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HomeMy WebLinkAboutFish, David - 2021 30-Day Post-Primary Pennsylvania Department of State Bureau of Campaign Finance&Civic Engagement 21.0 North Office Building Harrisburg,PA 37120 • 717.787.5280(Option 4) www4p5,fl.sQvf a i nfn.anct• { - m iQnfinangte ny. Unsworn Declaration in Lieu of SwornStatement 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), Non-Bid Contract Reporting Form (DSEB-504) 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. Name of Filing Committee,Candidate,or Lobbyist David J. Fish Reporting Cycle Name ❑ cycle i. ❑ Cycle 2 O Cycle 3 ❑ Cycle 4 © Cycle 5 EP Tuesday 2"a Friday 30 Day 6th Tuesday 2n°Friday Pre-Primary Pro-Primary Post Primary Pre-Election Pre-Election ❑ Cycle 6 0 Cycle 7 1 ❑ Cycle 8 0 Cycle 9 30 Day Post-Election Annual Report 2nd'Friday Pre-Special Election 30 Day Post-Special Election Port 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 accompanying Campaign Finance Statement is true and correct. ,., 14..1;4 06/11/2021 Signature of Treasurer,Candidate,or Lobbyist Date(DD/MMJYYYY) David J. Fish Hampden TwpJPAIUSA Printed Name Location(City/State/Country) DSEB-5035 Updated 1/22/2020 C61iPle.)NfVekvIll OP FENI4F;i't VAN iA CAMPAIGN FINANCE STATEMENT Este this in lieu of a full report only if aggregate recepts; expenditures, or liabilities incurred each did neat exceed S250.00 during The reporting period. fY.121iWE!1t'1 AtiON - oLPC^?''RLE �X t;otAitk r ai,SEHALK-h. p i CS SISWT' , ` 9Ttf'�tF ' I t{fFRYIY? HAAT CT rAPNG CC•f:!I(11Er,S..)+AI-,;A;F C4 lOi11,TM _ - - " ✓ LA � _. Fr 7 nrotri Atiarits L . ... cm.: C4't p Ifi I 'loanp - r� 170 t t — ) t-/a -- _ vein.GF RrpoRi RAJAr.or ocr1:E SC/J1.74i QV CANGI7ATE. DISTRICT NO. PARTY - DATE OF ELECTION' fC� ft r r Cdtitntt$$1Ch ii IuD- � aaai 6TiiTu.9onY t PRE-4.f'1N,npr ros Of�1cc us0 o NLY' ]i{ CRG-. I :wt. I r,A:. Y75, r 9RM I *EAT, - . - _ 2 CCATES_4F _ 2H7 rniom. REI'O1;TSNF _ i s^ Te• ^ii +•` , PRr•''�SINAFiY AEfil�i.� 06 y ��� QU' I'.+� j)i?1� i C--. 30 DAY G..... rlils'f•r•RIMARY •K _ rT�I c CASii'BALANCE AT'ENO -.o. Zi7N 7111 u0A1" OF REPORTING PERIOD: $ 1_ 7 .s • r,�Rl•Et.ivYIDN r (XI TOTAL AMOUNT OF FILER'S t. r OUTSTANDING DEBTS OR LIABILITIES ` :© "C) 2,No FRIWN C.) FR5,-E T:c1101i A, 5ME END OF REPORTING PERIOD! S _ C.) ' C 30 o-EL AMF:HPi!FA7 ''..1 pOiT-ECCT10H C7.T7 YtC D A z P.TIKP • Hphe6rt RGPORi? 111 AFFIDAVIT SECTION PART I• If statement is filed an behalf of a Political Cc nn'titlOe orCandidt'taj':V,C rrillIne;the Treas•ut et-must signiiera. If statement is fled on behalf of a Candidatfi,•the Candidate must Sign here. tI statement is filed an behalf of a Contributing L1 bhvist,the Lobbyist must sign hero. E 1S'NCIP Iv'IAr-RPr'j:M[T Intl t.G.iAtisA r£.re=EPif C1S C.6{+I.it:LS 4-CA 1.1..L1L11'1r,:.O-C..4,t=AO :!!F.FF• '11.*$ "'1-GO INIII44.TL1 AGCS+.IHfr I4i i:1:•CC6'7WO FILINDRP7 Aria r.Kr 1XA4.45($250.oat AJ.?11iia r'•E.-v.ti.;3,io tlli e,......1 .."Ls- • ��'vr'aL.[Lr.Tn t. .1!r-0RPfC ,f?1 llIH f1F' SINO1IiN 70 AND$ur!$CRisco-error'i!E T1i* Y 'GAY Or 20 tiONAI WE`C+F P •SUO+�!fTING RCPO I piwfeEa rtAr+tc iAY COMMISSION CYPIFt:0. _ _ -7 1 ? 5.) w 'do 3 ,--- -�. r?a., CAY Y . ARCA'C0DC" DAYTWEI TELCPY,OrE'NUtiSER" PART IL--' If_statement:Is filed on behalf of e Candidate's Authorized Camc7Ittge,Candidate Torsi-siI*1 here. 1 F.h'C+;_R(OF AFFIRtg)"TeAr it;THE E171"CO.ill'«Yis t1.t to t'.1M2 l ..c"... rR4i 4001,,!T1Cji CC-War-TEE r,L..H' i+�,%.F1tzI 4,eir-0%10, 1Ci.••Y9 Of Y ..IICT Of 1_ °/u+ls 3:l937.{C�.t..133 . o,.320)[LT,h,r r rr,: SWORN TO 41140 SUBSCRIBED SEFQRC'#ti:1MM - .. SISN iij_Ri CIF CANDIOATG 1 DAY CI- _ _ 2e:..� MY COMMISSION CY!PIrtES "AREA,COCE —t}J..1 E TELEPHONE.NUMBER' u0. GAY YR - . Oeparrnjcnl of State • 'Bureau a'Cammi sion ,Elections anal LegisI!ion ohm SOlk1I:.'fl`1 '210 Noltil OfTlcoBuildingt • Hnrtisbusfi,,PA 17120-0a29 • '.(:t71 787.5280