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HomeMy WebLinkAboutFriends of Rick Coplen - 2021 30-Day Post Election lePennsylvania 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-stcampaignfinancePpa.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 �!+P�'IoLS giek CO ile-r1 Reporting.Cycle Name - ❑ Cycle 1 ❑ Cycle 2 ❑ Cycle 3 ❑ Cycle 4 ❑ Cycle 5 6th Tuesday 2nd Friday 30 Day 6th Tuesday 2nd Friday Pre-Primary Pre-Primary Post Primary Pre-Election Pre-Election El Cycle 6 ❑ Cycle 7 ❑ Cycle 8 ❑ 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 is true and correct. 01/12/2021 Signature of Treasurer, idate, or Lobbyist Date (DD/MM/YYYY) Roderick Frazier Carlisle, PA, USA Printed Name Location (City/State/Country) DSEB-5035 Updated 1/22/2020 (14 Pennsylvania Department of State Bureau of Campaign Finance&Civic Engagement 210 North OfficeiBuilding,Harrisburg,PA 17120 • 717.787.5280(Option 4) www.dos.pa.gov/campaignfinance • ra-stcampaignfinancePpa.gov Part 11 - 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 accompanying Campaign Finance Statement is true and correct. 01/12/2021 mayAfgr. a of Candidate Date (DD/M11117YYYY) Rick Coplen Carlisle, PA, USA Printed Name Location (City/State/Country) • DSEB-503S Updated 1/22/2020 ** ' Reset Form 1,` —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 Comml eel •, .Lobbyist Number 20200165 (Mark X) - ` Name of Filing Committee,Candidate or 'fl1 Lobbyist Friends of Rick Coplen �! Street Address 806 Alexander Spring Road St • City State Zip Code �►} - Carlisle PA 17015 c—Type of Report(Place x under report type) g-6'^ Tuesday 2- 2nd Friday 3-30 Day Post 4-6'hTuesday 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 Amendment - Termination (MM/DD/YYYY) 11/02/2021 2021 Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures October 19,2021 November 22,2021 A.Amount Brought Forward From Last Report S 1,762.93 C) B.Total Monetary Contributions and Receipts S (From Schedule 1) 1,450.00 ' t7 C.Total Funds Available S rri ' (Sum of Lines A and B) 3,212.93 r.... D.Total Expenditures S -s' (From Schedule Ill)' 3,091.43 E.Ending Cash Balance S (Subtract Line D from Line C) 121.50 r'�'' C) N.) F.Value of In-Kind Contributions Received S (From Schedule II) 53.00 G.Unpaid Debts and Obligations S (From Schedule IV) N/A 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 Signature of Perso ub g report Roderick 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 ix . day of 20 ' I of Candidate Signature anted Name My Commission expires 717 254-6448 . MO. DAY YR. Area Code Daytime Telephone Number • `1 i - i- • • SCHEDULE! Contributions and Receipts.._ Detailed Summary Page Filer Identification Number I 120200165Il p • 11.Unitemized Contributions and Receipts-8 50.00 or Less per Contributor Total for the reporting period (1) S 0.00 . on ri u tons o . o rom Part A and Part B) Contributions Received from Political Committees(Part A) S 0.00 All Other Contributions(Part B) S 75.00 Total for the reporting period (2) ' S 75.00 I3.Contributions Over 8 250.00(From Part C and Part D) I Contributions Received from Political Committees(Part C) S 875.00 All Other Contributions(Part D) 8 500.00 Total for the reporting period (3) 8 1,375.00 I4.Other Receipts-Refunds,Interest Earned,Returned Checks,ETC.(From Part E) Total for the reporting period (4) S 0.00 Total Monetary Contributions and Receipts during this reporting period (Add and S enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report Cover Page,Item B) 1,450.00 DART R All Other Contributions S 50.01 TO S 250 Use this Part to itemize all other contributions with an aggregate value from S 50.01 TO S 250 in the reporting period. (Exclude contributions from political committees reported in Part A.) Filer Identification Number: • • 20200165 I Full Name of-Contributor1 Date[MM/DDIYYYY] $ ___.-_1Fr Seltzer �75.00 I 10/25/2021 House# Street Address Date[MM/DD/YYYY] S 515 W,North Street N/A N/A City State Zip Code Date[MM/DD/YYYY] S Carlisle PA 17013 N/A N/A "Full Name of Contributor- —Dat`eIMM7DWYYYY]— -S-- NOTHING FOLLOWS , House# Street Address Date[MM/DD/YYYY] $ City__I State 1 i_Zip Code. IDate[MM/DD/YYYY] 5— 11111j I 1 I_T�_---� Full Name of Contributor Date[MMfDD/YYYY] $ House# iStree#Address Date[MM/DD/YYYY] S City State Zip Code Date[MM/DD/YYYY] S Full Name of Contributor Date[MM/DD/YYYY] S nouse# aTreerMuare ss =uaie11vI �rvunuT1—r II City State Zip Code Date[MM/DD/YYYY] S Full Nameof Contributor I Date[MMfDD/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] $ House# Street Address Date[MM/DD/YYYY] S city_ l°_State ;I I Zin'Code_-J [late IMMJDDL YYYL_-_S_. I ri 1 i r i PART 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. ._�.. r rueriaentitieatiun`riumber: I 120200165 Full Name of Date[MM/DD/YYYY] S Contributing Committee Turn South Central PA Blue 10/19/2021 875.00 l.i_..��_x 'Street __-.I Z> ♦..-I1111J1111,u7T 11__-ft 1) -rlvuoca street AduIe s vatc(IYr1V inn/1"/M/1—TO 1701 N.2nd Street N/A N/A City State Zip Code Date[MM/DD/YYYY] S Harrisburg PA 17102-3211 NIA N/A Fuli Name of - -- 1 Date[MM/DDIYYYY] S -Out i'i ibutiTiy-Cunrihiittee-I NOTHING FOLLOWS N/A —N/A House# Street Address Date[MM/DD/YYYY] S I i 1 City State Zip Code Date[MM/DD/YYYY] S } to Full Name of - Date[MM/DD/YYYY] S Contributing Committee c ' House# Street Address Date[MM/DD/YYYY] S r. ' L�a..�...I I-Tn n,.a.. 1 nos.:IRA 111f]!l/1AVV1_. -A =wi r -Its e [sIrvwuu. 1 oascjirr7rl/v ai/-I-1-rr 1"-o. Full Name of Date[MM/DD/YYYY] S Contributing Committee House# I �Street AddressI . Date[MM/DD/YYYY] S . -' - 1 City r T State Zip Code Date[MM/DD/YYYY] - S 'Full Name of Date[MM/DD/YYYY] S Contributing eemmittee House# Street Address Date[MM/DD/YYYY] S City State Zip Code Date[MM/DD/YYYY] S Full Name of ( Date[MM/DD/YYYY]..:.,iS , IConifibut-aCommiittee House# Street Address Date[MM/DD/YYYY] S City State Zip Code Date[MM/DD/YYYY] 8 PART n All Other Contributions Over S 250.00 Use this Part to itemize all other contributions with an aggregate value over S 250.00 in the reporting period. (Exclude contributions from political committees reported in Part C) Fileridentitication Number: — - 1 120200165 Full Name of Contributor Date[MM/Db/YYYYJ S Thomas Furth 500.00 10/21/2021 [Muse#12963 1 Itcct Adil�ol -Date_[MMIi3DJYYYYl_. _.. .---Meridian Way,Apt 9 ^^--• N/A v �~N/A City State Zip Code Date[MM/DD/YYYY] S Mechanicsburg PA 17055 N/A N/A Employer Name Occupation N/A Not Employed Employer Mailing Address/ N/A Principal Place of Business Full Name of Contributor Date[MM/DD/YYYY] S NOTHING FOLLOWS House# ' 'Street Address' Date[MM/DD/YYYYJ , , S ; 1 I -_ City State Zip Code Date[MM/DD/YYYY] S Employer Name Occupation Lmnloyer------nn.Adrlrae-J__- Principal Place of Business Full Name of Contributor Date[MM/DD/YYYY] S House# Streei Address Date[MM/DD/YYYY] S - - .. City State Zip Code Date[MM/DD/YYYY] S Employer Name Occupation Employer MailingAddress/ PnncipaFPlace ii-Business— --1 Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address) Date[MM/DD/YYYY] S City State Zip Code Date[MM/DD/YYYY] S Employer Name Occupation Employer Mailing Address/ _. Pririiipai-Piave-oi-ousiness ----._ ' r L•. 4 . • SCHEDULE I! 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 Filer Identification Number: - 1 20200165 I1. UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF 850.00 OR LESS PER CONTRIBUTOR TOTAL for the reporting period ----(1) S 0.00 I2. IN-KIND CONTRIBUTIONS RECEIVED-VALUE OF S50.01 TO 8250.00(FROM PART F) TOTAL for the reporting period (2) S 53.00 3: iii-KiNIKOWTRiBUTFONRECE1VED VALUE OVER-S250.O0(FRO iv1-PART Q) '.- .-- _ - ---- TOTAL for the reporting period (3) S 0.00 ITOTALVALUE(Add andOF enterIN-KIND amountCON totals fromIBUTIONS DU RI boxes 1.2THIS,and 3;EPO alsoTING enter S Ion Page 1,Report Cover Page,Item F) 53.00 4 SCHEDULE II PART F In-Kind Contributions Received VALUE OF$50.01 TO S 250 Filer Identification Number: J 20200165 Full Name of Contributor Date[MM/DD/YYYY] S Carlisle Area Democratic Committe 10/20/2021 53.00 House# Street Address Date[MM/DD/YYYY] S P.O.Box 993 N/A N/A City State Zip Code Date[MM/DD/YYYY] S Carlisle PA 17013 N/A N/A Description of Contribution Campaign Mailer for School Board Candidates Full Name of Contributor Date[MM/DD/YYYY] S I NOTHING FOLLOWS House# Street Address © Date[MM/DD/YYYY] S City State , Zip Code , Date[MM/DD/YYYY] S Description of Contribution 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 Description of Contribution Full Name of Contributor bate[MM/.OD/YYYY] 8 House# Street Address -Date IMM/DD/YYYY] S City State Zip Code Date[MM/DD/YYYY] S Description of Contribution Full Name of Contributor Date[MM/DD/YYYY] S House#f Street Address Date[MM/DD/YYYYj S City State ! Zip Code Date[MM/DD/YYYY] S Description of Contribution - SCHEDULE II! Statement of Expenditures Filer Identification Number: 20200165 To Whom Paid. Date[MM/DD/YYYY] I S The Sentinel 10/21/2021 1 525.00 House# Street Address Description of Expenditure City State Zip Carlisle PA Code 17013 Campaign Ad To Whom Paid Date[irsivi/DD/YrYr] —-1 The Sentinel 740.00 10/21/2021 House# ' Street Address Description of Expenditure City State Zip ' Carlisle PA Code 17013 Campaign Ad To Whom Paid — V - Date[MM/DD/YYYY] -S The Sentinel 10/21/2021 792.95 House# Street Address Description of Expenditure I City State IpA Zip Carlisle Code 17013 Campaign Ad To Whom Paid Date[MM/DD/YYYY] S Twist Bank 12.00 10/21/2021 House# 330 Street Address York Road Description of Expenditure City Zip 1 'Carlisle State IPA Code I17013 Bank Fee To Whom Paid Date[MM/DD/YYYY] S Unigraphics 931.80 10/20/2021 House# Street Address Description of Expenditure 1 Jeffrey Road i City ' State I Zip Mechanicsburg - IPA I Cod,- 17050-6805 Campaign Mailers To Whom Paid Date[MM/DD/YYYY] S Act Blue 31.13 11/03/2021 House#' Street Address Description of Expenditure 366 Summer Street City i I State I Zip Service Fee . Somerville - MA Code' .01244 1 I To Whom Paid Date[MM/DD/YYYY] S Act Blue 58.55 11/09/2021 House# Street Address Description of Expenditure 366 Summer Street City r State Zip- 'Somerville - MA Code 101244 Service Fee To Whom Paid Date[MM/DD/YYYY] S House# Street Address Description of Expenditure - City.. II -State. Zip. Code i '•,