HomeMy WebLinkAboutFish, David - 2019 2nd Friday Pre-Election III Reset Form T Print Form J
II
Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be clear and legible.It should be typed)
Filer Identification Report Filed By Candidate X Committee Lobbyist
Number (Mark X)
Name of Filing Committee,Candidate or
Lobbyist David J Fish
Street Address 405 Lamp Post Ln.
City Camp Hill State PA Zip Code 17011
Type of Report(Place x under report type)
1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday 5-2nd Friday 6-30 Day Post 7-Annual Special 2na 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) Report Report
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
06/10/2019 10/21/2019
A.Amount Brought Forward From Last Report $ 0 C o
B.Total Monetary Contributions and Receipts $ CO
(From Schedule I) 0 m C)
C.Total Funds Available $ 0 am— --�
(Sum of Lines A and B) CCJI
D.Total Expenditures $ O
(From Schedule III) 0 (-3
E.Ending Cash Balance $
(Subtract Line D from Line C) 0 C CSO
Z' ,r~
F.Value of In-Kind Contributions Received $ 267.59 --G •�
(From Schedule II)
G.Unpaid Debts and Obligations $ 0
(From Schedule IV)
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 my knowledge and belief true,correct and complete.
Sworn to nd subscribed before me this
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a NOTARIAL SEAL Printed Name
•
Melanie H.Little.Notary Public ?3 — G6 3 3
My Commission expires • Dauphin County
MmyComa Sion pires Jan.14,2021 Area C de Daytime Telephone Number
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Part II-If this is a report of a Zanaidate'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
1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor
Total for the reporting period (1) $ 0
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) $ 0
Total for the reporting period (2) $
3.Contributions Over$250.00(From Part C and Part D)
Contributions Received from Political Committees(Part C) $ 0
All Other Contributions(Part D) $ 0
Total for the reporting period (3) $
0
4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E)
Total for the reporting period (4) $
0
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 Page 1,Report
0
Cover Page,Item B)
SCHEDULE II
PART F
In-Kind Contributions Received •
VALUE OF$50.01 TO$250
Filer Identification Number:
Full Name of.Contributor Date[MM/DD/YYYY] $
Cumberland County Democratic Committee 10/02/2019 200.00
House# Street Address Date[MM/DD/YYYY] $
46 W Louther Street,PO Box 1221 10/17/2019 67.59
City State Zip Code Date[MM/DD/YYYY] $
Carlisle PA 17013
Description of Contribution Campaign literature,computer services
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code ; Date,[MM/DD/YYYY] $
Description of Contribution
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address ' Date[MM/DD/YYYY] $
City-._ State Zip Code Date[MM/DD/YYYY] $
Description of Contribution
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Description of Contribution
Full Name of Contributor Date[MM/DD/YYYY] $
House# Street Address Date[MM/DD/YYYY] $
City__ State Zip Code Date[MM/DD/YYYY] $
Description of Contribution