HomeMy WebLinkAboutRick Coplen for Carlisle School Board Director - 2017 30-Day Post-Primary Commonwealth of Pennsylvania PAGE 1 OF
,. - CAMPAIGN FINANCE REPORT (COVER PAGE)
(NOTE: This report must be clear and legible. It may be typed or printed in blue or black ink.)
Filer Identification Report t. z. 3.
Number: 10iFiled By: 10'Report COMMITTEE LOBBYIST
Namel3f Fily'y Committee, CandidateAr Lobbyr t:
X teK C0 /eA r- Ca r-/r% 5/+oe/ epai/ ,Qi/"ec nP
Street Address:
X04 Nexano% ir'i4 9 Raga .
City: State Zip Code:
C iris/e r,9 /7o/3"- -
TYPE OF BTH TUESDAY 1. 2ND FRIDAY 2. 30 DAY. 3•y AMENDMENT YES NO
REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY /� REPORT?
6TH TUESDAY 4. 2ND FRIDAY 5. 30 DAY 6. TERMINATION YES N0
(place X to PRE-ELECTION PRE-ELECTION POST ELECTION REPORT? •
the right of ANNUAL 7. YEAR FILING METHOD
report type) REPORT ( . ) CHECK ONE , PAPER DISKETTE
Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County
Number Code Code Code
Car/,s/ V`�,4OD/ ,&Qr A//-ea,r DAY YEAR .
0 /6 20/ (SEE INSTRUCTIONS FOR CODES)
FOR OFFICE USE ONLY
Summary of Receipts MO. DAY YEAR MO. ,DAY. YEAR
and Expenditures from: 10, S 2- 20/7- To C 5 20/7
A. C) f--3
Amount Brought Forward From Last Report S C c
-.J
B. Total Monetary Contributions and Receipts (From Schedule I) $3-00. OC, CO c_
mc
C. Total Funds Available (Sum of Lines A and B) S5-00 00 x, z
D. Total Expenditures (From Schedule III) $ 36 g//0
• C .0
E. Ending Cash Balance (Subtract Line D from Line C) $ /3/.6() j me
F. Value of In-Kind Contributions Received (From Schedule II) $ f 2':
--4 Z"'G. Unpaid Debts and Obligations (From Schedule IV) S I) {
AFFIDAVIT SECTION
PART I 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 or computer diskette, are to the best of my knowledge and belief true,
correct and complete. /
Swirl,to and subscribed efore me this
s
day o 20 / / / �' it/
,�/ ,, -�� i.Signature of Person Sub ' ting Report
ei
eA
c^^ F f14 � Printed me
NA1 s 7/7- 2z/S-' 32//I
My commission expires UFGFCAN EOpRin IS
MO. Wary Pic YR. Area Code Daytime Telephone Number
"i"""`11-1/\l MIi IIANe 86J....
I, S 1�!,...16''rl•e.... ,-. A.,
PART II - if this is a repbrMrf- - Com ittee, 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 fes/ /
/44-41 day of\,af/(Q 20 ( / `
ignature of Candidate
eta...02,4C.--• /IX A/1 4 if
or. • •.i' ." 'F • r.11A % e0
Pri ted Name
N0-''• Al.SEAL /'7 .21/5"—.21/5"- 32 89
My commission expires
MEGAN f r S
M DAYy .fi ' Area Code Daytime Telephone Number
I,RIiLIbLE UOIR 'Q' : ' AND COUNTY
My Commission Expires Jan 14,2019
Depar m- us 1.dtmissions, Elections and Legislation
303 North Office Building • Harrisburg, PA 17120-0029 • (717) 787-5280
DSEB-502 (7-99)
SCHEDULE I PAGE 2 OF >
CONTRIBUTIONS AND RECEIPTS
Detailed Summary Page
Name of Filing Committee/ or Candidate (`' l / - Reporting Period, �f
X Ck / Ii Tor Cgt/f/e J GA0o/,80q r biro /or From // 26/ To 1J��wGO/
1. UNITEMIZED CONTRIBUTIONS AND RECEIPTS - $50.00 OR LESS PER CONTRIBUTOR .
TOTAL for the Reporting Period (1) I $ cb
2. CONTRIBUTIONS $50.01 TO $250.00 (FROM PART A AND PART B)
Contributions Received from Political Committees (Part A) $ 5
All Other Contributions (Part B) $ 0
TOTAL for the Reporting Period (2) $ 0
3. CONTRIBUTIONS OVER $250.00 (FROM PART C AND PART D)
Contributions Received from Political Committees (Part C) $ 0
All Other Contributions (Part D) $ 600, 00
TOTAL for the Reporting Period (3) $5 O 00
4. .OTHER RECEIPTS - REFUNDS, INTEREST EARNED, RETURNED CHECKS, ETC. (FROM PART E)
TOTAL for the Reporting Period (4) $ ci
TOTAL MONETARY CONTRIBUTIONS AND RECEIPTS DURING
THIS REPORTING PERIOD (Add and enter amount totals from $500. 00
Boxes 1 , 2, 3 and 4; also enter this amount on Page 1 , Report
Cover Page, Item B.)
•
DSEB-502 (7-99)
PART D PAGE OF
ALL OTHER CONTRIBUTIONS
OVER $250.00
Use this Part to itemize all other contributions with an aggregate value of
over $250.00 in the reporting period.
(Exclude contributions from political committees reported in Part C.)
Name of`Filing Committee or
Candidate� /irk
�7 �/ 1 Reporting Peri d /
g/C/� Cy ifeA 7 r ectr/irk SC A00/ qvreeThr From S / 20/7 To /s/20/
DATE AMOUNT
Ful ame//of Contributor MO. _ DAY YEAR $ �+OO.O�
cAaraeC Cho ie4 S ii 2.0/9J
Mailing Addrep s j� MO.- DAY YEAR $ /il
b77C ,4/exemler £5 /;rq 041 /`
City / State Zip Code (Plus 4) MO. DAY. YEAR /�
6d//r/e. 1P14 /70/5" - - $ N�
Employer`` N4rav
/ Occupationti �e
/1S tdr' eo
a //ey1 Educc7 A '% 'olerrar
Emplo ddre s/Principal Place of Susi ess
22 6,,4 .,0/-/VP n r hr/c4{�, / i0/3
...7
Full Name of Contribu 071//1 f�/ MO. DAY YEAR
O� $ fr:///4
Mailing A dress MO. DAY YEAR $
City State Zip Code (Plus 4) MO. DAY YEAR
. $
Employer Name Occupation
Employer Mailing Address/Principal Pla,e of Business
Full Name of Contributor MO. DAY YEAR
$
Mailing Address MO. DAY YEAR
City State Zip Code (Plus 41 MO. DAY YEAR $
Employer Name Occupation
Employer Mailing Address/Principal •lace of Business
Full Name of Contributor MO. DAY YEAR $
Mailing Address MO. DAY YEAR $
City State Zip Code (Plus 4) MO. DAY YEAR
Employer Name Occupation
Employer Mailing Address/Print pal Place of Business
Full Name of Contributor MO. DAY YEAR $
Mailing Address MO. DAY YEAR $
City State Zip Code (Plus 4) MO. DAY YEAR '
- $ Nn
Employer Name Occupation
Employer Mailing Addre- P ncipal Place of Business
PAGE TOTAL
Enter Grand Total of Part D on Schedule I, Detailed Summary Page, Section 3. $ 500. O O
DSEB-502 (7-99)
PAGE OF
SCHEDULE III
STATEMENT OF EXPENDITURES
Name of Filing,CRrnmittee or Candidate i 1 r_3 1 i (D Reporting Pe
kck Ucr/e4 7r ea filth -.1c4°°1 41°P°3/;,..cler...40,- From / 2.6/4" To CA120/7'
To Wh... 24 Paid A.." i i "5.1‘)(0';`,;..,•. '-c)Ait,:,:'.:4EAli,: , Amount
/Ae. 3i/it/Act II 21.7 ' $
Mailing75it ® Sztre
Address- 4 Pt Des5sippon ofzEn:enditur!
t .i
fidve rgis,/47 /4 /vet4.73e2p/—
City
Statel /.70C /odi (Plus 4)
Car/Isle
....------__
To Whom Paid !.f4010.. . ,. iii'"i,.; 'WEA-iC Am., t
A)/ °
Mailing Ad• , Description of Expenditure
City State State Zip Code (Plus 4)
To Whom Paid 3440.i.: ,''- 1:ern.:;'A:"*EARlAmount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4) '
To Whom Paid ', *111,,,:. 1:iAY : YEARlAmount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid 21140:: ;.•.'1.1**;.g `1,,EARA Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid ,f1/10.• ,WDAY,L; „YEAR,, Amount
$
Mailing Address Description of Expenditure
City State - Zip Code (Plus 4)
To Whom Paid
ti/lCi ' '5'1,,DAY.:-1 .NEARlAmount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
— V
To Whom Paid M.0:. .. t:DoNX . Ai".Efutyl, Am•-
k• N #4
Mailing Address Description of Expenditure
City State State Zip Code (Plus 4)
1 _
PAGE TOTAL
Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. $3CE.1/0
DSEB-502 (7-99)