period (2) $ 0.00 3.IN-KIND CONTRIBUTION RECIEVED-VALUE OVER$250.00(FROM PART G) TOTAL for the Reporting Period (3) $ 0.00 TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING PERIOD(Add and enter $ 0.00 amount totals from Boxes 1,2,and 3;also enter on Page 1,Reports Cover Page,Item F.) 5/3/2022 8:04:28 AM PAGE 11 SCHEDULE III STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period COLLEEN FOR PA From 3/29/2022 To: 5/2/2022 DATE AMOUNT To Whom Paid MO DAY YEAR Friends of Izzy Mailing Address P.O. Box 178 4 26 2022 S 1,000.00 City Lancaster State Zip Code(Plus 4) Description of Expenditure PA 17608 Donation To Whom Paid MO DAY YEAR Friends of Sara Agerton Mailing Address 52 West Simpson Street 4 4 2022 S 1,000.00 State Zip Code(Plus 4) Description of Expenditure City Mechanicsburg PA 17055 Donation PAGE TOTAL Enter Grand Total of Expenditures on Page 1,Report Cover Page,Item D. 2,000.00 5/3/2022 8:04:28 AM