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Home My WebLink About2016 Yes for Reading - CPF M102 - 30 day and Dissolution � Form CPF M 102: Campaign Finance Report Municipal Form �� TOwNE��FD �� Office of Campaign and Political Finance R E H p I N G, �� MaSS. Commonwealth ot'Massachusetts �(��/ File with: i o1�LbWn I rk le n ' �ission Fill in Reporting Period dates: Beginning Date: io/9/zoi6 Ending Date: 11/17/2016 Type of Report: (Check one) � 8th day preceding preliminary ❑ 8th day preceding election �X 30 day after election ❑ year-end report ❑X dissolution Yes for Reading Candidate Full Name(if applicable) Committee Name Geoffrey J. Coram Uffice Sought and District Name of Commrttee T�reasurer PO Box 263, Reading, MA 01867 Residential Address Committee Mailing Address E-mail: E-mail: y t� �� rPc,,Q•�� @gmail.Com Phone#(ophonal): Phone#(optional): SUMMARY BALANCE INFORMATION: Line L• Ending Balance from previous report �� $492.30 Line 2: Total receipts this period(page 3, line 1 1) $200.00 Line 3: Subtotal (line 1 plus line 2) �692.30 Line 4: Total expenditures this period(page 5, line 14) $692.30 Line 5: Ending Balance(line 3 minus line 4) $o.00 � Line 6: Total in-kind contributions this period(page 6) $o.00 Line 7: Total (all)outstanding liabilities(page 7) �o.00 Line 8: Name of bank(s) used: Reading Cooperative Bank Affidavit of Committee Treasurer: I certih that I have exammed this report including attached schedules and it is,to the best of my knowledge and belief,a true and complete statement oY all campaign finance activity,including all contributions,loans,receipts,expenditures,disbursements,m-kind contributions and liabilities for this reporting period and represents the campaign finance activiq�of all persons acting under the authority or of�behalf of t s committee in accordance with the reyuirements of M.G.L.c.55. I Signed under the penalties of perjury: �'� �.�l��t*-�✓"-� (Treasurer's signature) Date: 11/ll/2016 FOR CANDIDATE FILINGS ONLY: Affidavit of Candidate:(check 1 box only) iCandidate with Committee and no activit,y independent of the cummittee � 1 certify that 1 have exammed this report mcluding attached schedules ar,d it is,to the best of my knowledge and belief,a true and complete statement of all campaign tinance activ�ty,of all persons acting under the au[honty or on behalf uf this committee in accordance with the requirements of M.G.L.c.55. t have not received any contributions, incurred an��liabiiities nor made an�expendi[ures on my behalt during this reporting penod. Candidate without Committee OR Candidate with independent activity filing separate report � [certify that 1 have examined this report including attached schedules and it is,to the best of my knowledge and belief,a true and complete statement of all campaign finance act�vity,including contributions,loans,receipts;expenditures,disbursements,in-kind contribut�ons and liabilities for this reportmg period and represents the campaign finance activity of all persons acting under the authority or on behalY of this committee in accordance with the requirements of M.G.L.a 55. Date: Signed under the penalties uf perjury: (Candidate's signature) SCHEDULE A: RECEIPTS .�I�1.G.L. c. 55 requires that the name and residential address be reported, in alphabetical order,for al!receipts over$50 in a calendar year. Committees must keep detai/ed accounts and records of a!/receipts, but need only itemize those receipts over$50. In uddition, the occz�pation and emp/oyer must be reported for al!persons who contribute,�200 or more in a calendar year. (A "Schedule A: Receipts" attachment is available to complete,print and attach to this report,if additional pages are required to report all receipts. Please include your committee name and a page number on each page.) Name and Residential Address Occupation & Employer Date Received (alphabetical listing required) Amount (for contributions of$200 or more) Brown, Peter 10/18/2016 249 Forest St. $150 Reading, MA 01867 Line 9: Total Receipts over$50(or listed above) $150 Line 10: Total Receipts$50 and under* (not listed above) $50 Line 11: TOTAL RECEIPTS IN THE PERIOD �200 E— Enter on page 1, line 2 * If you have itemized receipts of$50 and under,include them in line 9. Line 10 should include only those receipts not itemized above. Page 2 SCHEDULE A: RECEIPTS (continued) Name and Residential Address Occupation & Employer Date Received (alphabetical listing required) Amount (for contributions of$200 or more) Line 9: Total Receipts over$50(or listed above) Line 10: Total Receipts $50 and under* (not listed above) Line 11: TOTAL RECEIPTS IN THE PERIOD f— Enter on page 1, line 2 * If you have itemized receipts of$50 and under,include them in line 9. Line 10 should include only those receipts not itemized above. Page 3 SCHEDULE B: EXPENDITURES ti�.G.L. c. .i5 requires committees to list, in alphabetical order, all expenditures over$50 in a reporting period Committees must keep detailed accoa�nts and records of a[I expenditures, but need only itemize those over$50. Expenditures$.i0 and z�nder may be added together, from commiitee records, and reported on line 13. (A "Schedule B: Expenditures"attachment is available to complete,print and attach to this report,if additional pages are required to report all expenditures. Please include your committee name and a page number on each page.) To Whom Paid Date Paid (alphabetical listing) Address Purpose of Expenditure Amount Grant, Kate 15 Lothrop Road Web site expenses 11/6/2016 Reading, MA 01867 $431.02 PayPal, Inc. 2211 North First Street Fees for credit card donations 10/9/2016 San Jose, CA 95131 $101.63 Line 12: Total Expenditures over$50(or listed above) $532.65 Line 13: Total Expenditures$50 and under* (not listed above) �159.65 Enter on page l,line 4� Line 14: TOTAL EXPENDITURES IN THE PERIOD $692.30 * If you have itemized expenditures of$50 and under,include them in line 12. Line 13 should include only those expenditures not itemized above. Page 4 SCHEDULE B: EXPENDITURES (continued) To Whom Paid Date Paid (alphabetical listing) Address Purpose of Expenditure Amount Line 12: Expenditures over$50(or listed above) Line 13: Expenditures$50 and under* (not listed above) Enter on page 1, line 4� Line 14: TOTAL EXPENDITURES IN THE PERIOD * If you have itemized expenditures of$50 and under, include them in line 12. Line 13 should include only those expenditures not itemized above. Page 5 SCHEDULE C: "IN-KIND" CONTRIBUTIONS Please itemize contributors who have made in-kind contributions of more than$50. In-kind contributions$50 and under may be added together from the committee's records and included in line 16 on page 1. Date Received From Whom Received* Residential Address Description of Contribution Value Line 15: In-Kind Contributions over$50(or listed above) �o Line 16: In-Kind Contributions $50& under(not listed above) �o Enter on page 1, line 6 � Line 17: TOTAL IN-KIND CONTRIBUTIONS �� * If an in-kind contribution is received from a person who contributes more than$50 in a calendar year,you must report the name and address of the contributor; in addition,if the contribution is$200 or more,you must also report the contributor's occupation and employer. page 6 SCHEDULE D: LIABILITIES M.G.L. c. 55 requires cornmittees to reportALL liabilities which have been reported previously and are still outs7anc�ing, as well as those liabilities incurred during this reporting period. Date Incurred To Whom Due Address Purpose Amount Enter on page 1, line 7 � Line 18: TOTAL OUTSTANDING LIABILITIES(ALL) �o Page 7 � Form CPF R 1: Itemization of Reimbursements Office of Campaign and Political Finance cun,monwea�tn of Massachusetts Otlice of Campaign and Political Finance One Ashburton Place,Room 41 1 Boston,MA 02108 (617)979-8300 Please itemize any reimbursements by detailing the date,payee,address,purpose and amount for each expenditure made by the person being reimbursed. The total amount reimbursed to the individual(which must be by committee check)should be the same as the amount shown on the reimbursement form. Date of Reimbursement: il/6/2016 �� Name of Individual Being Reimbursed: Kate Grant Committee Name: Yes for Reading CPF ID Number(if applicable): �� Telephone Number(optional): �� ITEMIZE EXPENDITURES IN EXCESS OF$50 Date Paid Vendor Name Vendor Address Purpose of Expenditure Amount Google, Inc. Dept. No. 33654 Web apps, e-mail forwarding 11/2/2016 PO Box 39000 $125.00 San Francisco, CA 94139 Wix.com, Ltd. PO Box 40190 Web site hosting 11/4/2016 San Francisco, CA $276.90 (1nc�ude icems listed on Page 2) ��+ Line 1: Expenditures in excess of$50(itemized above): $401.90 Line 2: Expenditures$50 or under(not itemized): �29•12 Line 3: TOTAL AMOUNT REIMBURSED: $431.02 Signed under the penalties of perjury: /L � �2�U-�i Date: 11/17/2016 Signature of andidat�/Treasurer Please prepare a separate report for each reimbursement check issued by the committee.