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Home My WebLink AboutCoplen, Rick - 2021 30-Day Post Election i 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 Declaration 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), 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 Statements. This form must be signed by hand where a signature is required. Name of Filing Committee, Candidate, or Lobbyist e•/en • ❑ Cycle 1 0 Cycle 2 0 Cycle 3 ❑ 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 O Cycle 6 ❑ 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 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. I declare under penalty of perjury under the law of the Commonwealth of Pennsylvania that the accompanying Campaign Finance Statement istrue and correct. 01/12/2021 Sign. - o Tr-.• . = , andidate, or Lobbyist Date (DD/MM/YYYY) Rick Coplen Carlisle, PA, USA Printed Name location (City/State/Country) DSEB-503S Updated 1/22/2020 . 1(IIII 'itesef 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 j „Lobbyist f Number 20200165 (Mark X) ,. .. Name of Filing Committee,Candidate or Lobbyist RICK COPLEN Street Address 806 ALEXANDER SPRING ROAD City Carlisle State PA Zip Code 17015 Type of Report(Place x under report type) l 1-6th Tuesday 2- 2"a 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 .Date Of Election.= _-- Year. ---Election . -Amendment :_ Termination (MM/DD/YYYY) 11/02/2021 2021 I Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures 10/19/2021 11/22/2021 A.Amount Brought Forward From Last Report $ - - __ . -- ' 0 Cl B.Total Monetary Contributions and Receipts $ r.a (From Schedule I) 800 ► e--, C.Total Funds Available $ C17 (Sum of Lines A and B) 800 r D.Total Expenditures $ 1-"- c (From Schedule 111) - --- D E.Ending Cash Balance' $ i CO -/-1 (Subtract Line D from Line C) 0 • C7 F.Value of In-Kind Contributions Received $ i • CD N (From Schedule II) 0 C G.Unpaid Debts and Obligations $ --4 6- (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 o knowl g and belief true,correct and complete. Sworn to and subscribed before me this day of 20 son Submitting report Rick en Signature Printed Name ' My Commission expires 717 254-6448 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 a day of 20 Signature of Candidate Signature Printed Name -My Commission expires 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 2.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) $ 0 Total for the reporting period (2) $ 0 1 I 3.Contributions Over$250.00(From Part C and Part D) Contributions Received from Political Committees(Part C) $ 0 All Other Contributions(Part D) $ 800.00 Total for the reporting period (3) $ 800.00 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 800.00 Cover Page,Item B) 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: 120200165 Full Name of Contributor Date[MM/DD/YYYY] $ Rick Coplen 800.00 10/20/2021 House# Street Address[ Date[MM/DD/YYYY] S 806 Alexander Spring Road N/A 0 a City State Zip Code Date[MM/DD/YYYY] $ Carlisle PA 17015 0 N/A Employer Name Occupation U.S.Army War College Professor Employer Mailing Address/ Principal Place of Business 806 Alexander Spring Road,Carlisle PA 17015 Full Name of Contributor Date[MM/DD/YYYY] $ ----------NOTHING FOLLOWS — — — --- House# 9 Street Address, Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYY] $ 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` I Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DD/YYYY] $ I - 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/DD74FYY] $ Unigraphics 800.00 10/20/2021 House# 1 Street Address JeffreyRoad Description of Expenditure City State Zip Mechanicsburg PA Code 17050-6805 Campaign Mailers To Whom Paid Date[MM/DD/YYYY] $ --------------------------------NOTHING FOLLOWS-----------_--_--------__— — House# Street Address Description of Expenditure .- - City State , Zip - Code To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date(MM/DD/YYYY) $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure City State Zip Code To Whom Paid Date[MM/DD/YYYY] $ House# Street Address Description of Expenditure ii ICity . 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