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Home My WebLink AboutFriends of David Fish - 2021 Annual Report — • Pennsylvania Department of State irY Bureau of Campaign Finance&lobbying Disclocarrc 500 rtcrth 0Fhcr_RuIding,Narr.sburg,PA 17120 • 717 7E7.52e0 jOp:^or,4) Unsworn Declaration 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), Non-Bid Contract Reporting Form (USE6-504) 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 individuai(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. :IN arn of AN Cam ` (.. •o•b -? • Friends of David Fish — 0 Cycle 1 9 Cycle 2 0 Cycle 3 0 Cycle 4 fl Cycle 5 Ern Tuesday 2"I Friday 30 Day 6"Tuesday 2r4 Friday Pre-Primary Pm-Primary Post Primary Pre-Election Pre-Election Cl Cycle 6 1 • R Cycle 7 0 Cycle 8 l3 Cycle 9 30 Day Post-Election i # Annt al Report 2r4 Friday Pre-Special Election 30 Day Post-Special Election Part i- If this form is submitted with a Committee report, the treasurer mvst 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 accompanying Campaign Finance Report is true and correct. Signature of Treasurer, Candidate.' Lobbyist Date(MM/DD/YYYY) 6-'21c y 67,VA 1 f1U troll/i f"!? rig) L15i i Printed Name Location (City/State/Country) DSTB-502R Updated 1/5/2022 . _ Pennsylvania Department of State Bureau of Campaign Finance&Civic Engagement r 500 North Office Building,kat ficbuq.,PA 17120 • 7/1734i/,Wf.t0(Opiton 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 accompanying Campaign Finance Report is true and correct. / 01/28/2022 r Signature of Treasurer, Candidate, or Lobbyist Date(MWDD/YYYY) David J. Fish Hampden Twp/PA/USA Printed Name Location (City/State/Country) • C6E6-5:0211 wciatcd I/5/2022 itesel Fotm 1 Print Form iI! II Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should he typed) Filer Identification I Report Filed By Candidate I L Committee Lobbyist Number (Mark X) Name of Filing Committee,Candidate or Lobbyist Fiends of David Fish -- Street Address 405 Lamp Post Lane _ City Camp Hill State PA Zip tode—f 17011 Type of Report(Place x under report type) 1-6th Tuesday 2- 2"d Friday 3-30 Day Post 4.6th Tuesday 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 -1 x 1 r I Date Of Election Year Amendment Termination (MM/DD/YYYY) 11/02/2021 2021 Report Report Summary of Receipts and From Date I To Date For Office Use Only Expenditures 11/23/2021 12/31/2021 n N— C ' cs ra A.Amount Brought Forward From Last Report $ tv 2289.98 CO B.Total Monetary Contributions and Receipts ' $ i'F'1 (From Schedule i) 0.00 r- Ca C.Total Funds Available $ (Sum of Lines A and B) 2289.98 ..r›- U W O.Total Expenditures $ .53800 C� (From Schedule III) Q E.Ending Cash Balance $ • C (Subtract Line D from Une C) 1751.98 27. c3 TJ1 F.Value of In-Kind Contributions Received $ • (From Schedule A) 0.00 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 day of 20 Signature Person report l Signature Printed Name My Commission expires 7,2 5 7,716517 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(Pt 1333,NO.320)as • amended. Sworn to and subscribed before me this ; i„...--- . day of 20 - i \) � (((//// Signa re f Candidate ' D!--v n : -- ir'• )4 Signature Printed Name 1, My Commission expires 1 r 7 3) -66 s 3-- MO. DAY YR. Area Code Daytime Telephone Number • • i 1 SCHEDULEI Contributions and Receipts Detailed Summary Page Filer Identification Number 1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor I • Total for the reporting period (1) $ 0.00 2.Contributions cif$50.01 to $250.00("From • Part A and'Part B) Contributions Received from Political Committees(Part A) $ 0.00 All Other Contributions(Part B) $ 0.00 Total for the reporting period (2) $ 0.00 I3.Contributions Over$250.00(From Part C and Part D) 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) I 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 0.00 Cover Page,Item 8) 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: 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) $ 0.00 I $ I •3. IN-KIND CONTRIBUTION RECEIVED-VALUE OVER$250.00(FROM PART G) TOTAL for the reporting period (3) $ 0.00 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) 0.00 I SCHEDULE III Statement of Expenditures Filer Identification Number: 1 To Whom Paid Date[MM/DD/YYYY] $ Keystone Reckoning Project 538.00 12/27/2021 House# Street Address Description of Expenditure 1831 Vista Drive City State Zip Contribution Mechanicsburg PA Code 17055 To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code 1 To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date['VIM/DO/MY] $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code