HomeMy WebLinkAboutBuell, David - 2021 30-Day Post Election I1 ` Reset Form 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 D.Buell
Street Address •441 Parkside Rd.
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 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) Report Report
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
10/19/2021 11/22/2021
A.Amount Brought Forward From Last Report $ 0.00
B.Total Monetary Contributions and Receipts $
(From Schedule I) 0.00
C.: p
C.Total Funds Available $ 0.00 �' c=,
(Sum of Lines A and B) t2,D
D.Total Expenditures $ r
(From Schedule III) 0.00 1,_-,
E.Ending Cash Balance $ > #I
(Subtract Line D from Line C) 0.00 -
F.Value of In-Kind Contributions Received $ TiC)(From Schedule II) 583.07 CD
G.Unpaid Debts and Obligations $ C� U./(From Schedule IV) 0.00 � "
—4 IV
Affidavit Section --€:
Part 1-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here. 1
I swear(or affirm)that this report,including the attached schedules on paper,is to the best of knowledge and bell true,correct and complete., ,
Sworn toland subscribed before me this - I. +
a day of Q IJrJ1C 20 ,4 hi �,.\ .`
• I DA DELL nature of Person Su mttting-reports'
Signature r Printed Name ' -
Commonwealth of PPsytvaniaota;y S@a
My Comnp o H .Notary ubAU) 717 712-3392
Cumberl191Qb Count9AY YR. Area Code Daytime Telephone Number'
My commission expires December 7,2023 T . ,
Pat II-If thlkisramipaitaftztatkIrdidAra9.5flariorized Committee,candidate shall sign here.
I sw riefelff)PiT 91410(IVIARAketitleyiltifcNottilleaind belief this political committee has not violated any provisions of the Act of June 3,1937(P.L.1333,NO.320)as
amended.
Sworn tojand subscribed before me this
D. day of QECAllaP 20 ?- i l
cuae I DAVID D.BUELLignature of Ca dictate
Signature Printed Nam ,
My Commission expires r X' )403-3 717 712-3392 +.. - •` �
MO. DAY YR. Area Code Daytime Telephone Nunlbe.?
Commonwealth of Pennsylvania-Nntaiy SRaI _ - n
Alan McCullough,Notary Public .
Cumberland County . , - , _
My commission expires December 7,2023
Commission number 1295073
Member,Pennsylvania Association of Notaries '..t : , • .
SCHEDULE II
Part G
In-Kind Contributions Received
VALUE OVER$250
Filer Identification Number:
David D.Buell
Full Name of Contributor Date IMM/DD/YYYYJ $
Camp Hil GOP Committee 583.07
11/16/2021
House ft Street Address Date[MM/DD/YYYY] $
105 N.21st 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 mailing
Contribution
Full Name of Contributor Date[MM/DD/YYYYJ $
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Employer Name Occupation
Employer Mailing Address/Principal Description
Place of Business 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] $
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/YYYY] $
City State Zip Code Date[MM/DD/YYYYJ $
Employer Name Occupation
Employer Mailing Address/Principal Description
Place of Business of
Contribution
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 D.Buell
I1. 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$250.00(FROM PART F)
TOTAL for the reporting period (2) $
3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G)
TOTAL for the reporting period (3) $ 583.07
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) 583.07