HomeMy WebLinkAboutFriends of Rick Coplen - 2021 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)
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www.dos.pa.gov/campaignfinance • ra-stcampaignfinance@pa.gov
Unsworn Declaration 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), Non-Bid Contract Reporting Form (DSEB-504) 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.
M f1 EGag COMO Committee, Candidate,co Lobbyist
Friends 0P e2 k- 2oplen
Reporting
0 Cycle 1 0 Cycle 2 0 Cycle 3 0 Cycle 4 JCycle 5
6th Tuesday 2"d Friday 30 Day 6th Tuesday 2"d Friday
Pre-Primary Pre-Primary Post Primary Pre-Election
Pre-Election
❑ Cycle 6 0 Cycle 7 0 Cycle 8 0 Cycle 9
30 Day Post-Election
Annual Report 2nd 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 accompanying Campaign Finance Report is true and correct.
/e-P 2///O /"ZeD Z/
Signature of Treasurer, Candidate, or Lobbyist Date (DD/MM/YYYY)
o1--el e-k L- - Fret,L,& r ',A-/ A/054
Printed Name Location (City/State/Country)
DSEB-502R
Updated 1/22/2021
Pennsylvania Department of State •
r` Bureau of Campaign Finance&Civic Engagement
210 North Office Building,Harrisburg,PA 17120 • 717.787.5280(Option 4)
www.dos.pa.gov/campaignfinance • ra-stcampaignfinancet oa.sov
Part ii-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 accompanying Campaign Finance Report is true and correct.
• ,w 2,/ '2 0 'Z/
Signs er, Candidate, or Lobbyist Dat (DD/MM/YYYY)
Xicik /e4
6r-k/eA4/675-#
Printed/Name Location (City/State/Country)
•
DSEB-502R
Updated 1/22/2021
011 Reset Form I 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 (Mark X) X
Name of Filing Committee,Candidate or FRIENDS OF RICK COPLEN
Lobbyist
Street Address 806 ALEXANDER SPRING ROAD
City Carlisle State PA Zip Code 17015
l 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) 11/02/2021 2021 Report Report
Summary of Receipts and From Date To Date For Office Use Only
Expenditures
June 8,2021 October 18,2021
A.Amount Brought Forward From Last Report $
250.98
C')
B.Total Monetary Contributions and Receipts $ 4,500 C.
(From Schedule I) C7
C.Total Funds Available $ 4,750.98 ri a)
(Sum of Lines A and B) ;Xi --11
D.Total Expenditures $ f> IV
(From Schedule Ill) 2,988.05 - .E.Ending Cash Balance $ L-5
13
(Subtract Line D from Line C) 1,762.93 r7
F.Value of In-Kind Contributions Received $ 0 ..
(From Schedule II) W
G.Unpaid Debts and Obligations $ ' "l —
(From Schedule IV) 0 --C
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 b ng report
Rod Frazier
Signature 1 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
ature of Candidate
Rick n
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
Filer Identification Number
20200165
1.Unitemized Contributions and Receipts-$50.00 or Less per Contributor
Total for the reporting period (1) $
0
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) $ 1,200.00
Total for the reporting period (2) $.
1,200.00
3.Contributions Over$250.00(From Part C and Part D)
Contributions Received from Political Committees(Part C) $ 1,000.00
All Other Contributions(Part D) $ 2,300.00
Total for the reporting period (3) $ 3,300.00
I •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
4,500.00
Cover Page,Item B)
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.)
Filer Identification Number:
20200165
Full Name of Contributor Date[MM/DD/YYYY] $
Rick Coplen 09/09/2021 100.00
House# Street Address Date[MM/DD/YYYY] $
806 Alexander Spring Road N/A N/A
City State Zip Code Date[ AM/BD/MY] $
Carlisle PA 17015 N/A N/A
Full Name of Contributor Date[MM/DD/YYYY] $
Jeff Conway 100.00
10/13/2021
House# 7 Street Address Matthew Court Date[MM/DD/YYYY] $ N/A
N/A
City Carlisle State PA Zip Code 17015 Date[MM/DD/YYYY] $ N/A
N/A
Full Name of Contributor Date[MM/DD/YYYY] $
Francis Nash 100.00
10/13/2021
House# 202 Street Address S West Street Date[MM/DD/YYYY] $ N/A
N/A
City Carlisle State PA Zip Code 17013 Date[MM/DD/YYYYJ $ N/A
N/A
Full Name of Contributor Lloyd Sheaffer Date[MM/DD/YYYY] $ 100.00
10/14/2021
House# 30 Street Address Clara Road Date[MM/DD/YYYY] $ N/A
N/A
City Carlisle State PA Zip Code 17013 Date[MM/DD/YYYYJ $ N/A
N/A
Full Name of Contributor James Nolan Date[MM/DD/YYYY] $ 100.00
10/15/2021
House# 27 Street Address E 1st Street Date[MM/DD/YYYY] $ N/A
N/A
City Boiling Springs State PA Zip Code 17007 Date[MM/DD/YYYY] $ N/A
N/A
Full Name of Contributor Thomas DeWall Date[MM/DD/YYYY] $ 100.00
10/17/2021
House# 330 Street Address Acre Drive Date[MM/DD/YYYY] $ N/A
N/A
City Carlisle State PA Zip Code 17013 Date(MM/DD/YYYY] $ N/A
N/A
PART B
All Other Contributions
850.01 TO 8 250
Use this Part to itemize all other contributions with an aggregate value from
850.01 TO 8 250 in the reporting period.
(Exclude contributions from political committees reported in Part A.)
Filer Identification Number:
20200165
Full Name of Contributor Date[MM/DD/YYYY] S
Timothy Hoy 10/17/2021 200.00
House# Street Address Date[MM/DD/YYYY] 8
312 Wilson Street N/A N/A
City State Zip Code Date[MM/DD/YYYY] $
Carlisle PA 17013 N/A N/A
Full Name of Contributor Date[MM/DD/YYYY] $
Jean Marie Vargas Foschi 10/18/2021 200.00
House# Street Address Date[MM/DD/YYYY] S
2195 Brunswick Avenue N/A N/A
City State Zip Code Date[MM/DD/YYYY] S
Mechanicsburg PA 17055 N/A N/A
Full Name of Contributor Date[MM/DD/YYYY] $
Roderick L.Frazier 10/15/2021 200.00
House# Street Address Date[MM/DD/YYYY] 8
702 Appalachian Avenue N/A N/A
City State Zip Code Date[MM/DD/YYYY] S
Carlisle PA 17015 N/A N/A
Full Name of Contributor Date[MM/0D/YYYYJ $
Nothing Follows
House# Street Address Date[MM/DD/YYYY] S
City State Zip Code Date[MM/DD/YYYY] 8
Full Name of Contributor Date[MM/DD/YYYY] S
House# Street Address Date[MM/DD/YYYY] S
City State Zip Code Date[MM/DD/YYYY] S
Full Name of Contributor Date[MM/DD/YYYY] S
House# Street Address Date[MM/DD/YYYY] $
City State _ Zip Code Date[MMIDD/YYYY] S
•
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.
Filer Identification Number
20200165
Full Name of Date[MM/DD/YYYY] $
Contributing Committee Turn South Central PA Blue 08/30/2021 1,000.00
House# Street Address Date[MM/DD/YYYY] $
701 North Second Street N/A N/A
City State Zip Code Date[MM/DD/YYYY] $
Harrisburg PA 17102-3211 N/A N/A
Full Name of Date IMM/DD/YYYYJ $
Contributing Committee Nothing Follows
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date IMM/DD/YYYYJ $
City State Zip Code Date[MM/DD/YYYY] $
Full Name of Date[MM/DD/YYYY] $
Contributing Committee
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date IMM/DD/YYYYJ $
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)
Flier Identification Number:
20200165
Full Name of Contributor Kathy Everett Date[MM/DD/YYYY] $ 500.00
10/16/2021
House# 1P30 Street Address White Birch Lane Date[MM/DD/YYYY] $ N/A
N/A
City Carlisle State PA Zip Code 17013 Date[MM/DD/YYYY] $ N/A
N/A
Employer Name Not Employed Occupation N/A
Employer Mailing Address/ N/A
Principal Place of Business
Full Name of Contributor Date[MM/DD/YYYY] $ 300.00
Sharon Jones
10/12/2021
House# 89 Street Address Kitszell Drive Date[MM/DD/YYYY] $ N/A
N/A
CitY Carlisle State PA Zip Code 17015 Date[MM/DD/YYYY] $ N/A
N/A
Employer Name Not Employed Occupation N/A
Employer Mailing Address/ N/A
Principal Place of Business
Full Name of Contributor Rick Coplen Date[MM/DD/YYYY] $ 1,500.00
10/08/2021
House# 806 Street Address Alexander Spring Road Date[MM/DD/YYYY] $ N/A
N/A
City Carlisle State PA Zip Code 17015 Date[MM/DD/YYYY] $ N/A
N/A
Employer Name U.S.Army War College Occupation Professor
Employer Mailing Address/ 806 Alexander Spring Road,Carlisle PA 17015
Principal Place of Business
Full Name of Contributor Date[MM/DD/YYYY] $
Nothing Follows
House# Street Address Date[MM/DD/YYYY] $
City State Zip Code Date[MM/DD/YYYY] $
Employer Name Occupation
Employer Mailing Address/
Principal Place of Business
SCHEDULE III
Statement of Expenditures
Filer Identification Number:
20200165
To Whom Paid Date[MM/DD/YYYY] $
BB&T Bank 12.00
08/23/2021
House# Street Address Description of Expenditure
330 York Road
City State Zip
CARLISLE PA Code 17013-3180 Bank Fee
To Whom Paid Date[MM/DD/YYYY] $
BB&T Bank 07/21/2021 12.00
House# Street Address Description of Expenditure
330 York Road
City Zip
CARLISLE State PA Code 17015 Bank Fee
To Whom Paid Date[MM/DD/YYYY] $
Act Blue 0.50
07/09/2021
House# Street Address Description of Expenditure
366 Summer Street
City State Zip
Somerville MA Code 01244 Service Fee
To Whom Paid Date[MM/DD/YWY] $
Act Blue 6.15
06/09/2021
House# Street Address Description of Expenditure
366 Summer Street
City Zip
Somerville State MA Code 01244 Service Fee
To Whom Paid BB&T Bank Date[MM/DD/YYYY] $ 12.00
09/21/2021
House# 330 Street Address York Road Description of Expenditure
City Carlisle State PA Zip 17013 Bank Fee
Code
To Whom Paid American Red Cross Date[MM/DD/YYYY] $ 50.00
09/24/2021
House# Street Address P.O.Box 37839 Description of Expenditure
CitY Boone State IA Zip 50037-0839
Code
To Whom Paid Cross and Oberlie Date[MM/DD/YYYY] $ 808.10
10/04/2021
House# 916 Street Address Byrd Avenue Description of Expenditure
City Neenah State WI Zip 54956 Yard Signs
Code
To Whom Paid Act Blue Date[MM/DD/YYYY] $ 1.50
10/04/2021
House# 366 Street Address Summer Street Description of Expenditure
City Somerville State MA Zip 01244 Service Fee
Code
SCHEDULE III
Statement of Expenditures
Filer Identification Number:
20200165
To Whom Paid Date[MM/DD/YYYY] S
Unigraphics 84.80
10/16/2021
House# 1 Street Address Jeffrey Road Description of Expenditure
City State Zip
Mechanisburg PA Code 17050-6805 Business Cards
To Whom Paid Date[MM/DD/YYYY] S
Act Blue 1.00
10/12/2021
House# Street Address Description of Expenditure
366 Summer Street
City State Zip
Somerville MA Code 01244 Service Charge
To Whom Paid Date[MM/DD/YYYY] S
Unigraphics - $2,000.00
10/15/2021
House# Street Address Description of Expenditure
1 Jeffrey Road
City State Zip
Mechanicsburg PA Code 17050-6805 Campaign Mailers
To Whom Paid Date[MM/DD/YYYY] S
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYYj S
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYY] S
House# Street Address Description of Expenditure
City State Zip
Code (
To W om Paid ' Date[MM/DD/YYYYj S
House# Street Address Description of Expenditure
City State Zip
Code
To Whom Paid Date[MM/DD/YYYY] S
House# Street Address Description of Expenditure
City State Zip
Code