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HomeMy WebLinkAboutFriends of Rick Coplen - 2020 Annual Report 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.eov/campaienfinance • ra-stcampaignfinancec pa.gov Unsworn Statement in Lieu of Sworn Statement for Campaign Finance Statements • 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 Statements. 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 0 Cycle 2 0 Cycle 3 0 Cycle 4 0 Cycle 5 6th Tuesday . 2nd Friday 30 Day 6th Tuesday 2nd Friday Pre-Primary Pre-Primary Post Primary Pre-Election Pre Election ❑ Cycle 6 O Cycle 7 . 0 Cycle 8 0 Cycle 9 30 Day Post-Election Annual Report 2"d Friday Pre-Special Election 30 Day Post-Special Election Part 1 — if this form is submitted with a statement in lieu of full report by a political committee, the treasurer must sign here. If this form is submitted with a statement in lieu of a full report by a candidate, the candidate must sign here. If this form is submitted with a statement in lieu of full report by a contributing lobbyist, the lobbyist must sign here. declare under penalty of perjury under the law of the Commonwealth of Pennsylvania that the foregoing is true and correct. • . )1140\ Li I 20 Z--/ Signature of Treasurer, Candidate, or Lobbyist Date (DD/MM/YYYY) Donna Williams Carlisle, PA, USA Printed Name Location (City/State/Country) DSEB-503S Updated 6/24/2020 Pennsylvania Department of State fiff Bureau of Campaign Finance&Civic Engagement 210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4) • www.dos.pa.eov/campaignfinance • ra-stcampaignfinancePpa.gov • Part II - If this is submitted with ,a statement in lieu of full report by a Candidate's Authorized Committee, candidate sign here. I declare under penalty of perjury under the law of the Commonwealth of'Pennsylvania that the foregoing is true and correct. • ature of Candidate Date (DD/MM/YYYY) Richard C. Coplen Carlisle, PA, USA Printed Name Location (City/State/Country) • DSEB-5035 Updated 6/24/2020 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 S250.00 during the reporting period. _ S ZfnF1CATIHH 0 �,a o o l 6.� H ► LOBBYIST g. NAME OF FILING COMMITTEE.CANDIDATE QR�S of LOBBYIST `� _� Y I r.erl RI rtV STREET ADDRESS 8d& f le.X c,n cJ(A, sr I'll a (?c • 8T (..,A, Z Cl70 / CODE �{4 5 I er 'TYPE OE REPORT NAME OF OFFICE SOUGHTEY CANDIDATE DISTRICT NO. 'PARTY DATE OF ELECTION (CHECK OHE) MO. - 'PAY YEAR' 9 6TH TUESDAY. - - _- PRE-PRIMARY rA FOR OFFICE USE ONLY MO. DAY -YEAR NH. DAY YEAH.. 2Nb.FIRDAY 2. DATES OF 'L PRE=!PRNAARY ' PEPOR NG 1 1/ ?iT 2.6 T© i a /I 7.0 30 DAY 3' f- p POST-PRIMARY we:. P., CASH BALANCE AT END ...,. .ii,i.TUESDAY . 7,7 PREELECTION • TOTAL AMOUNT OF FILER'S OUTSTANDING DEBTS OR LIABILITIES Cil PNDECI " AT THE END OF REPORTING PERIOD: $ PAE^EL[',ECTk 30 9 ; ' S? ED ' C.) = 0 30 DAY.. r F r f ¢OSTCECT30N REPORT�C YES NO .E7I " - 7. _. --- _ i ✓- .. i "‹ Cl •ANNUAL TERMINATION Rapper X REPORT? YES I NO AFFIDAVIT SECTION . PART I- If statement is filed on behalf of a Political Committee pr 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 DURING THE REPORTING PERIOD INDIC O ABOVE DID NOT EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF KNOWLEDGE AND DELI ,TR ,CO C ND COIUPLETE. SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF - 20 TU OF ERSONN S IA REPORT Den Aa r .I/1aCMS. PRINTED NAME SIGNATURE MY COMMISSION EXPIRES 7 i-7 Z`f 5 CC,d/ 7 MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER PART II- If statement is filed on behalf of a Candidate's Authorized Corniriittee.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 - OF CANDIDATE h DAY OF 20__ ' !/ `J 1 4 PRINTED NAME SIGNATURE rq 2 s—y-- ‘yyY MY COMMISSION EXPIRES AREA CODE DAYTIME TELEPHONE NUMBER MO. DAY YR. Department of State • Bureau of Commissions,Elections and Legislation DSG13-5O3(12 99) 210 North Office Building • Harrisburg,PA 17120-0029 • (717)787-5280