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Home My WebLink AboutCamp Hill Democrats - 2022 30-Day Post-Primary Pennsylvania Department of State ;:`: . Bureau of Campaign Finance&Civic Engagement 21.0 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) YAWN.dos.pa.gov(campaignfinance • ra-stcampaianfinancei?pa.;ov 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. F Nan a of Fi(ing Co mi tee,C4ndid4g,o L:v 6ViSt. __ C P A►,•p t4; 1`�e nAo U S wM „_ Report n Ie Name ._ -��. -j Cycle 1 ❑ Cycle 2 t Cycle 3 ❑ Cycle 4 ❑ Cycle 6th Tuesday 2nd Friday 30 Day 6th Tuesday 2"d Friday Pre-Primary Pre-Primary Post Primary Pre-Election Pre Election ❑ Cycle 6 ❑ Cycle 7 ❑ 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 foregoing is true and correct. ace/IC,/2.0 - Signature o reasurer,Candidate, or Lobbyist Date(DD/MM/YYYY) CAw,r /4;1( jp/i /1454 Printed Name Location (City/State/Country) DSEB-502R Updated 6/24/2020 1 111 • 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) x Name of Filing Committee,Candidate or Lobbyist Camp Hill Democrats Street Address PO Box 1415 City Camp Hill State PA Zip Code 17001 a. Type of Report(Place x under report type) 1-6th Tuesday 2- 2"d Friday 3-30 Day Post 4-6thTuesday 5-2"d 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 Amendment Termination (MM/DD/YYYY) 05/17/2022 2022 Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 5/3/2022 6/6/2022 A.Amount Brought Forward From Last Report $ 5679.76 B.Total Monetary Contributions and Receipts $ (From Schedule 1) 2175.00 C.Total Funds Available n r� (Sum of Lines A and B) 7854.76 J�M d�f�0`oZ D.Total Expenditures $ (From Schedule Ili) 14.98 :1-I 5 • P m E.Ending Cash Balance $ (Subtract Line D from Line C) 7839.78 F.Value of In-Kind Contributions Received $ - (From Schedule II) 24.37 G.Unpaid Debts and Obligations $ (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 ray knowledge and belief true,correct and complete. Sworn to and subscribed before me this day of 20 roi Sig lure of Person Submitting report Kathy Ireland Signature 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 SCHEDULE I Contributions and Receipts Detailed Summary Page Filer Identification Number Camp Hill Democrats Political Committee 11.Unitemized Contributions and Receipts-$50.00 or Less per Contributor I Total for the reporting period (1) $ 75.00 2.Contributions of$50.01 to $250.00(From Part A and Part B) Contributions Received from Political Committees(Part A) $ 0 All Other Contributions(Part B) $ 1750.00 Total for the reporting period (2) $ 1750.00 3.Contributions Over$250.00(From Part C and Part D) Contributions Received from Political Committees(Part C) $ 0 All Other Contributions(Part D) $ 350.00 Total for the reporting period (3) $ 350.00 4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) I Total for the reporting period (4) $ 0 Total Monetary Contributions and Receipts during this reporting period(Add and $ enter amount totals from Boxes 1,1,3 and 4;also enter this amount on Page 1,Report Cover Page,Item B) 2175.00 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 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] $ Barb LaBine 05/20/2022 250.00 House# Street Address Date[MM/DD/YYYY] $ 225 Willow Ave City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] A $ Diana Bermingham 05/22/2022 100.00 House# Street Address Date[MM/DD/YYYY] $ 350 N 24th St City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Elizabeth Reilly 05/05/2022 250.00 House# Street Address Date jMM/DD/YYYY] $ 117 S.17th St City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Ellen Siddons 05/25/2022 100.00 House# Street Address Date[MM/DD/YYYY] $ 3424 Logan St City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Juliet Moringiello 250.00 05/22/2022 House# Street Address Date[MM/DD/YYYY] $ 340 N 24th St City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 Full Name of Contributor Date[MM/DD/YYYY] $ Kristen Shelton 100.00 05/26/2022 House# Street Address Date[MM/DD/YYYY] $ 1908 Lincoln St City State Zip Code Date[MM/DD/YYYY] $ Camp Hill PA 17011 u you .s rert,'+i %o2Z a aoo PARTS t�j-:a ...l l etir'� �j t �� All Other Contributions 1 $50.01 TO$250 Use this Part to itemize all other contributions with an aggregate value from $50.01 TO$250 in the reporting period. (Exclude contributions from political committees reported in Part A.) Filer Identification Number: A Le 4Ni f / /l T Gin.44,4 Full Name of Contributor /YY / Date[MM/DDYY] $ �_ G. ;"DIR �h4es of 125110ZZ.. 5 O House# Street Address Date[MM/DD/YYYY] 3Go /4, 021''1. st City �A�� ;/f State da Zip Code ) ,7 p 1 r Date[MM/DD/YYYY] Full Name of Contributor Date[MM/DD/YY(Y) O,J Mal l;e N1 CC«4d7 05I z3 I loll ).'S House# Street Address Date[MM/DD/YYYY] 31n N. 1.444 s+ City I , M J I,�r Il State e,4 Zip Code /1p`j Date[MM/DD/YYYY] $ l.as r ♦ ` Full Name of Contributor Date[MM/DD/YYYY] $ Na.+414‘i lc. t4 a A G. o5 3 12x2.2. /Go,t" House# 3153 Street Address S y Date[MM/DD/YYYY] $ N. 20'� -i City State Zip Code Date[MM/DDJYYYY] C0.Mp wit PA 1 '7011 Full Name of Contributor I Date[MM/DDJYYYY] to /V;c-kol.,j G;oevia.a ( I Z%2-c2Z l Co. House# 1�� Street Address � Date[MM/DDJYYYY] I"1 i n✓p7'OMf R.pr City ~ State Zip Code Date[MM/DD/YYYY] $ Co,N.p witPA 17D11 r Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State ' Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYYj $ House# Street Address Date[MM/DD/YYYY] City State Zip Code — Date[MM/DD/YYYY] $ I I PART D All Other Contributions Over$250.00 Use this Part to itemize all other contributions with an aggregate value over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C) Filer Identification Number: Camp Hill Democrats Political Commitee Full Name of Contributor Date[MM/DD/YYYY] $ Carl Schultz 100.00 05/11/2022 House# Street Address Date[MM/DD/YYYY] $ 220 N.25th St 250.00 05/23/2022 City State Zip Code Date[MM/DD/YYYYJ $ Camp Hill PA 17011 Employer Name Occupation retired Employer Mailing Address/ Principal Place of Business N/A Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYYJ $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYYJ $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYYJ $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business 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 Filer Identification Number: Camp Hill Democrats Political Committee I1. UNITEM1ZED 1N-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR TOTAL for the reporting period (1) $ 24.37 I2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) TOTAL for the reporting period (2) $ 0 I 3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) j TOTAL for the reporting period (3) $ 0 TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING $ PERIOD(Add and enter amount totals from boxes 1,2,and 3;also enter on Page 1,Report Cover Page,Item F) 24.37 SCHEDULE III Statement of Expenditures Filer Identification Number: Camp Hill Democrats Political Committee To Whom Paid Date[MM/DD/YYYY] $ Square 14.98 multiple House# Street Address Description of Expenditure City State Zip Code online transaction fees To Whom Paid Date[MM/DD/YYYY] $ 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] $ 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] $ 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] $ House# Street Address Description of Expenditure City State Zip Code