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Home My WebLink AboutStill, David - 2021 2nd Friday Pre-Election II ll Reset Form 'I Print Form 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 Still Street Address 443 Appletree Rd. City Camp Hill State PA Zip Code 17011 Type of Report(Place x under report type) 1-6ti'Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday 5-2"d Friday 6-30 Day Post 7-Annual Special 2nd 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) 1 I Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 06/01/2021 10/18/2021 A.Amount Brought Forward From Last Report $ 0.00 C r--a B.Total Monetary Contributions and Receipts $ 0.00 03 (From Schedule I) t-ri CD C.Total Funds Available $ --r (Sum of Lines A and B) 0.00 > IN.) D.Total Expenditures $ (From Schedule III) 0.00 p E.Ending Cash Balance $ C") (Subtract Line D from Line C) 0.00 F.Value of In-Kind Contributions Received $ X (From Schedule II) 603.05 ---t „.,. G.Unpaid Debts and Obligations $ 0.00 (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 jq_and subscribed before )8 x' `+ eme this +- aa ^dayof0Cl 20 a- \ t vL ISignature of Person Submitting report Signature r DAVID STILL Printed Name Commonwealth of PennsyIv a-No�t ( Q Sealrh oa. 3 MAregm'o yZJa teite$JValt7 Pi c/ 717 730-7373 Cumberland CdYtiOty DAY YR. Area Code Daytime Telephone Number M commission expires December 7,2023 PaiCFN_riiftttfastMatrreptattt a Catidi8af's Authorized Committee,candidate shall sign here. .kyitqpit4gfrol9hfghtbat4gtAlitubotalftlixoyarrtreyvledge 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 toend subscribed cal before me this Jl� - r /'�' day of 00060C 20 ' 1 . I {{{))) Signature of Candidate t:� - __ DAVID STILL Signature I . Printed Name tk My Commission expires ) �o a-3 717 730-7373 - , MO. DAY YR. Area Code Daytime Telephone Number Commonwealth of Pennsylvania-Notary Seal • •- , Alan M Cullouyh,Notdiy Publk, Cumberland County My commission expires December 7,2023 - ' Commission number 1295073 Member,Pennsylvania Association of Notaries SCHEDULE I Contributions and Receipts Detailed Summary Page Filer Identification Number 1.Unitemized Contributions and Receipts-$50.00 or Less per ContributorI I Total for the reporting period (1) $ 12.Contributions of$50.01 to $250.00(From I Part A and Part B) Contributions Received from Political Committees(Part A) $ All Other Contributions(Part B) $ Total for the reporting period (2) $ 0.00 3.Contributions Over$250.00(From Part C and Part D) I `I Contributions Received from Political Committees(Part C) $ 0.00 All Other Contributions(Part D) $ 0.00 Total for the reporting period (3) $ 0.00 I4.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 totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report Cover Page,Item B) 0.00 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 Filer Identification Number: David Still I 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 S250.00(FROM PART F) TOTAL for the reporting period (2) $ 129.95 3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) TOTAL for the reporting period (3) $ 473.11 TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING $ PERIOD(Add and enter amount totals from boxes 1,2,and 3;also enter on Page 1,Report Cover Page,Item F) 603.05 SCHEDULE II PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 Filer Identification Number: David Still Full Name of Contributor Date[MM/DD/YYYY] $ Camp Hill GOP Committee 07/22/2021 129.95 House# Street Address Date[MM/DD/YYYY] $ 105 N.21st St City State Zip Code Date[MM/DD/YYYYJ $ Camp Hill PA 17011 Description of Contribution Literature 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/YYYYJ $ 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/YYYYJ $ City State Zip Code Date[MM/DD/YYYYJ $ Description of Contribution SCHEDULE II Part G In-Kind Contributions Received VALUE OVER$250 Filer Identification Number: David Still Full Name of Contributor Date(MM/DD/YYYY) $ Camp Hil GOP Committee 473.11 10/18/2021 House# Street Address Date[MM/DO/YYYYJ $ 105 N.21 st St. City State Zip Code Date[MM/DD/YYYYJ $ Camp Hill PA 17011 Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Signs and delivery Contribution Full Name of Contributor Date[MM/DD/YYYYJ $ House# Street Address Date[MM/DD/YYYYJ $ City State Zip Code Date[MM/DD/YYYYJ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution Full Name of Contributor Date[MM/DD/YYYYJ $ House# Street Address Date[MM/DD/YYYYJ $ City State Zip Code Date[MM/DD/YYYYJ $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution Full Name of Contributor Date[MM/DD/YYYYJ $ House# Street Address Date[MM/DD/YYYYJ $ City State Zip Code Date[MM/DD/YYYYJ $ Employer Name Occupation Employer Mailing Address/Principal Description Place of Business of Contribution