HomeMy WebLinkAboutCoplen, Rick - 2017 2nd Friday Pre-Election ' 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 lue or black ink.)
Filer Identification ► Report --
eport110' �CANDIDA� 1✓ COMMITTEE 2. LOBBYIST
By: 3
Number: Filed B
Name of Filing Comm'ttee, C ndidate or Lobbyist:
X3ck C. 7/Pfe4 •
Street Address: / � �•-''' XJ/e4 /er' Si
City: ^ / / ��V State: Zip Code: -
L/crr-kik p1Q /5-
TYPE OF 6TH TUESDAY 1• 2ND FRIDAY 2• 30 DAY 3. AMENDMENT . YES NO r
REPORT PRE-PRIMARY PRE-PRIMARY POST PRIMARY REPORT?
6TH TUESDAY 4. 2ND FRIDAY 5• 30 DAY 6. TERMINATION
YES NO
(place X to
PRE-ELECTION PRE-.ELECTIO POST ELECTION REPORT?
the right of ANNUAL 7. YEAR RUNG METHOD
report type) REPORT ( ) CHECK ONE , PAPER DISKETTE
C
,
Name of Office Sought by Candidate: w DATE OF ELECTION District Office Party County
err, fes/ Boari1` ` MO. DAY YEAF! Number Code Code Code
ar/�rf� ,4 Uired-or 2
:/ qq/7
/ V (SEE INSTRUCTIONS FOR CODES)
FOR OFFICE USE ONLY
Summary of Receipts. 'MO. .DAY YEAR MO. DAY YEAR
and Expenditures from: 10, C G 2.0/7- To /O 23 20/7 n o_
C
A. Amount Brought Forward From Last Report $ tl .....1/ C
B. Total Monetary Contributions and Receipts (From Schedule I) S 9 m -4-I
r' N •
C. Total Funds Available (Sum of Lines A and B) S y3 Z
D. Total Expenditures (From Schedule III) $ /2 6 O
* C) MC
E. Ending Cash Balance (Subtract Line D from Line C) $ G N
2 N
F. Value of In—Kind Contributions Received (From Schedule II) $ - ap
G. Unpaid Debts and Obligations (From Schedule IV) $ 0
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 lof and subscribed before me this
/ day of D �I V r-e -! 20 /7
, .:r /
....sow i: ature f Person Submitting Report
o
• Ir-,, Mt: / Printed Name
My commission expires
MEGAN EDRRI$ �J ZyS— 32 ?9
C ttISLESOROVERLAND'UNTY Area Code Da9time Telephone Number
w(wart senwr to• .lit.14,.8149A.
i
PART 11 — If this is a =•• • o a an.i.a e'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
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
Name of'Fi}ing-Etrrrmm4tee orandidate Reporting Peri d
Ck �O /P/1 From (O 6 2a/-9To /0V22/2017
To Whom PaidMO. DAY YEAR Amount
Goo it .60 in Gi/1 s 2 2075 $S';o 0
Mailing Addr s ' Description of pendijure
2S / lama c,4dre7�' ,4Ve ie (Lie6s/-i doPtai51
City
, ��, f State Zip Code (Plus 4) _
W�ri°liYl11 QC papa/-
To Whom PaiAmount
qq MO. DAY YEAR
Go ,b Me 7- 2./ 2.o/i $ So0
Mailing dr Description ofExpenditure
City State Zip Code (Plus 4)
6/C4AJ— DC 2000/ -
To Whom Payf MO.. DAY YEAR Amount
CO al/e , tol ift ii.r 7 2/ los/ D 0
Mailingr //7Gdress f __,,[�,,[[ /► Descriptio ofpendit e t )
�fi
2rrcc�(u;e .1. e, /e Al ctsl7� Doi g171
City State Zip Code (Plus 4)
(,f../G.5 nn( A DC 2006/ - -
To Whom ��G A M
G� / /A /.' MO. DAY YEAR Amount
Col a 4,4s q 2y Za/ $ 3: 20
Mailing dress Descri do of E end1a/flqi1
e
23" �a 5ra ciLre s Rena' W 77ebSC p
City State Zip Code (Plus 4)
(14fh/Y)q 4 be 2000 / —
ToWomPai J
��o e �Ma��s MO. DAY YEAR Amount
66��� /0 2 2 ei S,30
M2i r s `/ J `�rj Afemie
Descrjption gf Exiir 1;* o�o'
2�' `//C1 S'S a C/1(/ C�/// (/�t//C'fj/ � ,(/JS `4
City State Zip Code (Plus 4)
OGfl4l^ 4 D 20,01 -
To Whom Pai MO. DAY YEAR Amount
07/fzN6- / 'AZ DWS $
Mailing Addr s 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)
i
To Whom Paid MO. DAY YEaR IAmou
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. $2 f�.6 O
DSEB-502 (7-99)