Loading...
HomeMy WebLinkAboutCoplen, Rick - 2017 30-Day Post 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 blue or black ink.) Filer IdentificationReportt2. 3. Number: O. Filed By , VANDIDAT--E.). COMMITTEE LOBBYIST I Name fFiling Coolmmit e, Candidate or Lobbyist: /Ci C O kA Street Address/i // I PPC //hxc �4r 57/2!4 J , oa • City: State: Zip Code: eor/r/� _ �'� /lois - TYPE OF 6TH TUESDAY 1• 2ND FRIDAY 2. 30 DAY - 3' AMENDMENT YES NO REPORT -PRE-PRIMARY PRE-PRIMARY POST;PRIMARY , "REPORT? , ETH TUESDAY 4• .2ND FRIDAY 5- 30 DAY 6• TERMINATION PRE-ELECTION PRE•EL£CTION ., POST ELECTION t/ REPORT? 'YES NO (place X to the right of ANNUAL 7. YEAR FILING METHOD ', report type) PAPER /DISKETTE REPORT I I.CHECK ONE Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County Number Code Code Code 6 /J /� (� lJ J — MO. DAY YEAR /•Ar/' JC/00/ BoarlJ ,Dir2C 3r if 7 toil (SEE INSTRUCTIONS FOR CODES) FOf i-OFFICE USE ONLY MO. DAY YEAR • MO. DAY_, ,YEAR. . Summary of Receipts 2o n N and Expenditures from: poo. y 20� To /1 27 2 /� o zA. Amount Brought Forward From Last Report $ co m B. Total Monetary Contributions and Receipts (From Schedule I) $ N C. Total Funds Available (Sum of Lines A and B) $ Z Co CD D. Total Expenditures (From Schedule III) $ s,3Qc-) = O E Ending Cash Balance (Subtract Line D from Line C) $ 0 C CO 0 F. Value of In—Kind Contributions Received (From Schedule II) $ • -< ' '© G. Unpaid Debts and Obligations (From Schedule IV) S ? AFFIDAVIT SECTION PART I — If this is a Committee report, treasurer sigh 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 (�t/o•apd subscribed before1me thi o//TL,UI` day of 1 0V 1 4 C7"[i' 20 /7 Al---)1\, ii"i // : a u of P rson SubmittingReport }, p P j OMMQ.,W a, HU PEN ,ALV�! C�' bi a 4.- 1yr.. •7r p .. A - - /C 740/P4signEtiga GEISTWHITE / Printed Name My commission expir s Notary Public i 2y CARE 8080,C4 RLANU tit}IjfITY Area Code Daytime Telephone Number M Commission Exoires Feb i4 707t • / �� PART .11 — 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 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 Ca DSE6-502 (7-99) PAGE OF •' • SCHEDULE III STATEMENT OF EXPENDITURES Name of or(CandidatO Reporting Peri d 2 �%C �0 /e/t From /_ 24 i/ To ///24// To WI)RV P Paid, /�0//1 QiA r 1VI; ,. DAY YEAR Amount D 6 (//J J i L./ 2.o/1 $ Mailing Ade Descriptio of xpen iture 25 ///aTSac hciy Z �✓MU2 WJdP , 5dma,/r City State Zip Code (Plus 4) ' 125-X,4�A .De. 2 tsoi — To Whom Paid 0 MO. DAY. YEAR Amount A/ //�� /if p 0(g f $ /V T! Mailing Addres 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) 1 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) To Whom Paid MO. DAY yEAR Amount $ Mailing Address Description of Expenditure. City / State Zip Code (Plus 4) vsVV PAGE TOTAL Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D. $53 o DSEB-502 (7-99)