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Home My WebLink AboutFriends of David Fish - 2020 30-Day Post-Primary tfPennsylvania 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(capa.gov 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 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 Reports. This form must be signed by hand where a signature is required. !Name of Filing Committee, Candidate, or Lobbyist Reporting Cycle Name - ❑ Cycle 1 ❑ Cycle 2 yr Cycle 3 0 Cycle 4 ❑ Cycle 5 6th Tuesday 2"d 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 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. (2-scr 7Z0 2-0 Signature of Treasurer, Candidate o�ist Date (DD/MMMYYY) 0a-r6l Tivoret-(-0 _ fv,10,(4 . .c h (� 6(5A Printed Name Location (City/State C ntry) DSEB-502R Updated 6/24/2020 lePennsylvania 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-stcampaignfinancePpa.eov 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 foregoing is true and correct. JIC r — a� 6 - ad)-G c�,J Signature of reasurer, Candidate, or Lobbyist Date (DD/MM/YYYY) fru ID F--( 51+ Mr(tut,v(cs4u,J PA- u S✓�- Printed Name Location (City/State/Country) DSEB-502R Updated 6/24/2020 iv L -hrrl rtI I i i j I m i l l vn"i 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 (MarkX) X i Name of Filing Committee,Candidate or Friends of David Fish Lobbyist Street Address 405 Lamp Post Lane City Camp Hill State PA Zip Code 17011 Type of Report(Place x under report type) 1-6th Tuesday 2- 2n0 Friday 3-30 Day Post 4-6thTuesday 5-2nd 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 X (MM/DD/YYYY) n/a 2020 Report Report 1 Summary of Receipts and From Date To Date For Office Use Only Expenditures 5/19/2020 6/22/2020 A.Amount Brought Forward From Last Report 8 551.26 B.Total Monetary Contributions and Receipts 8 (From Schedule I) o ' p C.Total Funds Available 8 c ; (Sum of Lines and B) 551.26 `,i c_ D.Total Expenditures 8 {' (From Schedule III) r- 551.26 1 — } E.Ending Cash Balance S (Subtract Line D from Line C) o t , F.Value of In-Kind Contributions Received S o C) ' (From Schedule II) - z- (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 and subscribed before me this day of 20 • L Signature of Person Submitting report Carol E.Thornton Signature Printed Name • My Commission expires 717 418-7350 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 • Da,,,,,„Y Signatu of Candidate David J.Fish Signature Printed Name My Commission expires 717 737-6635 MO. DAY YR. Area Code Daytime Telephone Number SCHEDULE I Contributions and Receipts Detailed Summary Page Filer Identification Number Friends of David Fish 11.Unitemized Contributions and Receipts-S 50.00 or Less per Contributor Total for the reporting period (1) 8 0 2.Contributions of S 50.01 to S 250.00(From Part A and Part B) Contributions Received from Political Committees(Part A) 8 ° All Other Contributions(Part B) 8 0 Total for the reporting period (2) S 0 I3.Contributions Over S 250.00(From Part C and Part D) Contributions Received from Political Committees(Part C) 8 0 All Other Contributions(Part D) 8 0 Total for the reporting period (3) 8 0 4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) I Total for the reporting period (4) 8 0 Total Monetary Contributions and Receipts during this reporting period(Add and 8 enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report Cover Page,Item B) ° SCHEDULE III Statement of Expenditures Filer Identification Number: Friends of David Fish To Whom Paid Date[MM/DD/YYYY] S Friends of Manna Danielson 200.00 6/20/2020 House# Street Address Description of Expenditure 170 Martel Circle City State Zip Dillsburg PA Code 17019 Campaign Contribution To Whom Paid Date[MM/DD/YYYY] S Friends of Nicole Miller 200.00 6/20/2020 House#1 Street Address Description of Expenditure P.O.Box 934 City State Zip Camp Hill PA Code 17011 Campaign Contribution To Whom Paid Date[MM/DD/YYYY] S DePasquale for PA10 151.26 6/20/2020 House# Street Address Description of Expenditure P.O.Box 1822 City State Zip York PA Code 17405 Campaign Contribution To Whom Paid Date[MM/DD/YYYY] S House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] S House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] S House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] 8 House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] S House# Street Address Description of Expenditure City State Zip Code