HomeMy WebLinkAboutFriends of Rick Coplen - 2020 2nd Friday Pre-Election Pennsylvania Department of State
Bureau of Campaign Finance&Civic Engagement
210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4)
www.dos.pa.gov/campaienfinance • ra-stcampaienfinance@pa.eov
Unsworn Statement in Lieu of Sworn Statement for
Campaign Finance Reports
Note: Per Act 2020-15, which was signed into law on April 20, 2020 and allows for unsworn
declarations, Campaign Finance Reports (form DSEB-502), Campaign Finance Statements In lieu
of full reports (form DSEB-503), and Independent Expenditure Reports (form DSEB-505)need not
be notarized. Instead, the filer may file with each report or statement the corresponding version
of this form signed by the required individual(s). This particular form is to be used only for
Campaign Finance Reports. This form must be signed by hand where a signature is required. •
•
Name of Filing Committee, Candidate, or Lobbyist
Friends of Rick Coplen
Reporting Cycle Name
❑ Cycle 1 ❑ Cycle 2 ❑ Cycle 3 0 Cycle 4 CI Cycle 5
6th Tuesday 2nd Friday 30 Day 6th Tuesday 2"d Friday
Pre-Primary Pre-Primary Post Primary Pre-Election
Pre-Election
0 Cycle 6
0 Cycle 7 0 Cycle 8 ❑ Cycle 9
30 Day Post-Election
Annual Report 2"d Friday Pre-Special Election • 30 Day Post-Special Election
Part I- If this form is submitted with a Committee report, the treasurer must sign here. If
this form is submitted with a Candidate report, the candidate must sign here. If this report
is submitted with a report by a contributing lobbyist, the lobbyist must sign here.
I declare under penalty of perjury under the law of the Commonwealth of Pennsylvania
that the foregoing is true and correct.
10/22/2020
Signature reasurer, Candidate, or Lobbyist Date (DD/MM/YYYy4 �'.-.,
Donna Williams Carlisle, PA
• Printed Name Location (City/State/C4try)
27,
<DSEB-502R
Updated 6/24/2020
Pennsylvania Department of State
Bureau of Campaign Finance&Civic Engagement
to
210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4)
www.dos.pa.Rov/campaienfinance • ra-stcampaienfinancet oa.gov •
Part Il-If this form is submitted with a report by a Candidate's Authorized Committee, the
candidate must sign here.
I declare under penalty of perjury under the law of the Commonwealth of Pennsylvania
that the foregoing is true and correct.
10/22/2020
Si ensurer, Candidate, or Lobbyist Date(DD/MM/YYYY)
Richard Chase Coplen Carlisle PA
Printed Name Location (City/State/COunt
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-71
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•
•
DSEB-502R
Updated 6/24/2020
Commonwealth of Pennsylvania 11111111111111111111111111111111
Campaign Finance Report 334236
(NOTE:This report must be clear and legible. It may be typed or printed in blue or black ink.)
AINIIIMIIIMPIIIIIIINIIIINI
Filer Identification 20200165 Report CANDIDATE COMMITTEE .1 LOBBYIST, •
Number: Filed By:
Name of Filing Committee,Candidate or Lobbyist: FRIENDS OF RICK COPLEN
Street Address: 806 ALEXANDER SPRING ROAD
City: CARLISLE State: PA i Zip Code: 1701.5
TYPE OF. 6TH TUESDAY ', 1. 2ND FRIDAY PRE- • 2. 30 DAY • POST- 3. AMENDMENT. Yes No
REPORT PRE-PRIMARY PRIMARY PRIMARY'' s_ " REPORT? . °
6TH TUESDAY. 4. 2ND FRIDAY PRE-" 5.X 30 DAY POST-- 6. TERMINATION • Yes No
(place X to PRE-ELECTION ELECTION ELECTION REPORT?
the right of =
report type) ANNUAL REPORT 7. Year 2020 FILING METHOD PAPER - ` DISKETTE
( )CHECK ONE ,` .
DATE OF ELECTION District Office Party Code County
Name of Office Sought by Candidate: Number Code Code
MO , DAY YEAR 31 STS OEM 21
SENATOR IN THE GENERAL ASSEMBLY
11 3 2020 (SEE INSTRUCTIONS FOR CODES)
Summary of Receipts and MO ' DAY YEAR MO '., DAY, , YEAR FOR OFFICE USE ONLY - -., _
Expenditures from: 9 15 2020 TO
10 19 2020
C) .
A.Amount Brought Forward From Last Report $ 2,918.57 C_'" Fs.)...—.
B.Total Monetary Contributions And Receipts(From Schedule I) $ 375.00 it
CI
M —I
C.Total Funds Available(Sum Of Lines A and B) $ 3,293.57 r— IV
s. IV
D.Total Expenditures(From Schedule III) $ 200.00 C.:1
•
E.Ending Cash Balance(Subtract Line D From Line C) $ 3,093.57 3 -
F.Value Of In-Kind Contributions Received(From Schedule II) $ 0.00 N
-.-Gl W
G.Unpaid Debts And Obligations(From Schedule IV) $ 0.00
AFFIDAVIT SECTION
PART I'-if this is a Committee report,treasurer sign here:if this 1s a Candidate report,candidate sign here. T - ., -7-1
I swear(or affirm)that this report,including the attached schedules filed on paper or by electro edium,are to the test my kno a and belief,true
correct and complete. J
Sworn to and subscribed before me this Signature ofJlPers n Submitting Report
day of 20 DO frl a_ I / (�c .
Printd Name
Signature
I i,�(I Lf a-w`se z4AA)ormx.4 e 4-_I,i,bi'
My Commission Expires Email 77 (7,7 n(�,`l /Y(I f ( 7
MO DAY YR Area Code Daytime Telephone Number
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 vio y p 's of the act of lune 3 937(P.1..1333,
No 320)as amended.
Sworn to and subscribed before me this
lure ofCandidate^
day of 20 C D!D r'l
/PI d Name /
�
Signature l ickCE /e pigs . Ci"/
My Commission Expires c nvi
1
(7-f7)
MO DAY YR Area Code Daytime Telephone Number
10/22/2020 9:45:43 AM
SCHEDULE I
CONTRIBUTIONS AND RECEIPTS
Detailed Summary Page
Name of Filing Committee or Candidate Reporting Period
FRIENDS OF RICK COPLEN From: 9/15/2020 To: 10/19/2020
•
1.Un&ternized Contributions_Received-$S0.0.0 or Less Per Contributor •
TOTAL for the Reporting Period (1) $ 0.00
2.Contributions Received- $50.01 To$250.00(From Part A and Part B)
Contributions Received From Political Committees(Part A) $ 0.00
All Other Contributions (Part B) $ 0.00
TOTAL for the Reporting Period (2) $ 0.00
2.Contributions Received Over$250.00(From Part C and Pert b) •
Contributions Received From Political Committees(Part C) $ 0.00
All Other Contributions (Part D) $ 0.00
TOTAL for the Reporting Period (3) $ 0.00
4.Other Receipts,Refunds,Interest Earned,Returned Checks, Etc.(From Part E) •••' ` -
TOTAL for the Reporting Period (4) $ 375.00
Total Monetary Contributions and Receipts During this Reporting Period(Add and enter amount S 375.00
totals from Boxes 1,2,3 and 4;also enter this amount on Pagel,Report Cover Page,Item B.)
10/22/2020 9:45:43 AM
PART A
CONTRIBUTIONS RECEIVED FROM POLITICAL COMMITTEES
$50.01 TO $250.00
Use this Part to itemize only contributions received from political committees
with an aggregate value from $50.01 to $250.00 in the reporting period.
Name of Filing Committee or Candidate Reporting Period
From: To:
DATE AMOUNT
Full Name of Contributing Committee
MO. DAY YEAR.
Mailing Address
0.00
City State Zip Code(Plus 4)
PAGE TOTAL
Enter Grand Total of Part A on Schedule I, Detailed Summary Page,Section 2. 0.00
10/22/2020 9:45:43 AM
PART B
ALL OTHER CONTRIBUTIONS
$50.01 TO $250.00
Use this Part to itemize all other contributions with an aggregate value from
$50.01 to $250.00 in the reporting period.
(Exclude contributions from political committees reported in Part A)
Name of Filing Committee or Candidate Reporting Period
From: To:
DATE AMOUNT
Full Name of Contributor
MO DAY VAR
Mailing Address
0.00
City State Zip Code(Plus 4)
PAGE TOTAL
Enter Grand Total of Part A on Schedule I, Detailed Summary Page,Section 2. $ 0.00
•
10/22/2020 9:45:43 AM
PART C
Contributions Received From Political Committees
OVER $250.00
Use this Part to itemize only contributions received from Political committees
with an aggregate value from Over $250.00 in the reporting period.
Name of Filing Committee or Candidate Reporting Period
From: To:
DATE AMOUNT
Full Name of Contributing Committee
MO-H: DAY:K`;a YEAR
Mailing Address
$ 0.00
City State Zip Code(Plus 4)
PAGE TOTAL
Enter Grand Total of Part C on Schedule I, Detailed Summary Page,Section 3.
$ 0.00
10/22/2020 9:45:43 AM
yr V
PART D
ALL OTHER CONTRIBUTIONS
OVER $250.00
Use this Part to itemize all other contributions with an aggregate value of
over $250.00 in the reporting period.
(Exclude contributions from political committees reported in Part C.)
Name of Filing Committee or Candidate Reporting Period
From: To:
DATE AMOUNT
Full Name of Contributor
MO DAY YEAR.f
Mailing
Address $ 0.00
City State Zip Code(Plus 4)
Employer Name Occupation
Employer Mailing Address/Principal Place of City State Zip Code(Plus 4)
Business
PAGE TOTAL
Enter Grand Total of Part C on Schedule I, Detailed Summary Page,Section 3.
0.00
•
•
10/22/2020 9:45:43 AM
PART E
OTHER RECEIPTS
REFUNDS, INTEREST INCOME, RETURNED CHECKS, ETC.
Use this Part to report refunds received, interest earned, returned checks and
prior expenditures that were returned to the filer.
Name of Filing Committee or Candidate Reporting Period
FRIENDS OF RICK COPLEN From: 9/15/2020 To: 10/19/2020
DATE AMOUNT
Full Name •
MO DAY YEAR 11
Nexstar Broadcasting, Inc.
Mailing Address 5000 Riverside Drive/Bldg 5, Ste 200 375.00
Calf Irving State Zip Code(Plus 4)
10 19 2020
TX 75039
Receipt Description Refund TV Advertising
PAGE TOTAL
Enter Grand Total of Part E on Schedule I,Detailed Summary Page,Section 4.
375.00
10/22/2020 9:45:43 AM
SCHEDULE II
IN-KIND CONTRIBUTIONS AND VALUABLE THINGS RECEIVED
USE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS
DURING THE REPORTING PERIOD.
Detailed Summary Page
Name of Filing Committee or Candidate Reporting Period
FRIENDS OF RICK COPLEN From: 9/15/2020 To: 10/19/2020
1.UNITEMIZEO IN-KIND CONTIOBUTIONS RECEIVED-VALUE-OF$550.00:OR.LESS PER CONTRIBUTOR •
TOTAL for the Reporting Period (I) $ 0.00
2.IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART 0)
TOTAL for the Reporting Period (2) $ 0.00
3.IN-KIND CONTRIBUTION RECIEVED VALUE OVER'$250.00(FROM PART 0)
TOTAL for the Reporting Period (3) E 0.00
TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING PERIOD(Add and enter 0.00
amount totals from Boxes 1,2,and 3;also enter on Page 1,Reports Cover Page,Item F.)
10/22/2020 9:45:43 AM
SCHEDULE II
PART F
IN-KIND CONTRIBUTIONS RECEIVED
VALUE OF $50.01 TO $250.00
Name of Filing Committee or Candidate Reporting Period
From: To:
DATE AMOUNT
Full Name of Contributor
MO : .DAY.-';: YEAR
Mailing Address $ 0.00
City State Zip Code(Plus 4)
Description of Contribution:
Enter Grand Total of Part F on Schedule II, In-Kind Contributions Detailed Summary Page, PAGE TOTAL
Section 2.
0.00
10/22/2020 9:45:43 AM
v LU
SCHEDULE II
PART G
IN-KIND CONTRIBUTIONS RECEIVED
VALUE OVER $250.00
Name of Filing Committee or Candidate Reporting Period
From: To:
DATE AMOUNT
Full Name of Contributor „y DAT _YEAR
Mailing Address
0.00
City State Zip Code(Plus 4)
Employer of Contributor Occupation
Employer Mailing Address/Principal Place of City State Zip Code(Plus Description of Contribution
Business 4)
PAGE TOTAL
Enter Grand Total of Part G on Schedule II,In-Kind Contributions Detailed
Summary Page,Section 3. 0.00
•
10/22/2020 9:45:43 AM
va 11
SCHEDULE III
STATEMENT OF EXPENDITURES
Name of Filing Committee or Candidate Reporting Period
FRIENDS OF RICK COPLEN From 9/15/2020 To: 10/19/2020
DATE AMOUNT
To Whom Paid _ x •
MO DAY- • YEAR
George Scott for PA 15
Mailing Address PO Box 1063 9 28 2020
� 200.00
City Harrisburg State Zip Code(Plus 4) Description of Expenditure
PA 17108 Outreach
PAGE TOTAL
Enter Grand Total of Expenditures on Page 1, Report Cover Page,Item D.
200.00
10/22/2020 9:45:43 AM