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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) .:•._ :":.^ gA;' 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