HomeMy WebLinkAbout2018 Webb - 8 Day � �- .. :Form CPF M 102: Campaign Finance Report �
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Commonwealth � i i��� j�� �•
ofMassachusetts �--- _
� File with: Ci or Town Clerk or ElectiomCommission��
Fill in Reporting Period d Beginnmg ate: oi/oi/zois Ending Date: 03/16/2018"�- - -� �- --�------
Type of Report: (Check one)
8th day preceding preliminary X❑ 8th day preceding election ❑ 30 day after election ❑ year-end report - ❑ dissolution
�.� �--�• VV�I b N or�
5c�� Candi ate F Name(if applic 1 ) Committee Name
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Office Sought and District Name of Committee Treasurer
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Residential Addr ss Committee Mailing Address
E-mail: ,�/�W S"�1. L � I �VC� �'�� •h�� E-mail:
Phone#(optional): Z g'i �?jd`��Z'Z� Phone#(optional):
SUMMARY BALANCE INFORMATION:
Line 1: Ending Balance from previous report �
� Line 2: Total receipts this period(page 3, line 11) o
Line 3: Subtotal(line 1 plus line 2)
Line 4: Total expenditures this period(page S, line 14) '1 j
.
Line 5: Ending Balance(line 3 minus line 4) -- � �, 2?j
Line 6: Total in-kind contributions this period(page 6)
Line 7: Total(all)outstanding liabilities(page 7)
Line 8: Name of bank(s)used: �
Affidavit of Committee Treasurer:
I certify that I have examined this report including attached schedules and it is,to the best of my]mowledge and belief,a true and complete statement of all campaign finance
activity,including all contributions,loans,receipts,expenditures,disbursements,in-kind contributions 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. .
Signed under the penalties of perjury: �i��(Treasurer's signature) Date:
FOR CANDIDATE FILINGS ONLY: �davit of Candidate:(check 1 box only)
Candidate with Committee and no activity independent of the committee .
❑ I certify that I 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
activity,of all persons acting under the authority or on behalf of this committee in accordance with the tequirements of M.G.L.c.55. I have not received any contributions,
incurred any liabilities nor made any.expendiriues on my behalf during this reporting period.
Candidate without Committee OR Candidate with independent activity filing separate report
�I certify that I have examined this report including att ched schedules and it is,to the best of my lmowledge and belief,a true and complete statement of all campaign
�inance activity,including contributions,loans,recei ts,expenditures,disbursements,in-kind contributi and liabilities for this reporting period and represents
campaign finance activity of all persons acting u er e uthority or on behalf of this co i e in ordance with the requirements of M.G.L.c.55. � ��
I �Si ned under the enalties of er'ur : � Date:
g p p � y (Candidate's signature)
SCHEDULE A: RECEIPTS , -�.
M.G.L, c. 55 requires that the name and residential acldress be reported, in alphabetical order,for all receipts over$SO in a calendar
year. Committees must keep detailed accounts and records of all receipts, but need only itemize those receipts over$S0. In addition, the
occupation and employer must be reported for all persorrs who coniribute$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)
Line 9: Total Receipts over$50(or listed above) �
Line 10: Total Receipts$50 and under* (not listed above) �
�ine lY: TOTAL RECEIPTS Il�THE PERIOD � E- Enter on page l,line 2
* If you have itemized receipts of$50 and under,include them iri line 9. Line 10 should include only those receipts not itemized above.
Page 2
`r ; 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 urider* (not listed above) � .
Line 11: TOTAL RECEIPTS IN THE PERIOD � � . Enter on page 1,line 2
* If you have itemized receipts of$50 and under,include them in line 9. Line 10 should include only those receipts not itemized above.
� � Page 3
SCHEDULE B: EXPENDITURES � . . •g
M.G.L. c. SS requires committees to list, in alphabetical order, all expenditures over$SO in a reportingperiod. Committees must keep , _
detailed accounts and records of all expenditures, but need only itemize those over$S0. Expenditures$SO and under may be added together,
from commitlee 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 Pafd
Date Paid (alphabetical listing) Address Purpose of Expenditure Amount
Line. 12: Total Expenditures over$50 (or listed above)
Line 13: Total Expenditures $50 and under* (not listed above)
Enter on page l,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 4
`l ' SCHEDULE B: EXPENDITURES (continued)
J
To Whom Paid
Date Paid (alphabetical listing) Address Purpose of Egpenditure Amount
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Line 12: Expenditures over$50.(or listed above) � 'L
.
Line 13: Expenditures $50 and under* (not listed above) �
Enter on page l, line 4:-� Line;14: TOTAL EXPENDITURES IN THE PERIOD 2
. f
* 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' � 'i .
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*, ResicYential Address Description of Contribution Value
. � . . , , . . . .. ". ' . .
� , � _ Line 15: In=Kind Contributions over$50(or listed above)
�� . Line 16: In-Kind Contributions$50&under(not listed above) �
. , Enter on page l,line 6 � Line 17: TOTAL IN-HIND 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
:- � ; SCHEI)ULE D: LIABILITIES .
M.G.L. c: 35 requires committees to reportALL liabilities which have been reported previously and are still outstanding, as well
as those liabilities incurred during this reporting period. �
Date Incurred � To Whom Due Address Purpose Amount
Enter on page l,line 7 � Line 18: TOTAL OUTSTANDING LIABILITIES(ALL)
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