HomeMy WebLinkAboutClancy for Rep - 2022 30-Day Post-Primary Pennsylvania Department of State
Bureau of Campaign Finance& Lobbying Disclosure
500 North Office Building,Harrisburg, PA 17120 • 717.787.5280(Option 4)
• Gill 1"ighil(1
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 (farm 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 LOblayid
Clancy for Rep
Reporting Cycle Name
Cl Cycle 1 El Cycle 2 ® Cycle 3 ❑ Cycle 4 Li Cycle 5
6`h Tuesday 2'Friday 30 Day 6'Tuesday 2'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"`'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.
/ 1 . 6dt, June 16, 2022
Signature of Treasurer, Candidate, or Lobbyist Date (MM/DD/YYYY)
Paul D Fisher East Pennsboro, PA
Printed Name Location (City/State/Country)
DSEB-502R
•
Updated 1/5/2022
, Pennsylvania Department of State
Bureau of Campaign Finance&Civic Engagement
r ssOr SOO North Office Building, Harrisburg,PA 17120 • 717.787,5280(Option 4)
• ,
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.
---
/-- 06/1 6/2022
Signature of Treasurer, Candidate, or Lobbyist Date (MM/DD/YYYY)
Eric R Clancy East Pennsboro, PA
Printed Name Location (City/State/Country)
USE B-502R
Updated 1/5/2022
PAGE 1
•
Commonwealth of Pennsylvania IIIMIIIIIIIIIMMIIfIlinI IIIIiElll
Campaign Finance Report 371510
(NOTE: This report must be clear and legible. it may be typed or printed in blue or black ink.)
Filer Identification 20220116 I Report CANDIDATE COMMITTEE ✓ LOBBYIST
Number: Filed By :
Name of Filing Committee,Candidate or Lobbyist: CLANCY FOR REP
Street Address: 225 GRANO VIEW AVE, SUITE 301
City: CAMP HILL State: PA Zip Code: 17011
TYPE OF 6TH TUESDAY 1. 2ND FRIDAY PRE- 2. 30 DAY POST- 3.X AMENDMENT Yes No
REPORT PRE-PRIMARY PRIMARY PRIMARY REPORT?
6TH TUESDAY 4. 2ND FRIDAY PRE- 5. 30 DAY POST- 6. TERMINATION Yes No yf
(place X to PRE-ELECTION ELECTION ELECTION REPORT?
the right of
report type) ANNUAL REPORT 7. Year 2022 FILING METHOD PAPER 1 DISKETTE
( )CHECK ONE
Name of Office Sought by Candidate: DATE OF ELECTION District office Party Code County
Number Code Code
MO DAY YEAR 87 S11( REP 21
REPRESENTATIVE IN THE GENERAL ASSEMBLY
11 8 2022 (SEE INSTRUCTIONS FOR CODES)
DAY YEAR MO DAY YEAR FOR OFFICE USE ONLY
Summary of Receipts and MO
Expenditures from: 5 3 2022 TO
6 6 2022
A.Amount Brought Forward From Last Report $ 13,979.77
B.Total Monetary Contributions And Receipts(From Schedule I) $ 23,188.40 J L(-,/ 3E I( , ,2o.:
C.Total Funds Available(Sum Of Lines A and B) 37,168.17 10 -ILI AAA
D.Total Expenditures(From Schedule III) $ 29,105.13
E.Ending Cash Balance(Subtract Line D From Line C) $ 8,063.04
F.Value Of In-Kind Contributions Received(From Schedule II) $ 0.00
G. Unpaid Debts And Obligations(From Schedule IV) $ 52,472.00
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 medium,are to the best of my knowledge and belief,true
correct and complete. n 6
Sworn to and subscribed before me this (N Signature of Person Submitting Report
day of 20
t-#ii D. 657-fr w
Signature Printed Name
Si
9 p745i (@(p.)Jae. Lort,
My Commission Expires /1 1 Email 74,1_7•A/0
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
Signature of Candidate
day of 20 �(
Printed Name
Signature C�G�i�G�IGi �l trlQ „��✓\'
My Commission Expires �-:1( Email
17- 9 It -Ct050
MO DAY YR Area Code Daytime Telephone Number
6/16/2022 9:47:20 AM
PAGE 2
SCHEDULE I
CONTRIBUTIONS AND RECEIPTS
Detailed Summary Page
Name of Filing Committee or Candidate Reporting Period
CLANCY FOR REP 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) $ 156.15 ,
TOTAL for the Reporting Period (2) $ 156.15
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) $ 23,032.25
TOTAL for the Reporting Period (3) $ 23,032.25
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 23,188.40
totals from Boxes 1,2,3 and 4;also enter this amount on Pagel, Report Cover Page,Item B.)
6/16/2022 9:47:20 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. g 0.00
6/16/2022 9:47:20 AM
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
CLANCY FOR REP From: 5/3/2022 To: 6/6/2022
DATE AMOUNT
Full Name of Contributor
Scott Tochterman MO DAY YEAR
Mailing Address 1782 south meadow drive
S 156.15
city Mechanicsburg State Zip Code(Plus 4) 5 11 2022
PA 17055
PAGE TOTAL
Enter Grand Total of Part A on Schedule I, Detailed Summary Page, Section 2. $ 156.15
6/16/2022 9:47:20 AM
PAGE 5
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
6/16/2022 9:47:20 AM
PAGE 6
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
CLANCY FOR REP From: 5/3/2022 To: 6/6/202Z
DATE AMOUNT
Full Name of Contributor
John DAY YEAR
Duggan
Mailing 1764 North Meadow Drive
Address $ 260.25
City Mechanicsburg State Zip Code(Plus 4)
5 11 2022
PA 17055
Employer Name Select Medical Corporation Occupation Attorney
Employer Mailing Address/Principal Place of City State Zip Code (Plus 4)
Business
1764 North Meadow Drive Mechanicsburg PA 17055
Full Name of Contributor
Eric R Clancy MO DAY YEAR
Mailing 53 Emlyn Lane
Address 15,000.00
Ci State Zip Code(Plus 4) 5 12 2022
ty Mechanicsburg
PA 17055
Employer Name Delta Development Group Inc Occupation
Executive
Employer Mailing Address/Principal Place of City State Zip Code(Plus 4)
Business
225 Grandview Ave Camp Hill PA 17011
Full Name of Contributor
Eric R Clancy MO DAY YEAR
Mailing 53 Emlyn Lane
Address $ 7,472.00
Ci State Zip Code (Plus 4) 6 2 2022
ty Mechanicsburg
PA 17055
Employer Name Delta Development Group Inc Occupation Executive
Employer Mailing Address/Principal Place of City State Zip Code(Plus 4)
Business
225 Grandview Ave Camp Hill PA 17011
6/16/2022 9:47:20 AM
PAGE 7
Full Name of Contributor
MO DAY YEAR
David Weihbrecht
Mailing 12 Natures Xing 300.00
Address
State Zip Code(Plus 4) 5 12 2022
City Enola
PA 17025
Employer Name Advantage Engineering Services, LLC Occupation President
Employer Mailing Address/Principal Place of City State Zip Code (Plus 4)
Business
700 Ayers Ave Lemoyne PA 17043
PAGE TOTAL
Enter Grand Total of Part C on Schedule I, Detailed Summary Page, Section 3.
$ 23,032.25
6/16/2022 9:47:20 AM
PAGE 8
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
6/16/2022 9:47:20 AM
PAGE 9
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
CLANCY FOR REP 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) $ 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.)
6/16/2022 9:47:20 AM
PAGE 10
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
6/16/2022 9:47:20 AM
PAGE 11
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 ZipCode(Plus Description of Contribution
Business
PAGE TOTAL
Enter Grand Total of Part G on Schedule II,In-Kind Contributions Detailed
Summary Page, Section 3. 0.00
6/16/2022 9:47:20 AM
PAGE 12
SCHEDULE III
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Period
CLANCY FOR REP From 5/3/2022 To: 6/6/2022
DATE AMOUNT
To Whom Paid
MO DAY YEAR
Pathfinder Communications LLC
Mailing Address 857 Nathan Hale Road 5 6 2022
S 12,633.52
City Berwyn State Zip Code(Plus 4) Description of Expenditure
PA 19312 Direct mail and digital advertising
To Whom Paid
MO DAY YEAR
Pathfinder Communications LLC
Mailing Address 857 Nathan Hale Road 5 23 2022
16,455.21
City Berwyn State Zip Code(Plus 4) Description of Expenditure
PA 19312 Direct mail and digital advertising
To Whom Paid
Winged MO DAY YEAR
Mailing Address 1776 Wilson Blvd 5 11 2022 16.40
City Arlington State Zip Code(Plus 4) Description of Expenditure
VA 22209 Transaction fee
PAGE TOTAL
Enter Grand Total of Expenditures on Page 1, Report Cover Page,Item D.
29,105.13
6/16/2022 9:47:20 AM
SCHEDULE IV
STATEMENT OF UNPAID DEBTS
Use this Section to itemize all unpaid debts and obligations
which are outstanding at the end of the reporting period
Name of Filing Committee or Candidate Reporting Period
CLANCY FOR REP From: 5/3/2022 To: 6/6/2022
Outstanding
DATE Balance of Debt
Name of Creditor
MO DAY YEAR
Eric R Clancy
Mailing Address 53 Emlyn Lane 4 12 2022 $ 30,000.00
City Mechanicsburg State Zip Code(Plus 4) Description of Debt
PA 17055 Loan to committee
Outstanding
DATE Balance of Debt
Name of Creditor
MO DAY YEAR
Eric R Clancy
Mailing Address 53 Emlyn Lane 5 12 2022 $ 15,000.00
City Mechanicsburg State Zip Code(Plus 4) Description of Debt
PA 17055 Loan to committee
Outstanding
DATE Balance of Debt
Name Of Creditor
MO DAY YEAR
Eric R Clancy
Mailing Address 53 Emlyn Lane 6 2 2022 $ 7,472.00
State Zip Code(Plus 4) Description of Debt
City Mechanicsburg p
PA 17055 Loan to committee
PAGE TOTAL
Enter Grand Total of Unpaid Debts on Page 1, Report Cover Page,Item G.
52,472.00
6/16/2022 9:47:20 AM