HomeMy WebLinkAboutCoplen, Lorelei - 2017 30-Day Post Election r
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 IIlo. REPORT FILED I._ n/ 2. 3.
NUMBER
ON BEHALF OF CANDIDATE. ay/ COMMITTEE.. LOBBYIST
NAME OF FILING COMMITTEE,CANDIDATE OR LOBBYIST
bokeLEI E.W . cop €&)
STREET ADDRESS
8O/ Al fx. .D spT 1&i G- R�J
CITY STATE ZIP CODE
CAKL-ISL. PA l i-D1S-
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
(CHECK ONE) --F f� /to l p vi CGS MO. DAY YEAR
1. (/lJ SU e/� J
6TH'TUESDAY
PRE-PRIMARY FOR OFFICE USE ONLY •
MO. DAY YEAR.. "MO. -DAY YEAR . .
2ND FRIDAY 2. DATES OF
PRE-PRIMARY PER OD NG 02././ /....3
TO 1'
30:DAY 3'
POST-PRIMARY . ' �� C) O
CASH BALANCE AT END 0• C
6TH TUESDAY 4' OF REPORTING PERIOD: $ .-..=
PREELECTION 2
TOTAL AMOUNT OF FILER'S m o
Xi .r
2ND FRIDAY s' OUTSTANDING DEBTS OR LIABILITIES O I- N
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ zCO
CD
s.
30 DAY AMENDMENT / C)C) Dr
POST-ELECTION. YES NO V/
..:;REPORT:..; CO
7.
ANNUAL TERMINATION. YES NO -"1 0
REPORT REPORT:
CO
AFFIDAVIT SECTION .
PART I-
1f 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 DURI.• THE REPORTING PE. ••INDI ATED ABOV. DID NOT
1
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF MY NO •GE AN BELIEF,T- 0--' AND ,1 LETE.
SWOR TQ AND SUBSCRI/E�D/BEFO• ME
THIS 1 p j� ; ,��,
II DAY OF �L UV C///1 r 20 7 SI• ATURE OF PERSON SUBMITTING R/ORT
toql
el f i MI ILIA-,i W r>rl PRINTED NAME
SIGNATURE NOTARIAL SE 1.
MY COMMISSION EXPII ES LORIE GEISTWHITE .) (,��L./g
MO. NOIaJ,1l 'LbIIC YR. AREA CODE DAYTIME TELEPHONE NUMBER
CARLISLE BORO,CUMBERLAND COUNTY
My Commission Expires Feb 14.2021
PARTII-
If statement is filed on behalf of a Candidate's Authorized 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)