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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)