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Home My WebLink AboutCoplen, Lorelei - 2017 2nd Friday Pre-Election COMMONWEALTH OF PENNSYLVANIA CAMPAIGN FINANCE STATEMENT File this in lieu of a full report only if aggregate receipts, expenditures, or liabilities incurred each did not exceed $250.00 during the reporting period. FILER IDENTIFICATION ' REPORT FILED1/11°. CANDIDATE. I. COMMITTEE.. 2. •LOBBYIST 3. NUMBER ON BEHALF OF NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST LOW E1 / W) L$D >J CopLSA STREET ADDRESS J} OD( x, l D s-p I A) 6- STATEY 1 f/�'�f)�A CmZIP CODE C JkR L/ S L. � FA r i-o l S"- . TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION (CHECK ONE) -T-D I (n LIy1� ✓VI L! p C I I esK v 1 sO K N ' MD. ' •DAY YEAR--.: 1. I�JI/V i•` 7 2C7L 'R' •6TH:TUESDAY PRE=PRIMARY: FOR'OFFICE.USE:ONLY. MO. ..DAY• YEAR:.. 'MO. ..DAY • ''YEAR. '2ND FRIDAY 2. DATES OF PRE-PRIMARY ^ RPEREPORTINGIOD �l 1�1/ „ I 4_ TO ' 2.3 I lJ 30,DAY •,. '. 3. C., r.2.POST-PRIMARY , C CASH BALANCE AT END D • �D —+ 4. OF REPORTING PERIOD: $ Oo C • 6TH TUESDAY''., rn PRE-ELEC11ON TOTAL AMOUNT OF FILER'S 5• , PREELECTION v OUTSTANDING DEBTS OR LIABILITIES �n /�,��O 7- N 2ND FRIDAY . AT THE END OF REPORTING PERIOD: $ •( Z - C 6. n Z 30DAY. AMENDMENT ` YES NO / Q N 'POO-ELECTION, REPORTS Z 7. J -- W ANNUAL ' TERMINATION., YF.S NO / IP REPORT REPORT? V ' � AFFIDAVIT SECTION . PART I- if statement is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here. If statement is filed on behalf of a Candidate,the Candidate must sign here. If statement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here. I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INCURRED .URING THE REPORTIN PERIOD INDICATED ABOVE DID NOT EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST:F MY 470 •r AND B EF T- E,CORRECT • D COM E. SWORNLTO AND SUBSCRIBED BEFORE ME THIS / /// / // f/J CO DAY OF 0L/�'"-+-Ti' 20/7 SIGNATURE OF PERSON SREPS[ T / n� �� L©R 1e7 VII LSD SUBMITTIN L N C'��' J J • PRINTED NAME l COMMONPJkl1HDF PEN YL A . 1 Res-44 4/( _/ MY COMMIS • *.•- . S ‘1:11 .:.. EAL -71 14 g MEOW ORSDAY YR. AREA CODE DAYTIME TELEPHONE NUMBER -War/Poollc PART II- , CARUSLE.BORO,CUMBERLAND COUNTY • Jan 14 2019 If statement is -• • °•:- Ii •••• -'' ' - •rized Committee, Candidate must 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 SIGNATURE OF CANDIDATE DAY OF 20_ • . PRINTED NAME SIGNATURE MY COMMISSION EXPIRES AREA CODE DAYTIME TELEPHONE NUMBER MO. DAY YR. DSEB-503(12-99) .