HomeMy WebLinkAbout2015 Zessis - 8 day ' Form CPF M 102: Campaign Finance Report
Municipal Form �,t����vEp
Office of Campaign and Polifical Finance i 7 W N C L E R K
co,r►mon��►�, '-�,�I N G, M H S S.
ofMassachusetts
File with: Ci r or Elecrion Commission
Fill in Reporting Period dates: Beginning Date: Z 1 /5 Ending Date: �' �9
,
Type of Report: (Check one)
❑ 8th day preceding preliminary 8th day preceding election ❑ 30 day after election ❑ yeaz-end report ❑ dissolution
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Candidate Futl Name(if applicable) Committee Name
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Office Sought and District Name of Committee Treasurer
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Residential Address Committee Mailing Address
Telephone Number(optional): Telephone Number(optional): -�
SUMMARY BALANCE INFORMATION:
Line 1: Ending Balance from previous report
Line 2: Total receipts this period(page 3,line 11) �
Line 3: Subtotal(line 1 plus line 2) �
Line 4: Total expenditures this period(page S,line 14) � �
Line 5: Ending Balance(line 3 minus line 4) � �
Line 6: Totat in-kind contributions this period(page 6) �
Line 7: Total(all)outstanding liabilities(page 7) -�
Line S: Name of bank(s)used:
Affidavit of Committee Treasarer:
I certify that I have examined this report including attached schedules and it is,to the best of my knowiedge and belief,a true and complete statement of al!campaign finance
activity,including all contributions,loans,receipts,expenditures,disbursements,in-kind conVibutions and liabilities for this reporting period and represents the campaign
finance activity of all persons acting under the authority or on behalf of this committee in accordance with the requirements of M.G.L.c.55.
Signcd ander the penalties otperjnry:• (Treasure�s signature) Date:
FOR CANDIDATE FIL.INGS ONLY: Affidavit of Candidate:(check 1 boa only)
Candidate wit6 Committee and no activity iudependent of the committee
I certify that I have eacamined this report including attached schedules and it is,to the best of my Imowledge and belief,a true and complete statement of all eampaign finance
� acdvity,of all persons acUng under the authority or on behalf of this committee in accordance with the requiremenu of M.G.L.c.55. I have not received any contributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting penod.
�Candidate withoat Committee Q$Candidate with independent activity filing separrte report
I certify that I have examined this report including attached schedules and it is,to the best of my lmowledge and belief,a true and complete statement of all campaign
finance activity,including contribuuons,loans,receipts,expenditures,disbursemenu,in-kind wntributions and liabilities for this repoRing period and represenu the
campaign financo activity of all persons acting under the authoriry or on behalf of this committee in accordance with the requirements of M.G.L.c.55.
Sigued ander the penalties of perjury: ^' y (Candidate's signature)
Date:� . �
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SCHEDULE B: EXPENDITURES
M.G.L.c. SS requires committees to list, in alphabetical order, all expenditures over$SO in a reporting period. Committees must ti
detailed accounts and records of all expenditures, but need only itemize those over$S0. Expenditures$50 and under may be added toge�
from committee records, and reported on line 13.
(A"Schedule B:Expcnditures"attachment is available to complete,print and attach to tLis rcport,if additionat pages are required�
report all eapenditures. Please include your committee name and a page number on eac6 page.)
To Whom Paid
Date Paid (alphaberical listing) Address Purpose of Expenditure Amount
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Line 12: Total Expenditures over$50(or listed above) ��,
Line 13: Total Expenditures$50 and under* (not listed above) 2�.�
Enter on page l,line 4 -> Line 14: TOTAL EXPENDITURES IN THE PERIOD �''lj � v �,^�
*If you have itemized expenditures of$50 and under,include them in line 12. Line 13 should include only those expenditures not itemized
above.
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