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Friends of David Fish - 2020 2nd Friday Pre-Primary
\-,J,T Pennsylvania Department of State 1 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 Statement in Lieu of Sworn Statement for Campaign Finance Statements 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), 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 Statements. This form must be signed by hand where a signature is required. Cii( 2 Committee, Candidate,Cp Cobb ist ErQ5 fat--ui,4 FBchk _ _ Reporting@ Name 1 ❑ Cycle 1 Cycle 2 0 Cycle 3 ❑ Cycle 4 0 Cycle 5 6th Tuesday 2nd Friday 30 Day 6th Tuesday 2nd Friday Pre-Primary Pre-Primary Post Primary Pre-Election Pre Election ❑ Cycle 6 ❑ Cycle 7 0 Cycle 8 ❑ Cycle 9 30 Day Post-Election Annual Report 2nd Friday Pre-Special Election 30 Day Post-Special Election Part i — If this form is submitted with a statement in lieu of full report by a political committee, the treasurer must sign here. If this form is submitted with a statement in lieu of a full report by a candidate, the candidate must sign here. If this form is submitted with a statement in lieu of full 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. _,,a- c-0--ff,77/Ler-1_4 (e (2._q/Z..,62-6 Signature of Treasurer, Candidate, or Lobbyist Date (DD/MM/YYYY) Oaf-0 ( 54 Printed Name Location (City/State ountry) DSEB-5035 Updated 6/24/2020 ToPennsylvania 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.eov Part 11 - If this is submitted with a statement in lieu of full report by a Candidate's Authorized Committee, candidate sign here. I declare under penalty of perjury under the law of the Commonwealth of Pennsylvania that the foregoing is true and correct. 019 - 6 .( . - aod_o Signat re of Candidate Date (DD/MM/YYYY) u l i ( S )t Meckav, hu-r9 /14/ 1.t34- Printed Name Location (City/State/Country) DSEB-5035 Updated 6/24/2020 COMMONWEALTH OF PENNSYLVANIA CAMPAIGN FINANCE STATEMENT File this in lieu of a full report only if aggregate receipts, expenditures, or liabilities incurred each did not exceed $250.00 during the reporting period. FILER IDENTIFICATION REPORT FILEDIlk CANDIDATE I COMMITTEE 2 LOBBYIST } NUMBER ON BEHALF OF NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST Fr-1, r-yj 5 ©re p6ci>i, L k STREET ADDRESS CITYIP CODE e/� /4-' i PA 17 TYPE OFR PORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION (CHECK ONE) MO. 1 DAY YEAR 1. w&.Skcp &in,tix;66,ds cceK- f'Eiv( u I z1/7 6TH TUESDAY PRE-PRIMARY FOR OFFICE USE ONLY MO. DAY YEAR MO. I DAY I YEAR 2. DATES OF 2ND FRIDAY REPORTING / f �\ 70 cl 2,0 PRE-PRIMARY PERIOD c j v 1 30 DAY 3' : r POST-PRIMARY C=am' CASH BALANCE AT ENDr,, rno 4. OF REPORTING PERIOD: I `--"� Y" " 6TH TUESDAY ,.73 —<'+ _ PRE-ELECTION r-- PO TOTAL AMOUNT OF FILER'S ' OUTSTANDING DEBTS OR LIABILITIES 2ND FRIDAY 5 P C.% PRE-ELECTION AT THE END OF REPORTING PERIOD: S � X 6. 30 DAY :,per„ :":