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HomeMy WebLinkAboutUpper Allen Mech. Democratic Club - 2022 2nd Friday Pre-Primary ofPennsylvania 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-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 /,44'i 141 acres% C�uh Reporting Cycle Name ❑ Cycle 1 Cycle 2 ❑ Cycle 3 ❑ Cycle 4 ❑ Cycle 5 6th Tuesday 2"d Friday 30 Day 6th Tuesday 2"d Friday Pre-Primary Pre-Primary Post Primary Pre-Election Pre Election ❑ Cycle 6 ❑ 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 accompanying Campaign Finance Report is true and correct. • Signature of Treasurer,Candidate, or Lobbyist Date (D /MM/YYYY) 1,-r.whi /116,10))ciiiiO4/14,Sii" Printed Name Location (City tate/Country) DSEB-502R Updated 1/22/2021 . . ir Pennsylvania Department of State Bureau of Campaign Finance&Civic Engagement 210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) - - . wvww.dos.pa.gov/campaignfinance • ra-stcampaignfinance@pa.gov Part ll-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. Signature of Treasurer, Candidate, or Lobbyist Date (DD/MM/YYYY) Printed Name Location (City/State/Country) DSEB-502R Updated 1/22/2021 Commonwealth of Pennsylvania 11111111I11111111'111111I11I1I111I11I Campaign Finance Report 367591 (NOTE:This report must be clear and legible. It may be typed or printed in blue or black ink.) Filer Identification 20190208 Report CANDIDATE COMMI?3`EE , ` 'ItiNO Number: Filed By: Name of Finny Committee,Candidate or'Lobbyist: UPPER ALLEN MECHANICSBURG'DENIOCRA11L CLUB Street Address: 2138 CANTERBURY DRIVE City: MECHANICSBURG State: PA ZIP Code: 17055-5767 TYPE OF 6'IH'i$JESAAV 1. 2tVf5 PAIQAy"kE:` 2.X 36 13A/ � � PC35fi 3. AMENDMENT :Yes No REPORT PRE-PIUMARY PRIMARY PRIMARY REPORT? TTff Tt)ESt 4. 24./E1 VRIOA'"l S. 3(i OA POtaT. 6. TERMINATIONS Yes No 111. (Place.X.toCgTiN' n'QN E =.' - ,' the right of _` report type) ANNUAL REPORT 7. Year 2022 FILING ME'fihOO i �s PAPER ': DISKETTE ` . ( ) ONE . DATE OF ELECTION District Office Party Code County Name of Office Sought by Candidate: Number Code _ Code 'NO , ,OM( -- YCtAIt 9 DEM 21 11 8 2022 (}SEE INSTRUCTIONS FOR CODES) Summary of Receipts and "-Y e ` ` -Site 4 Zr "` )AY x '°; 77 C t .Y Expenditures from: - 1 - 1 2022 TO 5 2 2022 ` r. A.Amount Brought Forward From Last Report r r_.. B.Total Monetary Contributions And Receipts(From Schedule I) $ 1,815.27 '' - 1..�C.Total Funds Available(Sum Of Lines A and B) $ 3,995.58 _ I kL3 D.Total Expenditures(From Schedule III) 474.03 L+ , l7 =.. . E.Ending Cash Balance(Subtract Line D From Line C) S 3,521.55 F.Value Of In-Kind Contributions Received(From Schedule II) 5.20 -< CA.) G.Unpaid Debts And Obligations(From Schedule IV) $ 0.00 AFFIDAVIT SECTION emiT I(}.it thia.is a Co m ittee licit;tt asurari t!item:If-We iise C andidatb Murry candidate Sign iteas"a. ,, . I swear(or affirm)that this report,Including the attached schedules filed on paper or by electronic medium,a to the my wledge and belief,true correct and complete. el h&L"py Sworn to end subscribed before me this Signature o awn Sitting Report day of 20 4 / /omeY Signature fir✓PeIfb b eN aj mr7!'I f Co M 1 My Commission Expires 7/ / Email J MO DAY YR Area Code �h Daytime Telephone Number Part II-If this is a report of a candidate's authorised Vommittee Candidate shall alga 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 emended. Sworn to and subscribed before me this Signature of Candidate day of 20 Printed Name Signature My Commission Expires Email MO DAY YR Area Code Daytime Telephone Number • PAGE 2 SCHEDULE I CONTRIBUTIONS AND RECEIPTS Detailed Summary Page Name of Filing Committee or Candidate Reporting Period UPPER ALLEN MECHANICSBURG DEMOCRATIC CLUB From: 1/1/2022 To: 5/2/2022 1.Unitemized Contributions Received-$50.00 or Less Per Contributor TOTAL for the Reporting Period (1) $ 895.00 2.Contributions Received.- $.50:01 To$250.00(From Part A and.Part B) Contributions Received From Political Committees(Part A) $ 0.00 All Other Contributions (Part B) $ 320.00 TOTAL for the Reporting Period (2) $ 320.00 3.Contributions Received Over$250.00(From Part C and Part D), Contributions Received From Political Committees(Part C) $ 0.00 All Other Contributions (Part D) $ 600.00 TOTAL for the Reporting Period (3) $ 600.00 4,Other Receipts,Refunds,Interest_Earned,Returned Checks, .Etc.(From Part E) TOTAL for the Reporting Period (4) $ 0.27 Total Monetary Contributions and Receipts During this Reporting Period(Add and enter amount 1,815.27 totals from Boxes 1,2,3 and 4;also enter this amount on Pagel,Report Cover Page,Item B.) 5/5/2022 7:14:33 AM PAGE 3 PART A CONTRIBUTIONS RECEIVED FROM POLITICAL COMMITTEES $50.01 TO $250.00 Use this Part to itemize only contributions received from political committees with an aggregate value from $50.01 to $250.00 in the reporting period. Name of Filing Committee or Candidate Reporting Period - From: To: DATE AMOUNT Full Name of Contributing Committee MO DAY YEAR Mailing Address 0.00 City State Zip Code(Plus 4) PAGE TOTAL Enter Grand Total of Part A on Schedule I, Detailed Summary Page,Section 2. $ 0.00 5/5/2022 7:14:33 AM PAGE 4 PART B ALL OTHER CONTRIBUTIONS $50.01 TO $250.00 Use this Part to itemiie all Other-contributions with.an aggregate value from $50.01 to $250.00 in the reporting period. (Exclude contributions from political committees reported in Part A) • Name of Filing Committee or Candidate Reporting Period UPPER ALLEN MECHANICSBURG DEMOCRATIC CLUB From: 1/1/2022 To: 5/2/2022 DATE AMOUNT Full Name of Contributor MO DAY YEAR Kathy Davis Mailing Address 425 W. Main St $ 60.00 City State Zip Code(Plus 4) 1 29 2022 Mechanicsburg PA 17055 Full Name of Contributor MO DAY YEAR Matthew Roan Mailing Address 232 Poplar Ave $ 100.00 City State Zip Code(Plus 4) 3 20 2022 New Cumberland PA 17070 Full Name of Contributor MO DAY YEAR Michelle Babitts Mailing Address 2167 Canterbury Drive $ 60.00 City State Zip Code(Plus 4) 2 21 2022 Mechanicsburg PA 17055 Full Name of Contributor Peter Oyler MO DAY YEAR Mailing Address 2205 Fenwick Ave $ 25.00 Ci State Zip Code(Plus 4) 1 21 2022 ty Mechanicsburg PA 17055 _____ v Full Name of Contributor T MO DAY YEAR Peter Oyler Mailing Address 2205 Fenwick Ave $ 25.00 City State Zip Code(Plus 4) 2 21 2022 Mechanicsburg PA 17055 5/5/2022 7:14:33 AM PAGE 5 Full Name of Contributor Peter DAY YEAR Oyler Mailing Address 2205 Fenwick Ave $ 25.00 City Mechanicsburg State Zip Code(Plus 4) 3 21 2022 PA 17055 Full Name of Contributor Peter Oyler MO DAY . YEAR i 2 Mailing Address 2205 Fenwick Ave $ 25.00 City Mechanicsburg State Zip Code(Plus 4) 4 21 2022 PA 17055 PAGE TOTAL Enter Grand Total of Part A on Schedule I, Detailed Summary Page,Section 2. $ 320.00 5/5/2022 7:14:33 AM PAGE 6 • PARTC • Contributions Received From Political Committees OVER $250.00 Use this Part to itemize only contributions received from Political committees with an aggregate value from Over $250.00 in the reporting period. Name of Filing Committee or Candidate Reporting Period From: To: DATE AMOUNT Full Name of Contributing Committee MO DAY YEAR Mailing Address $ 0.00 City State Zip Code(Plus 4) PAGE TOTAL Enter Grand Total of Part C on Schedule I, Detailed Summary Page,Section 3. $ 0.00 5/5/2022 7:14:33 AM PAGE 7 PART D ALL OTHER CONTRIBUTIONS OVER $250.00 Use this Part to itemize all other contributions with an aggregate value.of-.. .. over $250.00 in the reporting period. (Exclude contributions from political committees reported in Part C.) Name of Filing Committee or Candidate Reporting Period UPPER ALLEN MECHANICSBURG DEMOCRATIC CLUB From: 1/1/2022 To: 5/2/2022 DATE AMOUNT Full Name of Contributor MO. DAY YEAR Sue Milne Mailing 114 East Keller St Address $ 250.00 City State Zip Code(Plus 4) 2 23 2022 Mechanicsburg PA 17055 Employer Name none Occupation not employed Employer Mailing Address/Principal Place of City State Zip Code(Plus 4) Business none none PA 17055 Full Name of Contributor MO DAY . YEAR Sue Milne Mailing 114 East Keller St Address $ 250.00 Ci State Zip Code(Plus 4) 3 27 2022 �' Mechanicsburg PA 17055 Employer Name none Occupation not employed Employer Mailing Address/Principal Place of City State Zip Code(Plus 4) Business none none PA 17055 y Full Name of Contributor MO DAY YEAR Sue Milne Mailing 114 East Keller St Address $ 100.00 City State Zip Code(Plus 4) 4 14 2022 Mechanicsburg PA 17055 Employer Name none Occupation not employed Employer Mailing Address/Principal Place of City State Zip Code(Plus 4) Business none none PA 17055 5/5/2022 7:14:33 AM PAGE 8 PAGE TOTAL Enter Grand Total of Part C on Schedule I, Detailed Summary Page,Section 3. 600.00 5/5/2022 7:14:33 AM PAGE 9 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 UPPER ALLEN MECHANICSBURG DEMOCRATIC CLUB From: 3./1/2022 To: 5/2/2022 DATE AMOUNT Full Name Members 1st Federal Credit Union MO DAY YEAR Mailing Address 4 Market Plaza Way $ 0.13 City State Zip Code(Plus 4) 3 31 2022 Mechanicsburg PA 17055 Receipt Description card swipe rebate • Full Name Members 1st Federal Credit Union MO DAY YEAR Mailing Address 4 Market Plaza Way $ 0.14 City State Zip Code(Plus 4) 4 30 2022 Mechanicsburg PA 17055 Receipt Description card swipe rebate PAGE TOTAL Enter Grand Total of Part E on Schedule I, Detailed Summary Page,Section 4. $ 0.27 5/5/2022 7:14:33 AM PAGE 10 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 UPPER ALLEN MECHANICSBURG DEMOCRATIC CLUB From: 1/1/2022 To: 5/2/2022 1.UNITEMIZED IWKIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR TOTAL for the Reporting Period (1) $ 5.20 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 $ 5.20 amount totals from Boxes 1,2,and 3;also enter on Page 1,Reports Cover Page,Item F.) 5/5/2022 7:14:33 AM PAGE 11 SCHEDULE II PART F IN-KIND CONTRIBUTIONS RECEIVED VALUE OF $50.01 TO $250.00 Name of Filing Committee or Candidate Reporting Period From: To: DATE AMOUNT Full Name of Contributor MO DAY YEAR Mailing Address $ 0.00 City State Zip Code(Plus 4) Description of Contribution: Enter Grand Total of Part F on Schedule II,In-Kind Contributions Detailed Summary Page, PAGE TOTAL Section 2. $ 0.00 5/5/2022 7:14:33 AM PAGE 12 SCHEDULE II PART G IN-KIND CONTRIBUTIONS RECEIVED VALUE OVER $250.00 Name of Filing Committee or Candidate Reporting Period From: To: DATE AMOUNT Full Name of Contributor rt�r MO DAY YEAR Mailing Address $ 0.00 City State Zip Code(Plus 4) Employer of Contributor Occupation Employer Mailing Address/Principal Place of City State Zip Code(Plus Description of Contribution Business 4) Enter Grand Total of Part G on Schedule II, In-Kind Contributions Detailed PAGE TOTAL Summary Page, Section 3. 0.00 5/5/2022 7:14:33 AM .. _ PAGE 13 SCHEDULE III STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period . UPPER ALLEN MECHANICSBURG DEMOCRATIC CLUB From 1/1/2022 To: 5/2/2022 DATE AMOUNT To Whom Paid ' MO DAY YEAR Vantiv eCommerce - Mailing Address 8500 Governors Hill Drive 1 11 2022 $ 3.15 City Symmes Township State Zip Code(Plus 4) Description of Expenditure OH 45249 act blue service fee To Whom Paid MO DAY YEAR Vantiv eCommerce Mailing Address 8500 Governors Hill Drive 2 9 2022 $ 15.51 State Zip Code(Plus 4) City Symmes Township Description of Expenditure OH 45249 act blue service fee To Whom Paid MO DAY YEAR Vantiv eCommerce Mailing Address 8500 Governors Hill Drive 3 9 2022 $ 16.59 City Symmes Township State Zip Code(Plus 4) Description of Expenditure OH 45249 act blue service fee To Whom Paid MO DAY YEAR Vantiv eCommerce Mailing Address 8500 Governors Hill Drive 4 11 2022 $ 16.66 City Symmes Township State Zip Code(Plus 4) Description of Expenditure OH 45249 act blue service fee To Whom Paid MO DAY YEAR ups Store 3763 Mailing Address 275 Cumberland Parkway 1 26 2022 $ 129.32 State Zip Code(Plus 4) City mechanicsburg Description of Expenditure PA 17055 postcards 5/5/2022 7:14:33 AM . PAGE 14 To Whom Paid MO DAY YEAR ups Store 3763 Mailing Address 275 Cumberland Parkway 2 4 2022 $ 58.30 State Zip Code(Plus 4) City Mechanicsburg . Description of Expenditure PA 17055 postcards To Whom Paid MO DAY YEAR Act Blue Mailing Address Act Blue 366 Summer St 2 3 2022 $ 5.71 City Sommerville State Zip Code(Plus 4) Description of Expenditure MA 02144 act blue service fee To Whom Paid MO DAY YEAR Act Blue Mailing Address Act Blue 366 Summer St 3 3 2022 $ 6.23 City Sommerville State Zip Code(Plus 4) Description of Expenditure MA 02144 act blue service fee To Whom Paid MO DAY YEAR Act Blue Mailing Address Act Blue 366 Summer St 4 4 2022 $ 7.73 City Sommerville State Zip Code(Plus 4) Description of Expenditure MA 02144 act blue service fee To Whom Paid MO DAY YEAR. usps Grantham PA Mailing Address 1 south college ave 1 27 2022 $ 200.00 City grantham State Zip Code(Plus 4) Description of Expenditure PA 17027 postcards To Whom Paid MO DAY YEAR staples Mailing Address 128 32nd st 1 26 2022 $ 14.83 City camp hill State Zip Code(Plus 4) Description of Expenditure PA 17011 mailing labels PAGE TOTAL Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. $ 474.03 5/5/2022 7:14:33 AM