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Home My WebLink AboutAlan 4 PA - 2022 30-Day Post-Primary 1;� Pennsylvania Department of State i Bureau of Campaign Finance&Lobbying Disclosure 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 unworn 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 A )b., L/ ,PJ Reporting Cycle Name 0 Cycle 1 0 Cycle 2 Pe Cycle 3 0 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 0 Cycle 6 0 Cycle 7 0 Cycle 8 0 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. J4P B �P DG / if/Si of Treasurer, Candidate, or Lobbyist Date (MM/DD/YYYY) hA P. 8,051►a CA.i p Hill /(A / u5A Printed Name Location (City/State/Country) DSEB-502R Updated 1/5/2022 n '. Pennsylvania Department of State Bureau of Campaign Finance&Civic Engagement 1......17 1, 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. �o� .� 03--/ e Signature of Treasurer, Candidate, or Lobbyist Date (MM/DD/YYYY) 4ze_.,1/ Agiti / c. 71/s,j, xe usx Printed Name Location (City/State/Country) DSEB-502R Updated 1/5/2022 PAGE 1 Commonwealth of Pennsylvania Campaign Finance Report • (NOTE:This report must be clear and legible. It may be typed or printed In blue or black ink.) ass Filer Identification 20220285 Report CANDIDATE COMMITTEE ,,/ LOBBYIST Number: Filed By: Name of Filing Committee,Candidate or Lobbyist: ALAN 4 PA Street Address: 528 N BEDFORD ST City: CARLISLE State: PA J Zip Code: 17013 TYPE OF 6TH TUESDAY 1. 2ND FRIDAY PRE- 2. 30 DAY POST- 3.X AMENDMENT Yes No REPORT PRE-PRIMARY PRIMARY PRIMARY REPORT? X to 6TH TUESDAY 4. 2ND FRIDAY PRE- 5. 30 DAY POST- 6. TERMINATION Yes ' No Vel (placePRE-ELECTION ELECTION ELECTION REPORT? the right of report type) ANNUAL REPORT 7. Year 2022 FILING METHOD PAPER DISKETTE ( )CHECK ONE " Name of Office Sought by Candidate: DATE OF ELECTION District Office 'Party Code County Number Code Code MO DAY YEAR 199 STH DEM 21 REPRESENTATIVE IN THE GENERAL ASSEMBLY 11 8 2022 (SEE INSTRUCTIONS FOR CODES) Summary of Receipts and MO DAY YEAR MO DAY YEAR FOR OFFICE USE ONLY Expenditures from: 5 3 2022 TO 6 6 2022 C? rs. A.Amount Brought Forward From Last Report $ 317.01 : ^`' c.1 C-- B.Total Monetary Contributions And Receipts(From Schedule I) 1,361.00 1 •+ = C.Total Funds Available(Sum Of Lines A and B) $ 1,678.01 CT) D.Total Expenditures(From Schedule III) $ 259.39 —b E.Ending Cash Balance(Subtract Line D From Line C) $ 1,418.62 G F.Value Of in-Kind Contributions Received(From Schedule II) $ 65.00 —C G.Unpaid Debts And Obligations(From Schedule IV) $ 0.00 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 me um,are to the best of my knowledge and belief,true correct and complete. R p -14 Sworn to and subscribed before me this day of 20 � Signature of P rson Submitting Report John D ( 5A,, Signature Jut^ Printed Name /7 aSoi a. (, y.v4 pD• CO" My Commission Expires r$'?D> Email li yp.3Y17 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 viol any provisions of the act of Lune 3,1937(P.L.1333, No 320)as amended. 44/f �J Sworn to and subscribed before me this `� ' L+`yam �� Signature of Candidatete day of 20 44Gr71 ///,.,,/ 67Udi/e Printed Name Signature CA 6,4 h t2we ( gala)/ !'mom My Commission Expires Email t, 7-03 ,soy- PAY MO DAY YR Area Code Daytime Telephone Number 6/14/2022 3:34:34 PM PAGE 2 SCHEDULE I CONTRIBUTIONS AND RECEIPTS Detailed Summary Page Name of Filing Committee or Candidate Reporting Period ALAN 4 PA From: 5/3/2022 To: 6/6/2022 1.Unitemized Contributions Received-$50.00 or Less Per Contributor TOTAL for the Reporting Period (1) $ 0.00 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) $ 1,361.00 TOTAL for the Reporting Period (2) $ 1,361.00 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) $ 0.00 TOTAL for the Reporting Period (3) $ 0.00 4.Other Receipts,Refunds,Interest Earned,Returned Checks, Etc.(From Part E) TOTAL for the Reporting Period (4) $ 0.00 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 Pagel,Report Cover Page,Item B.) $ 1,361.00 6/14/2022 3:34:34 PM 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 6/14/2022 3:34:34 PM PAGE 4 PART B ALL OTHER CONTRIBUTIONS $50.01 TO $250.00 Use this Part to itemize 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 ALAN 4 PA From: 5/3/2022 To: 6/6/2022 DATE AMOUNT Full Name of Contributor Jonathan Keeler MO DAY YEAR Mailing Address 2182 Gelder Park Dr. $ 100.00 City State Zip Code(Plus 4) 5 31 2022 Hummelstown PA 17036 Full Name of Contributor Lauren Imgrund MO DAY YEAR Mailing Address 1434 W.Trindle Rd. 75.00 City State Zip Code(Plus 4) 5 29 2022 Carlisle PA 17015 Full Name of Contributor Joe Tomkiel MO DAY YEAR Mailing Address 644 Yorkshire Dr. 100.00 City Carlisle State Zip Code(Plus 4) 5 28 2022 PA 17013 Full Name of Contributor Jean Foschi MO DAY YEAR Mailing Address 2195 Brunswick Ave. $ 250.00 City State Zip Code(Plus 4) 5 28 2022 Mechanicsburg PA 17055 Full Name of Contributor Ari Nepon MO DAY YEAR Mailing Address 45 Forest Drive 100.00 City Mechanicsburg State Zip Code(Plus 4) 5 25 2022 PA 17055 6/14/2022 3:34:34 PM • PAGE 5 Full Name of Contributor Matthew Roan MO DAY YEAR Mailing Address 922 Green St. $ 250.00 City State Zip Code(Plus 4) 5 22 2022 Harrisburg PA 17102 Full Name of Contributor Carolyn Yablon MO DAY YEAR $ Mailing Address 113 N. Bradford Ave. 10.00 CI State Zip Code(Plus 4) 5 21 2022 �' West Chester PA 19382 Full Name of Contributor James Stover MO DAY YEAR Mailing Address 186 Robin Rd. $ 75.00 City State Zip Code(Plus 4) 5 16 2022 Newtown PA 18940 Full Name of Contributor Debbie Palmer MO DAY YEAR Mailing Address 2671 Ritner Highway $ 75.00 CitY State Zip Code(Plus 4) 5 15 2022 Carlisle PA 17015 Full Name of Contributor Lisa Budwig - MO DAY YEAR • Mailing Address 1025A Walnut St. $ 25.00 Ci State Zip Code(Plus 4) 5 4 2022 N Lemoyne PA 17043 Full Name of Contributor Virginia Tanzmann MO DAY YEAR Mailing Address 371 Arroyo Terrace $ 100.00 City Pasadena State Zip Code(Plus 4) 5 14 2022 CA 91103 6/14/2022 3:34:34 PM PAGE 6 Full Name of Contributor Barbara Pearce MO DAY YEAR Mailing Address 171 Brindle Rd. $ 30.00 CityState Zip Code(Plus 4) 5 6 2022 Mechanicsburg PA 17055 Full Name of Contributor Barbara Pearce MO DAY YEAR Mailing Address 171 Brindle Rd. $ 21.00 Ci State Zip Code(Plus 4) 5 28 2022 Mechanicsburg PA 17055 Full Name of Contributor Paula Bussard MO DAY YEAR Mailing Address 99 E. Yellow Breeches Rd. $ 50.00 City State Zip Code(Plus 4) 5 4 2022 Carlisle PA 17015 Full Name of Contributor MO DAY YEAR Thomas DeWall Mailing Address 330 Acre Drive $ 100.00 CI State Zip Code(Plus 4) 5 5 2022 Carlisle PA 17013 PAGE TOTAL Enter Grand Total of Part A on Schedule I, Detailed Summary Page, Section 2. $ 1,361.00 6/14/2022 3:34:34 PM PAGE 7 PART C 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 6/14/2022 3:34:34 PM 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 From: To: DATE AMOUNT Full Name MO DAY YEAR Mailing Address $ 0.00 City State Zip Code(Plus 4) Receipt Description PAGE TOTAL Enter Grand Total of Part E on Schedule I, Detailed Summary Page,Section 4. $ 0.00 6/14/2022 3:34:34 PM 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 ALAN 4 PA From: 5/3/2022 To: 6/6/2022 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) $ 65.00 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 $ 65.00 amount totals from Boxes 1,2,and 3;also enter on Page 1,Reports Cover Page,Item F.) 6/14/2022 3:34:34 PM PAGE 8 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 From: To: DATE AMOUNT Full Name of Contributor MO DAY YEAR Mailing Address $ 0.00 City State Zip Code(Plus 4) Employer Name Occupation Employer Mailing Address/Principal Place of City State Zip Code(Plus 4) Business PAGE TOTAL Enter Grand Total of Part C on Schedule I, Detailed Summary Page,Section 3. 0.00 6/14/2022 3:34:34 PM 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 ALAN 4 PA From: 5/3/2022 To: 6/6/2022 DATE AMOUNT Full Name of Contributor John D. Bosha MO DAY YEAR Mailing Address 5 GALE CIR $ 65.00 5 20 2022 City CAMP HILL State Zip Code(Plus 4) PA 17011 Description of Contribution: lunch meeting Enter Grand Total of Part F on Schedule II,In-Kind Contributions Detailed Summary Page, PAGE TOTAL Section 2. 65.00 6/14/2022 3:34:34 PM 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 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 6/14/2022 3:34:34 PM PAGE 13 SCHEDULE III STATEMENT OF EXPENDITURES Name of Filing Committee or Candidate Reporting Period ALAN 4 PA From 5/3/202Z To: 6/6/2022 DATE AMOUNT To Whom Paid ActBlue MO DAY YEAR Mailing Address 366 Summer St. 5 4 2022 $ 4.51 City Somerville State Zip Code(Plus 4) Description of Expenditure MA 02144 monthly service charge To Whom Paid MO DAY ;YEAR ActBlue Mailing Address 366 Summer St. 5 10 2022 $ 9.11 City Somerville State Zip Code(Plus 4) Description of Expenditure MA 02144 service charge To Whom Paid ActBlue MO DAY YEAR Mailing Address 366 Summer St. 6 3 2022 $ 19.99 City Somerville State Zip Code(Plus 4) Description of Expenditure MA 02144 monthly service charge To Whom Paid Keystone Buttoneer MO DAY YEAR Mailing Address 219 Briggs St. 5 9 2022 $ 66.78 City Harrisburg State Zip Code(Plus 4) Description of Expenditure PA 17102 campaign buttons To Whom Paid Dr. Don's Buttons MO DAY YEAR Mailing Address 3906 W. Morrow Dr. 5 24 2022 $ 159.00 City Glendale State Zip Code(Plus 4) Description of Expenditure AZ 85308 union-printed flyers PAGE TOTAL Enter Grand Total of Expenditures on Page 1, Report Cover Page,Item D. $ 259.39 6/14/2022 3:34:34 PM