HomeMy WebLinkAboutCoplen, Rick - 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 1../ 2• 3.
Number: ► Filed By: CANDIDATE V COMMITTEE LOBBYIST
Namoof Filing Committee, Candidate or Lobbyist:
ick Cof/e4
Street Address:
yob R/EX4/Q r- 5-7r7;) Act/
City: de Stat Zi ode: —
e4r/ask / 0/
TYPE OF 8TH TUESDAY 1• 2ND FRIDAY 2• 30 DAY 3i ( AMENDMENT YES NO
REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY ,I REPORT?
8TH TUESDAY 4• 2ND FRIDAY 5• 30 DAY 6. TERMINATION
PRE-ELECTION PRE-ELECTION POST ELECTION ' REPORT? YES NO
(place X to
- the right of ANNUAL 7. YEAR FILING METHOD
report type) REPORT ( ) CHECK ONE , PAPER CIISKETTE
Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County
ear/< J /� < MO. DAY YEAR Number Code Code Code
S/f' aSSA00/ oa/`d ,5�/`�c or 6
OS / 20/ (SEE INSTRUCTIONS FOR CODES)
FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR
Summary of Receipts ► 5 2 2-0/ 6, 5. 20/7
and Expenditures from: To
A. Amount Brought Forward From Last Report S 5610 C) 1'4C o
B. Total Monetary Contributions and Receipts (From Schedule I) $ 960 03 C—
M
C. Total Funds Available (Sum of Lines A and B) $ Z7
r—
D. Total Expenditures (From Schedule III) $ �9�•�� Z
E. Ending Cash Balance (Subtract Line D from Line C) $ 0 C)
CD -
F. Value of In—Kind Contributions Received (From Schedule II) S C
-- C3
G. Unpaid Debts and Obligations (From Schedule IV) $ 9 --G
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.
Sworn t4 and subscribed before me this
l (TU,,,` day of QJ,L.ki,Q1 20 17 A w
r� MANIA •
/_ _��i-la,Ia.ure of Person Submitting Report
MEGANEwins Signature • /6:40.1 Printed Name
"Y�Xgils `gBR�'I `` 1\C---
7/ 2 y5- 327,
My Commitslon Expires Jan .2019
AY YR. Area Code Daytime Telephone Number
1.
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
(P.L. 1333, No. 320) as amended.
Sworn to and subscribed before me this
day of 20 1 •
Signature of Candidate
Signature Printed Name •
My commission expires
MO. DAY YR. Area Code Daytime Telephone Number
Department of State • Bureau of Commissions, Elections and Legislation
303 North Office Building • Harrisburg, PA 17120-0029 • (717) 787-5280
DSEB-502 (7-99) /
PAGE OF
SCHEDULE III
STATEMENT OF EXPENDITURES
Nameo
fFiling Committee or Candidatg Reporting Period
C'or/e4 From .�/1/2 0/7 To 4/ /2 O/
To Whom Paid YEAR Amount
Si- /tes' S' gY 24i 7 C 0614-
.....6 4-
Mailing dr1eiss nil Description f Expenditure / ��
lV V ,(/J�ivd /-r;, -T,0/d
City State Zip Code (Plus 4)
Car/isk 4 /7oi3 —
To Whom Paid/ � MO. DAY YEAR Amount
O O
La 009' a „bon a S 5
Mailing re Description o��f Expen iture
2S /77 i - c tirelk /9t, ae . L(/eisrte I)0A7Q/,1
City State Zip Code (Plus 4)
(1.4.5-L 0A Q.C. 2000/ -
To Whom 1 MO. DAY YEAR Amount
/1, ,/7„4 lows WA,
Mailing Address Description of Expenditure
City State Zip Code (Plus 4) •
To Whom Paid MO. DAY YEAR Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid
MO. °:DAY YEAR Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid MO. DAY YEAR Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
To Whom Paid MO. DAY YEARAmount
Mailing Address Description of Expenditure $
City State Zip Code (Plus 4)
To Whom Paid MO. DAY YEAR Amount
$
Mailing Address Description of Expenditure
City State Zip Code (Plus 4)
PAGE TOTAL
Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. $ /9/. 6 7
DSEB-502 (7-99)