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Home My WebLink AboutStill, David - 2021 30-Day Post Election 1 IIReset 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 III Lobbyistill 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) 1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday 5-2nd Friday 6-30 Day Post 7-Annual Special 2na Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election X X Date Of Election Year Amendment Termination (MM/DD/YYYY) J 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 C? c,-- B.Total Monetary Contributions and Receipts $ (From Schedule I) 0.00 L i — C.Total Funds Available $ 0.00 t'^7 C, (Sum of Lines A and B) r D.Total Expenditures $ -› I (From Schedule III) 0.00 =- N.) CD E.Ending Cash Balance $ (Subtract Line D from Line C) 0.00 C-? F.Value of In-Kind Contributions Received $ C. UJ (From Schedule II) 583.07 - ' ,,,,,.- --i W G.Unpaid Debts and Obligations $ (From Schedule IV) 0.00 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 'n A/day of �C /7gs20 a ' I - 5-'(:A(.: : ignature of Person Submitting report ." i I DAVID STILL Si:nature� r Printed Name Commonwealth of Pennsylvania-Notary Seal _ My CoMatiskibaCwt tiQh fI' tary P t.Vc - Oa- 3 717 730-7373 _ Cumberland Aunty DAY Area Code Daytime Telephone Number My commission expires December 7,2023 Part II-(jtfristisiaSEQBrtkifige6b 1 .: :d Committee,candidate shall sign here. l g5:gr�firteilasatit td •0.: i@frR .'•:-,'• =:ge 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 1� �J` and day of DCkmB�'it 20 a / Jc N 1 -'(-t q Signure of Candidate l� DAVID STILL Signature Printed Name a— �dt�?� 717 730-7373 'v My Commission expires ' MO. DAY YR. Area Code Daytime Telephone Number" ' ` Commonwealth of Pennsylvania-Notary Seal " Alan McCullough,Notary Public .• . Cumberland County - . My commission expires December 7,2023 ` Commission number 1295073 , , k Member,Pennsylvania Association of Notaries 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 I1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR TOTAL for the reporting period (1) $ 11 0.00 I2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F) I TOTAL for the reporting period (2) $ I3. 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 SCHEDULE ti 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 583.07 11/16/2021 House# Street Address Date[MM/DD/YYYY] $ 105 N.21 st St. City State Zip Code Date[MM/DD/YYYY] $ 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/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/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 IMM/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