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Home My WebLink AboutFriends of Rick Coplen - 2021 2nd Friday Pre-Primary 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/campaignfinance • ra-stcampaignfinance@pa.gov 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 _ F inols of '1Ck-- 60{01 1 Reporting Cycle Names _ - ❑ Cycle 1 E Cycle 2 ❑ Cycle 3 ❑ Cycle 4 ❑ Cycle 5 6th Tuesday 2'Friday 30 Day 6th Tuesday 2"d Friday Pre-Primary Pre-Primary Post Primary Pre-Election Pre Election ❑ Cycle 6 ❑ Cycle 7 ❑ 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. 0 5/ 202/ Signature of Treasurer, Ca idate, or Lobbyist Date (DD/ M/YYYY) l o rt c J'� L • rr.4z/Er - Ca r/s/� /0/9 7 Printed Name Location (City/Stat /Country) DSEB-502R Updated 6/24/2020 jPennsylvania Department of State Bureau of mgne&Civm 210 North OfficeCapai BuildingnFi,Finance Harrisburg,PAic 17120Engage ent 717.787.5280(Option 4) www.dos.pa.gov/campaignfinance • ra-stcampaignfinance(�pa.gov Part 11-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. 0 3- 0-7-/Z-04 Signatur , Candidate, or Lobbyist Date DD/MM/YYYY) Rck Printed674,th e Location (City/Sta /Country) DSEB-502R Updated 6/24/2020 11 I: Reset Form '. Print Form ..' Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) Filer Identification Report Filed By Candidate Committee ` Lobbyist ' Number 20200165 (MarkX) • Name of Filing Committee,Candidate or Lobbyist FRIENDS OF RICK COPLEN Street Address 806 ALEXANDER SPRING ROAD City . Carlisle State PA Zip Code 17015 Type of Report(Place x under report type) 1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday 5-2"d Friday 6-30 Day Post 7-Annual Special 2"Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election X Date Of Election Year Amendment Termination (MM/DD/YYYY) 05/18/2021 2021 Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures • • • 01/01/2021 05/03/2021 A.Amount Brought Forward From Last Report $ 3,093.57 t? ',- B.Total Monetary Contributions and Receipts $ (From Schedule I) - 1,250.00 � N., • C.Total Funds Available $ Cl .7,74 (Sum of Lines A and B) 4,343.57 -'`' D.Total Expenditures - $ r- 1 (From Schedule III) • 2,474.46 --1 E.Ending Cash Balance $ - 3 (Subtract Line D from Line C) ' ' • 1,869.11 C7 ' F.Value of In-Kind Contributions Received - $ G t%•? (From Schedule II) , . . 32.33 2: G.Unpaid Debts and Obligations $ —< CJ1 (From Schedule IV) 0 Affidavit Section Part 1-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here. I swear(or affirm)that this report,including the attached schedules on paper,is to the best of my knowledge and belief true,correct and complete. • Sworn to and subscribed before me this day of 20 I Signature of Person S I ting report Rod Frazier Signature I Printed Name My Commission expires 717 241-6677 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 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 __IF ature of Candidate o Signature Printed Name My Commission expires 717 254-6448 MO. DAY YR. Area Code Daytime Telephone Number SCHEDULE I Contributions and Receipts Detailed Summary Page IFiler Identification Number e 20200165 1.Unitemized Contributions and Receipts-$S0.00 or Less per Contributor a Total for the reporting period (1) $ 100.00 I2.Contributions of$50.01 to $250.00(From - Part.A and Part B) ' Contributions •Received from Political Committees(Part A) $ 0 All Other Contributions(Part B) $ 650.00 Total for the reporting period (2) $ 650.00 I3.Contributions Over$250.00(From Part C and Part D) • Contributio ns Received from Political Committees(Part C) $ 0 All Other Contributions(Part D) $ 500.00 Total for the reporting period (3) $ 500.00 4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) .. Total for the reporting period (4) $ 0 Total Monetary Contributions and Receipts during this reporting period(Add and $ enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report Cover Page,Item B) 1,250.00 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. Filer identification.Number 20200165 Amount Full Name of Contributing Date IMM/DD/YYYYJ $ - / Committee. -_.--__---- NOTHING House# Street Address Date[MM/DD/YYYYJ $ City State, Zip Code Date[MM/DD/YYYY] $ Full Name of Contributing Date[MM/DD/YYYY] $ Committee , I House#. Street'Address Date{MM/DD/YYYY]. $ City State Zip Code Date[MM/DD/YYYYJ $ Full Name of Contributing Date[MM/DD/YYYY] .$ Committee • House# Street Address Date IMM/DD/YYYYJ $. City . State 'Zip Code Date[MM/DD/YYYY] < $ Full Name of Contributing Date[MM/DD/YYYYJ $ Committee House# Street Address Date[MM/DD/YYYYJ - $ City -State Zip Code ' Date[MM/DDJYYYYJ $ Full Name of Contributing Date[.MM/DD/YYYYJ •$ Committee House# Street Address Date[NI M/DD/YYYY]' ' $ City State Zip Code Date[MM/DD/YYYY] $ Full Name'of Contributing Date[MM/DD/YYYYJ $ Committee House# Street Address Date.[MM/DD/YYYYJ . $ City • State Zip Code . Date IMM/DD/YYYYJ $ 1 'Ya PART B All Other Contributions $50.01 TO$250 Use this Part to itemize all other contributions with an aggregate value from $50.01 TO$250 in the reporting period. (Exclude contributions from political committees reported in Part A.) IFlier Identificetlon Number:"i ▪y. . ,.. .e. .,. 20200165 • wr ;.a., :.o, jy Full Name of Contributor' ,Date(MM/DD/YYYY3• ,$; . • ,Y 't *" + .$ a' David Haag 04/17/2021 100.00 'Street Addi=ess J$ House# Date'CMM/Dl3/Y'YYY� '$ h » k '` , ` , P.O.Box 265 r CityState Zip Code "". Date jMM/DD/YYYY] ''$ L•-4,,,;}, Carlisle :.r.le,1R.1 PA >s+w " 17013 + Fall Name of.Cont►ibutor' - Date MM DD 1; j. / jyYYY1 $ A- w• fi &y" ' •Jxiy.. Elizabeth Thompson '+: House# Street Address "Date 1 MM/DD/YYYY'I` $, ,'+ 29 x .' i :. Grey stone Road e4, v a V?h': 04/06/2021 6 . 100.00 CHv 'e. 'Staten Zip Codes-t' , Date'(iVMM/DD/YYYY) $, i, ;i' Carlisle '�.;.'.c:i PA , `t +0, ` ; 17013 t Full Name of Contributor' "Date'1MM/DD/YYYYJ. .$' • w , a. s 4 Rick Coplen k ,,250.00 A i ♦c sr 4 7 g; 04/03/2021 House# Street Address Date[MM/DD/YYYYJ;'•'-$ 1,. JV'- •;) Alexander Spring Road + City State •Zip Code .0 •Date MDD J Carlisle xw _ z / ,4 PA «S ,j' nil.17015 Full Name of Contributor` .Date[MM/DD/YYYY]: 5 Yr ti� ;+ ; + ^3 ' Roderick Frazier '"*., 04/03/2021 ;X• 100.00 `House St"; Street Address Date YMM/DDJYYYYit'_''$''l r r•<< �'- 702 `. "' . 'Appalachian Avenue f rk :., City, State Zip Code Date jMM/DD/YYYYI $ Carlisle N t' tz: PA yak,• 17013 • . .• 'K . 't'.c,,$41A..., M7, .4 Full Name of,Cotitributor Date[MM/DD/YYYY]._ ,$- , ',- .. `ci, s ..;, '^: TamiBiddle ,.,i 100.00 ", , : 2 , 04/05/2021 .House#-: Street Address, Date[newt/pp/my)..'$' i , 75, ,t .g w . E - �? ti r ; E.Ridge Street .T,. city,I, 'State l °gi �.r.p Code 1 DateIMM/DD/YYYYj • $; Carlisle P,,;,u1 r PA ,;,t., Z., 17013 « ' 4, n. Full Name of Contributory Date jMM/DO/YYYYJ $ vt '., ---------_------_-__-_---NOTHING FOLLOWS----------------------- 1 —.-----N/A------ House# Street'Address :'pate jMM/DDJYYYI!J:. $ • c c*,{.' {:' 3 j: ,�.. .' Gyp' CitY ;' State Zip Code. Date tMMJDD/YYYY] $ ,� `c: 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 over$250.00 in the reporting period. rFileridentification Number: 20200165 Full Name of Date{MM/DD/YYYyj $ Contributing Committee House# Street Address ' Date IMM/DD/YYYY] $ ' City ' State Zip Code Date IMM/DO/WYYj $' Full Name of Date[MM/DD/YYYY1 $ Contributing Committee House# ,Street Address Date WWI/OD/ ] $ City a State Zip Code elate[MM/DD/YYYY] , $ Full Name of ,_:._' Date IMM/DDJYYYY] $ Contributing Committee House# ' street Address Date[MM/DD/YYYYr $ city State' Zip Code Date[MM/DD/YYYYJ - $ Full Name of Date[MM/DD/YYYYJ 5 Contributing Committee House#1 Street Address Date[MM/DD/YYYY] $ City 'State Zip Code bate.[MMJDD/•Y.YY1i: $ Full Name of Date[MM/DD/YYYYJ $ 'Contributing Committee House# Street Address • Date.[MM/DD/YYYY] 1 $ City , State Zip lode Dame IMM1DD/YYYY) $ Full Name of Date,(MM/DD/YYYY) . $, Contributing Committee t House# Street Address Date[MM/DDf YYYY] $ City . State Zip Code - Date:[14MM/DD/YYYYJ $ I 3 f PART D All Other Contributions Over$250.00 Use this Part to itemize all other contributions with an aggregate value over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C) Filer Identification Number: I :=? y e a-I20200165 Full Nameof Contributor'. Date[MM/DD/YYYY] ;, $, 500.00 1' , ' Shawn J.Farr 03 22 2021 House#? Street Address Date tMM/DD/YYYY]7 $ i • 'i 7 ;' East Yellow Breeches Road City State Zip Code'A pate'[MM/DD/.YYYY)i• ••• $ �, Carlisle "# PA r r,' , 17015 Employer Name c zi c u.. • ,, Occupation 1 Central Penn College .- Chief Financial Officer Employer Mailing Address/ + . '600 Valley Road,P.O.Box 309,Summerdale,PA,17093.0309 Principal Place of Business. Full Name of Contributor Date JMM/DD/YYy,Y),• ,. $ " ------NOTHING FOLLOWS----------------------- : . . , .1. } ,ti. ,. . House# Street Address Date(MM/DD/YYYY)`s,, ,City State Zip Code t; Date[MMjDD/YY$Y]'- $ J - : o } it ,Kt :_- - Y, . Employer Name Occupation Employer Mailing Address/,�. , Prindpal Plate of Business'." ' i'""• ' Full Name of Contributor Date,[MM/DD/YYYY];•. .$ .;.. 1; -I. r ' tae"MM DD u.. 5 House Street Address Date I / /YVY� n a City State Zip Code;t4 Date tMM/DD/YYYY[s x. $ ,r L;y� •r.Yy a Employer Name!_t 's, . Occupation s .. Employer-Mailing Address/.;� Principal Place of Business" .- Full Name off Contributor - Date[MM/DD/YYYY] $ House if-- Street Address Date,[MM/DD/YYY.Y3'.? $, CityState ,Zip Code `h Date(MM/DD/YYYY] ;;,,. $° 4� yam: I . r '1':,V.ti''',`. . f 7`, '. rs.�f yam'[ 5,• Employer Name-. ,z`‘.-,- Occupation' Employer Mailing Address/,•, , , Principal Place of Business I.' •'" 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. Filer identification Number: i 20200165 Full Name NOTHING FOLLOWS --— ---------___ ----- House# i Street'Address� City _ State Zip Date IMM/DD/YYYYI $ Code ] Receipt Description Full'Name : ' House# ' - Street Address City State. • ,'Zip ' Date IMM/DD/YYYY] $ - Code Receipt Description Full Name House 4t Street Address City . State Zip -Date IMM/Db/NYYY1 $ ' Code, Receipt Description _ Full Name House# Street Address - State Zip. Date IMM/DDJYYVYI $ Code Receipt Description , Full Name ' House# Street Address City State : Zip , Date IMM/DD/YV". . S. Code . Receipt Description Full Name House# St,rAddress City State: Zip Date{MM/DD/YYYYI $ Code. .. -Receipt Description i i 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 I Filer Identification Number' 20200165 I1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.00 OR LESS PER CONTRIBUTOR ' ' . - TOTAL for the reporting period (1) $ 32.33 . 2. , IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF$50.01 TO$250.00(FROM PART F), , , - • - . . ' , • ! TOTAL for the reporting period (2) $ ,'3 IN-KIND CONTRIBUTION.RECEIVED-VALUE OVER$250.00(FROM PART G) • Y- ._ .. I TOTAL for the reporting period (3) $ TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS REPORTING $ PERIOD(Add and enter amount totals from boxes 1,2,and 3;also enter on Page 1,Report Cover Page,Item F) 32.33 SCHEDULE II PART F In-Kind Contributions Received VALUE OF$50.01 TO$250 Filer identification.Number: I 20200165 , , Full Name of Contributor Date[MM/Dot $ ---------------NOTHING FOLLOWS-------------------------- House It Street Address Date[MM/Dt/YYYY] $ City State Zip Code. ' Dat[i-[MM/DD/YYYYl $ Description of Contribution Full Name of Contributor Date[MM/DD/YYXY] $ House# Street Address - ..Date WMM/1D/YYYY) $ City State 'Zip Code, . .Data[MM/DD/YYYY] $ Description of Contribution Full Name of Contributor Date[MM/DD/YYYYI $ House# Street Address Date(MM/DD/YYYY) $ City .State Zip Code . Date[MM/DD/YYYYJ $ Description of Contribution Full Name of Contributor Date[MM/DD/YYYY] .$ House# Street Address Date{MM/DD/YYYY] $ City State Zip Code -. DateIMM/DPJYYYY] $ Description Of Contribution Full Name of Contributor Date[OM/DO/MY] $ House# Street Address r Date(MMJDD/VYYY] City State . Zip Code Date[MM/DD/YYYY] ,$ Description of Contribution i 1 SCHEDULE II Part G • In-Kind Contributions Received VALUE OVER$250 Fifer Identification Number:f .''i ,, z.: . .20200165 I Full Name of Contributor Date jMM/DD/YYVYJ.4 $ NOTHING FOLLOWS .,; ------•-N/A•-•-- House#: Street Address ,DateLMM/DD/YYYYj $ 1 City{- a Sta -"Zip Zip Code ' -Date[MM/DD/YYYYJ`. $ •M.Y Employer Name ‘; Occupation • - *.. .. it ,. Employer Mailing Address/Principal, Description. Place of Business, "' „i t. of, - ; • ^}.- - , , Contribution a• Full Name of Contributor, ,.Date[MM/DD/YYYY1 r - ' $ _ -House# Street Address Date'[MM/DD/YYYYI..A $ City , ':State. Zip Code ,i, Date IMM/DD/YYYY3 r's $ ;t '' 'e S' • e Employer Name- - ' =Occupation' Employer Mailing Address/Principal .,> Description i ' Place of,Business _ : - s of, *, Contribution full Name of Contributor Date[MM/DD/YYYyi F•, „$ House#' Street Address Date{MM/DD/YYYY] $ City 'State Zip Code`; Date[MM/DDJYYYYf $ , .«: - e .f Employer Name {` Occupation Employer.Mailing Address/Principal Description .,;- Place of Business ',i'.° �'''' ' ''' Contribution Full Name of Contributor Date IMM/DD/YVYV].•4, $ • House#' Street Address Date MM DD �. -,, nk-1 s City State e 'Zip Code'"` IMM/DD/YYYYr.Y'` ,. Employer Name ;+' , Occupation' .: Employer Mailing Address/Prindpal .r s Description- Place of Business :"-tii, ,;; , ;+.' of ••� -:., .; r`. Contribution SCHEDULE ill Statement of Expenditures Filer ldehtMNcetion Nuinberi . 20200165 To Whom Paid Date[MM/DD/YYYYI $ Staples 03/01/2021 565.25 House# Street Address Description of Expenditure- , 100 Noble Blvd City, Carlisle State PA code 17013 TriFold Flyers i To Whom Paid Date{MM/DDYY]/YY $ • Cross and Oberlie 763.84 04/08/2021 House#, Street Address Description Of Expenditure - 916 Byrd Avenue City Neenah State WI CoZip de 54956 Yard Signs To Whom Paid ' Date[MM/DD/YYYY] $ Unigraphics ,418.70 04/05/2021 House# Street Address Description of Expenditure One Jeffrey Road City State Zip Trlfold Mechanicsburg PA Code 17050Flyers To Whom Paid Date[MM/DD/YYYY] $ Unigraphics • 53.00 04/30/2021 House#• Street Address Description of Expenditure One Jeffrey Road City State Zip Mechanicsburg PA Code 17050 Business Cards To Whom Paid Date[MM/DD/YYYYI $ Unlgraphics 275.60 04/16/2021 House# Street Address Description of Expenditure ' i - One Jeffrey Road i thy State ' Zip . Mechanicsburg PA 17050 Window Signs Code , To Whom paid Date(MM/DD/YYYY] $ 1. . Staples 04/21/2021 355.67 House# Street Address Description of Expenditure . 100 Noble Blvd City , State , Zip Carlisle PA Code . 17013 Thank You Signs To Whom Paid ' Date[MM/DDJYYYY] $ Unigraphics 42.40 04/27/2021 House# Street Address Description of Expenditure One Jeffrey Road { City State Zip Candidate Name tag Mechanicsburg PA Code 17050 To Whom Paid Date IMM/DD/YYYYI $ . --------N/A------ House#. Street•Address Descriptinii of Expenditure City State , Zip • Code, r i SCHEDULE IV Statement of Unpaid Debts Use this Section to itemize all unpaid debts and obligations which are outstanding at the end of the reporting period. Filer Identification Number ,,:r 4J ' t r 20200165 Name of Creditor; %`+ ,_ NOTHING FOLLOWS------ Outstanding Balance of Debt House#'' Street Address a•DATE DEBT INCURRED $ City -i . ,�tbi W i t i j.,�' State -, -Zip 1. K, Code -''i,. Description of Debt F Name of Creditor : --:...r;: Outstanding Balance of Debt , House# Street Address ,. DATE. DEBT INCURRED ry $ ' , `'' ;-1 ''l i �5.I M/DD/YY1.'37 tb -, ,City , a � t•?„a� State >. Zip z.� .' .'i.f°f :r ? ,Code: 'Description of Debt.. . • 1ii 1� •`K�� d t. Name of Creditor. .v . .r Outstanding Balance of Debt _.. House# Street Address , DATE DEBT INCURRED -. $ / /YYYY] aa. :w'' , City . .:t-.I State , Zip ., Description of Debt ..;;; Name of Creditor l',:,, ,,,;. ., ,,,.,» Outstanding Balance of Debt House# Street Address DATE DEBT INCURRED .,;. $ '". [MM/DD/YYYY] City' t .;Y "44 -'.,'S: Zip ;:R" State w ,,.x: -..:. •.' Code '• Description of Debt Name oflCreditor ,r' Outstanding Balance of Debt -• . r., House** Street Address _.DATE DEBT INCURRED i ri $ % I, {� - .7 .f s:''w[MM/DD/YYYY]'"'"a ' %n ^ � J • i City, k ,- Y. 4., State 1. Zip ,,..; J'`-_.r,.;s'?1, "?."7:4- }' `Code c:t +' #. Description of Debt :,: , Name of Creditor y'- Outstanding Balance of Debt ,, �S< House#' Street Address ;a..DATE DEBT INCURRED $ �'i"" ,>t ?, °:. "?'a'[MM/DD/YYYY] "'r" . .} `" - t City .,''.. t,".:a• r. State ,Zip',- ;.F: •.•..._ . r' et 1 l ,✓' f s.`. �' Code . „ Description of Debt .,;�...,