HomeMy WebLinkAboutFriends of David Fish - 2022 30-Day Post-Primary iIr Pennsylvania Department of State
Bureau of Campaign Finance&Civic Engagement
210 North Office Building,Harrisburg,PA 17170 • 737.7f17.5280(Option 4)
www dcP,,uo vovicaniu.)ian;i:yau • r4-5401,11)D,Iit'Aninkef'4 4,
Unsworn Statement in Lieu of Sworn Statement for
Campaign Finance Reports
Note: Per the temporary waiver granted by the Governor on April 6, 2020, Campaign Finance
Reports (form OSEB-502), Campaign Finance Statements In lieu of full reports (form DSEB-503),
and Independent Expenditure Reports (form DSEB-505) need not be notarized. (See Temporary
Waiver of Notarization T?egidirernenr for C.ornppian iStnanc.e Reports and Statements). 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 Reports and
only so long as the waiver referenced above is in effect. This form must be signed by hand or by
typing your name where a signature is required. If you type your name, you understand that's
your electronic signature and will constitute the legal equivalent of your signature on this form.
_ --
Name of Filing Committee, Candidate,or Lobbyist
Friends of David Fish
Reporting Cycle Name
0 Cycle 1 0 Cycle 2 0 Cycle 3 D Cycle 9
6th Tuesday Pre-Primary 2'd Friday Pre-Primary 30 Day Post Primary 30-Day Post Special
Election
Part I- If this form is submitted with a Committee report, the treasurer must 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.
By signing or typing my name below, I hereby declare under the penalty of perjury,
pursuant to 18 Pa.C.S. § 4904, that the information contained in the accompanying
Campaign Finance Report is to the best of my knowledge and belief true, correct and
complete.
OA it ---- 4.,,..._ 06/14/2022
Signature of Treasurer, Candidate, or Lobbyist Date
Nicholas A. Sones
Printed Name
DSEB-502R
4/15/2020
_____ . _
Pennsylvania Department of State
Bureau of Campaign Finance&Civic Engagement
210 North Office Building,Harrisburg,PA 17J20 • 717 787.5280(Option 4)
w vvie,,n,p=4;4,111, tf n",0 • r, Lin jp P°,
Port!!-If this form is submitted with a report by a Candidate's Authorized Committee, the
candidate must sign here.
By signing or typing my name below, I hereby declare under the penalty of perjury,
pursuant to 18 Pa.C.S. § 4904, that the information contained in the accompanying
Campaign Finance Report is to the best of my knowledge and belief true, correct and
complete.
06/14/2022
Signature of Candidate Date
David J. Fish
Printed Name
0SEB-50211
4/15/2020
Commonwealth of Pennsylvania-Campaign Finance Report
(Note:This report must be clear and legible.It should be typed)
Filer Identification Report Filed By I
Candidate Committee ix I Lobbyist j
Number (Mark X)
" atnti of fling Committee,Candidate or Friends of David Fish
Lobbyist
'+$treat Address ao,Lamp Pont t n
� ......--- Camp Hill - State PA Zip Code 17011-1428 —
A
Type o1 Report(Place x under report type)
1-Su'Tuesday 2- 2ed Friday 3-30 Day post-4-6MTuesday 5-2-1 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
Date Of Election Year Amendment Termination
(MM/DO/YYYY) Report Report
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
05-03-2022 06-011-2022
A.Amount wrought forward from Last deport. S 1.351,48
67Yataf Monetaijrri:ri6iifioiis ariif detieipta"" s. . _" 0 do
(From Schedule I)
b.Total Funds Available S ;,3,51 48
(Sum of Lines A and B) J LANE IS, gO a a
D.Total Expenditures S 561.27 l : 3 Pm(From Schedule 1p
E.Ending Cash Balance S 790.21
(Subtract Line 0 from Line C)
Value of in-Kind Contributions Received E
(From Schedule il)
G.Uripa Debts and Obligations
(From Schedule 1V)
Affidavit Section
Part i-it this is a Committee report.treasurer sign here.It 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 belieeffttrue.correct and complete.
Sworn to and subscribed before me this aglitsgnaturZtf �/day of 20 Person Submitting report
Nicholas Sones _
Signature Printed Name
717 753-0308
My Commission expires _
MO. DAY YR. Area Code Daytime Telephone Number
_Part II-If this is a report of a Candidate's AuthorizedCommittee,candidate shall sign hero.
1 swear(or affirm)that to the best of my knowledge and belief this political committee has not vtotated any provisions of the Act of June 3.193/(P11333,140.320}as
amended.
Sworn to and subscribed before me this
day of 20
Sign n e of_Candidate L
Signature Printed Name C c
My Commission expires 7 - '
MO. DAY YR. Area Cnde Daytime Telephone Number
SCHEDULE
Contributions and Receipts
Detailed Summary Page
I _
Eller idonttftcation Humber
1.uniternited Contributions and Receipts-$50.00 or Less per Contributor
Total tor the reporting period (1)j S iii
2.Contributions oTZ5tLQ1 to 8251L00(From
Part A and Part B)
Contributions Received from Political Committees(Part A) Y !
Alt Other Contributions(Part B) S
Total for the reporting period (2) S
3.Contributions Over E 250.00(From Part.C and Part D) 1
Contributions Received from Political Committees(Part C) 8
All Other Contributions(Part 0) $
Total for the reporting period (3) 8
4.Other Recolpts•Refunds,interest Earned,Returned Checks,ETC.(From Part E)
Total for the reporting period (4) $
Total Monetary Contributions and Receipts during this reporting period(Add and S
enter amount totals from Boxes 1,2,3 and?:also enter this amount on Page 1,Report
Cover Page,Item 4)
PART A
Contributions Received From Political Committees
S 50.01 TO S 250.00
Use this Part to itemize only contributions received from Political Committees
with an aggregate value from 350.01 TO 8 250.00 in the reporting period.
Filer Identification Number
Amount
full Name of Contributing Date[Min/DD/YYYYJ t
Committee
House r Street Address Date(MM/DD/YYYYJ S -
,ritY - ate Zip Code ' Date(Min/DD/YYYYJ $
full Name of Contributing Date[MM/OD/YYYYJ t
Committee
ffOUta i.-- .-.'Street Addr'esi- _ Date(Min/DD/YYYYJ 3
City ` State Zip Code ` Date[MM/DD/YYYY] t
full Name of Contributing Date[MMIDD/YYYYJ 8
Committee
House r et ress Date[Min/DO/YYYYJ S
[Magi City - 1� Zip Code -Date f MM/OD/YYYYj -*-
full Name of Contributing Date fMM/DD/YYYYJ 8
Committee
House 4 Street Address Date[Min/DDIYYYYJ t
i ity — State Zip CRe Date NM/OD/MY) 8
Ouli&me of Contributing Date(MM/DD/YYYYJ r8
Committee
Taal— 'Street Address Date[MM(DD/YYYY] 8
City State Code Date[MM/DO/YYYYJ" S
'full Name of Contributing Date[MM/DD/YYYYJ $
Committee
House# Street Add Date(Min/DD/YYYY] t i
— Code Gate[Min/DD/YYYYJ t
�W State Zip
PART B
Ali Other Contributions
$50.01 TO S 250
Use this Part to itemize all other contributions with an aggregate value from
S 50.01 TO S 250 in the reporting period.
(Exclude contributions from political committees reported in Part A.)
Filer Mont f colon Wurriber:
_ rr. f
Full Name of Contributor
Date[MM/fJDItiYYlj 3
Houle# StreaAddress Date[M I DDIYYYYr -$
cllY State Zip Code 1 1 Date(MM/OO/YYYYj S _
Full Nair*of Contributor Date[MM/OD/YYYY]' 3
House# ' Street Address DafellifM/013/YYYY) $ '
((tY State Zip Code Date(MM/DD/YYYY# >l
Full Nemo of Contributor Date[MM/DD/YYYYj s s
14ou6e$ Street Address mate itiOD/YYYYI J i
'City State Zip Code Date[MfitIDD/YYYY) I_,
Full Name of Contributor r Date(Mild/DD/YYYYj $
sous —Street Address — — Date(MM7DD/YYY1f) 3
My State I Zip code Date IMM/DD/Y`YY) i
'Null KI1116 otContributor Date(MM/DD/YYYY] S
HOuse# street Address Date IMM/DO/YYYY) t
F . ' State 1 -bp Cade Date[M /DD/YYYY] I
.t�urifiitneet:Conmbutor Data[M ID/YYYfj 3�
'r'{ Street Address Date IMM/DD/YYYY) i
;, State I Zip Code Date(MMIDDI'I YY] 1-7
PART C
Contributions Received From Political Committees
Over 3250.00
Use this Part to'itemize only contributions received from Political Committees
with an aggregate value over S 250.00 in the reporting period.
Flier ldentillaauon Number.
Full Name of Date IMM/DD/YYYYJ
Contributing Committee
` locate ' Street Address Date filAM/DD/1"ern
"CRY
Stelae tip Code Date[ 713D/YYfYj _
Full of,. Date IMMIDD/YYYY] 1
Conttiiz ea
House S Street Address Date[NM/0D/WY1
;
'414 _ 1 State zip Code Date($4M/DD/YY11]
111411 +1 t Date]MMTDD/ YY!] f
Hooter- -'Street Address DatelfA yl/O0/YYYY] I --
T Male Zip Code j Date PAM/DD/YYYYI
riult Maine of—. ,- Date{MM/DD/?YYY] t
Cog�ii+butt11 Committee
:AtNoose•it ' Street Address Date d/O6IYYYY]-
•
-4141
State bp Code Date IMM/DD/YYYY] f`
fillteo ^:77. Date[MM/DD/YYY l t
Cotttttbuthr0 Committee
•ittitilie'# Street Address Date[MNI/DD/YYYTI >;
State trip Code Date(MM/DDh'YYY - �t
ea
itoirod• . Street Address -Datii`l14 M/D$/YYYY]
` ty State p Code ' Date(MIX71701Yrea $
PART'D
AU Other Contributions •
Over S 250.00
Use this Part to itemize all other contributions with an aggregate value over S 250.00 in the reporting period.
(Exclude contributions from political committees reported In Part C)
filer leenti catain Number: T
I
FUN Name of Contributor Date[MM1DD/YYYY} t
fEib e I - Strict Address -Date(MM)DDJYYY) -1-
�ty`---r- State Zip Code Date[MM1l 7YYYl I "
oyers _ -
Empl Occupation
•Erniarafile Adt ss i u
Principal piac a of Wetness
Fill Awn.of Contributor - Date[MM/DDiYYYYj Ti
Douse Street?Address Date(N{M/DD/YYYYI t -t
" j — State Bp Code - Date IM M/DDIYYYO T
4
nnptayerTNa,ne - Occupation
TM5Dyer a rasaI
Principal Place of Wiliness
'Pull Nettle of fi atatitor ..11 Date[MMIOD/YYYY] >i
rouse of Street Address Date[MM/#OIYYYY1 r
- . �S-att-_ r Zip Code eLO(MM,DD, --i-Pr oillusbiess 1
irflt(1ftante o1 Dotttrihutor Data(MMiDD/YYYY1 I i
`4, StreetAddress Date fMWDD/Y YY) 1 �
tft
� State "-ij Code Date tMM7bniYYYY1 n t
Zr•
r Occupation
f R
PART E
Other Receipts
REFUNDS, INTEREST INCOME, RETURNED CHECKS,ETC.
Use this Part to report refunds received,interest earned,returned checks and prior expenditures that were returned to the filer.
Filerldentifkation Number.
Full Name
house I I Street Address
IffyJ State Zip - Date[MMJDDIJ S
"��
' Code
gee* Description
Utdi Name
t ' Street Address
City .. State Zr- Date[MM/DDIYYYY]' tl
Cade
`Receipt Description
A - v= I
Full Name
1 Street Address
&tate t Zip 1 Date[fAM/DDJYYYY) $
s 4, t1 Code
Pal Name
House* Street Addresi
City • State Zip I Date[MM/DD/YYYYj r
Code
Ali sex-..:i
#` Street Address 440:u;t x�;. - —State Zip " 1 Date[MM/DDmrYYJ $ "
.2�` Code
.o..'i
110010100:1
Aw>.e ��_. � � teetAddre:r
' - t'�ta [Lip — Date IMM/DDIYYYYJ $
._-4' C;�{}t ;;, Code
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
files SO tibatiOtt,
It:.. . n r. -6 ..�.
k TOTAL for the reporting period (1a $
2.- D RI KIIID(KIRCKFutiV t A UE of sSt7oi TO$250•90(f.110l P r
TOTAL for the reporting period (2)
TOTAL for the reporting period (3/ $
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)
SCHEDULE II
PART F
In-Kind Contributions Received
VALUE OF 350.01 TO 3250
Ater kteeitifkation tiumbeii -
I
Firil tiorno at Contribtitor DateltilMiDD/VYVY]
ritiuisi't' Street Acidrest
'City - ate ip -6-1 -Date MITO-15/11VII 3
lttltriaitn of Contribution
Fis arne of Wotan/tor DatC Antrfi 3
licillitir ttragt Ali. ;-- Date[ itillSOMMITS
c4ii -s.., , ' P 0 Mato Itilm/DONVVV1-1-
-Datlri ober!of Contribution
f WI ria-rne a vtor tc
1161ft$ • StreoTAddress Date . , 1-
_
10 ' -Rale— zipcodó Date[VIM tDDNYYYj . I
1:0F:ripnee ot cof,trutitEi
hilt Mlle at Contributor { 11.,te(LIA s
\
i .
ileuse$ Voce Addroes nate ment,17Trin x
City ' state ' Zip code 1 Date[htb1/013)rfra 7 t]
Oi
.41......-......--...-a - ,,.....,scrip iMil Of CentTibution
i'hil Name ol iOntrinsnoi-- -Oita IMIVI/CIDAseffr
ifOOSiii et kid -Date ILIM/DLINYYYJ ' $
"Gny - — '------ -Mtn[ratl/DD/VYYYj 3 -
ilp en 0 Is on
SCHEDULE II
Part G
In-Kind Contributions Received
VALUE OVER S 250
fiver identification Cutler:
.Full ftame of contributor
Date[MM/Di3/YYYY1 - $ _
douse#f • Street Address Date(AM/OD/MY) z '
State Zip Cody Date NM/DO/MY] "
tirprOyetName Occupation - —
`Employsii a d"ras �rinclpal I3escr'Phan
Place of Business of
Contribution
tultt Janie of Contributor Dato[M1i/BD ?1 rn
%use T et Address Date(MM/DD/YYYYT 1
i
Y 1 State Zip Code Date NM/OD/MY] t
Name Occupation
i`mpfoyer Maf fnQ Andreas IPrtnctpei Description
Place of Business of
' Contribution
hull Name el Contributor Date LMM/DI3/YYYY) 1
_ A •. NeelAddress to
City State Zip Code Date(MM/DD/YYYY] .`T"-
Name Occupation
'ft-��ya+'r�f Wercu/Principal -- -- .
Place of Business of
Contribution
hii Name otCrurtributot Date[MM/DD1YYYY1 $
+ Street Address Date[MM/DO/YYYY -r
l ,;:-
it kW State zip Code 1,Date[MM/tiD/YYYYT $
'Emp r ame 1 coup
io !fullness 1 Prt"nclpal Description — `-
o-y..r-....:.. of
Contribution
i
SCHEDULE ill
Statement of Expenditures
Jerk tt f ton Number, I
0 Whom Paid 'Staptes Date f MVMMIDDIYYYYJ - i 561.57
05/26J2022
WI se 128 j$tfet Address N.32nd St. - scption of Ecpen iture -
lsr Camp Hill State IPA r71p 17011 P tnting
Code
To Whoan Paid ' Date[M M/DD/YYYYI
6.a !War Street Address -Description of CitY State zip
Code
horn + Date[MM/DD/rerfl t r
i s Street Address Description of Expenditures
State -" Zip
Code
p S/N:m t*irl Date lidEM?L b/YYYYJ -t
-Strret Andress Description of Expenditure
State Zip
Code
o i i OM mr. Date[MM/'
old . 'Street Address Description of Even , re
Ptri $tato Z
Code
a wtjoniPad Date[MIM/DDJYYYYJ a
tibtt ,» Address Description of Expends re
State alp
Code
To vs horn this , Date ' I
kt r1# Street Addross Description of Expendtare
tty ,State Zip --
Code
b ,'firm rbate[MM/OVA/111
HOele rfred Address- Description o1 Expen i ro
CI y Slate zip
Code
SCHEDULE IV
Statement of Unpaid Debts
Use this Section to itemize all unpaid debts and obligations which are outstanding at the end of the reporting period.
Stier Idordtication Number:
Name at Creditor Outstanding Bsdenn of Debt
House 8 Street Address --- i DATE DEBT INCURRED S
[M M/DD/YYYY]
CItY State
Code
bescrip of Bar--
Name o(Creditorn Outstanding Balance at Debt
Howse I Street Address
[M M/DD/YYYY)
State 1 Zip
Code I
Name of Creditor Outstanding Bated of Debt
Street Address - - - DATE DEHTTNCURRED f
(MM/DD/YYYY1
-City Seta ZTp
Code I
beseriptton of Debt
game of Cre ltor Outstanding Balance of Debt
House Street Address D S -
(MM/DD/YYYY]
City Zip
71 Code
DNct{lititai or debt
ttarne-olbred6r outstanding Warms etDebt
Houle Street Address DATE DEBT INCURRED I
[MM/DD/YYYY1
State Zip
Code
as ' Outstanding Balance of Debt
Street Address DATE DEBT INCURRED ><
[MIA/DD/YYYYJ
— ' - State - J zip - -
Code
Description at Debt