Loading...
HomeMy WebLinkAboutCoplen, Rick - 2017 2nd Friday Pre-Primary 111 Reset Form IPrint Forr Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) Filer Identification Report Filed By Candidate �` Committee Lobbyist Number (Mark X) f� Name of Filing Committee,Candidate or �. Lobbyist ,`>e k e"l ea Street Addressroc Q/ex4�er _pi�n9 R�el City �car/i�d !' Statep n Zip Code j4o/.5 Type of Report(Place x under report type) / /� 1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-61h Tuesday s-2"d 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/DD/YYYY) Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures A.Amount Brought Forward From Last Report $ C)2? o C B.Total Monetary Contributions and Receipts $ rco (From Schedule 1) PY1mc C.Total Funds Available $ t- 1 (Sum of Lines A and B) 73 Z tll D.Total Expenditures $ O C7 (From Schedule III) / 3� ' 3c E.Ending Cash Balance $ 0 - (Subtract Line D from Line C) Z. -- F.Value of In-Kind Contributions Received $ O (From Schedule II) 0,4, ,r r ' G.Unpaid Debts and Obligations $ (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 o nd subscribed/� before` ' me this / •% ? , • day of 1 i �.y 20 1� �./ ..` Sig atur f Peron Submitting report Printed Name BETHANY SPutlic .q/;� 6 i'7J 2 Ss/-cgvf y Commission e •Publia CARLISL7:110R0:,6UM$8RLAND ON VV R. Area Code Daytime Telephone Number My'CoinitdIslon txpires act 7.2017 - . •.. . . c • .a e s •u orized 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(P.L.1333,NO.320)as amended. Sworn to and subscribed before me this day of 20 • Signature of Candidate Signature Printed Name • My Commission expires MO. DAY YR. Area Code Daytime Telephone Number a SCHEDULE III Statement of Expenditures Filer Identification Number: To Whom Paid � Date[MM/DD/YYYY] $ /T51oo 2611- z/54. Address orf �o� ,ser House# StreetDescription'of Expenditure f CityState Zip /q-o/57.. . e siA L4'l s e id CodeI C' / 9 To Whom Paid / Date[MM/DD/YYYY] $ ,L.ro s r and ever/d 1//2S/10 r* 170t CC) House# Street Address Descriptio(of Expenditure 9/6 5 r� %vtn to City / Siete Zip Nten c/l � Code 5`0°0 Vri$'i94J' To Whom Paid /Y Date[MM/DDYYY) $ Si e/ :Lc.ace T c Dyl,,/2.b/g Pei.om House# Street AddresseArkh Descriptidn of Expenditure City New o State Zip /Ny Code &Je b rile J e rV,zes To Whom Paid Date[MM/DD/YYYY] $ �vares7are 2.71c. ©40//22/1- 1/0.00 7House# Ste 'in,.t Address /C/I-A, 57/reit Description of Expenditure City NC'w V°4State Zip/V Code /00 P/ G is-i to 5&v', c To Whom Paid Date[MM/DD/YYYY] $ • C04 AO/n4 nr y/2`/7;�,0/ .57- Oa House# Street Atl�ess n� n Des npti n of Expenditure 2 1 Marsacl rise## 7� eAll P City Wad )tq7 A State i de Code 2,0061 (,dekik 00M a 41. To Whom Paid �?' Date[MM/DD/YYYY] $ Voo ee aa/I1aiis• o3/22/20/-7- //2.66 House# Street Address /J Descriptio of Expenditure City / State ^ Zip /� �i1/Zin /t ✓� c Code 20?O' J1414 /i(Vila;it 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