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Home My WebLink About2017 Anderson - Year End � Form CPF M 102: Campaign �i` �"��ep�;brt . . f ��'��i'� ��i:.;��i Municipal Forr��,�� 4�,� Office of Campaign and Political Finance Commonwealth CFt1U �� I � �j� ��' �' ofMassachusetts File with: Ci or Town Clerk or Election Commission F111 in Reporting Period dates: Beginning Date: ' � 2 n�.� Ending Date: i Z l 3 r /�� Type of Report: (Check one) • ❑ 8th day preceding preliminary ❑ 8th day preceding election ❑ 30 day after election �,year-end report ❑ dissolution �d ��d�''�n � " � Candidate Full Name(if applicable) CommitteeName j� `��'�. �5 �� y I � Office Sought an District Name of Committee Treasurer ��-t w�ll�b}�l(:� � �P I-t`}'(AaD(�- I�P ��L�I�-�!h c� Residenrial Address Committee Ma'iling Address E-mail: W(N i��1�� il�Y�• �Y� E-mail: �� C-A �f/LIJ�I �' (.S✓ e Phone#(optional): �g�- �1..�(,�- (,�CJ�)?7 Phone#(optional): I— — � 5UMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous report �•f j'L 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) � �' CL� Line 6: Total in-kind contributions this period(page 6) 'V Line 7: Total(all)outstanding liabilities(page 7) , Line 8: Name of bank(s)used: Affidavit af Committee Treasurer: � I certify that I have examined this repor[including attached schedules and it is,to the best af my lmowledge and belief,a true and complete statement of all campaign finance activity,including all contributions,loans,receipts,expenditures,disb ents, kind contributions and liabilities for this reporting period and represents the campaign finance activity of all persons acting under the au 'ty on behalf a this commi e in accordance with the requirements of M.G.L.c.55. 3/ S" ed ander the enalties of e "u � Date: � �'� � P P rl rY� (Treasurer's signature) FOR CANDIDATE FILINGS ONL : Affidavit of Candidate:(check 1 boa only) Candidate svith Committee and no activity independent of the eommittee � I certify that I have exaznined 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 accotdance with the requirements of M.G.L.c.55. I have not received any contributions, incurred any liabilities nor made any expenditures on my behalf during this reparting period. Candidate without Committee QR Candidate with independent actirity filing separate report �certify that I have exaznined this report including attached schedules and it is,to the best of my Imowledge and betief,a true and complete statement of all campaign financc activity,including contribudons,loans,receipts,expenditures,disbursements,in-kind contributi and liabilities for this rcporting period and represcnts the campaign finance activity of all persons acring under the authority or on behalf of this committee' ordance with the requirements of Iv1.G.L.c.55. Date: � � � Signed ander'the penalties of perjury: andidate's signature) SCHEDULE A: RECEIPTS M.G.L.e.55 requires that the name and residential address be r•eported,in alphabetica!order,for all receipts.over$SO in a calendar year. Committees must keep detailed accounts and records af all receipts,but need only itemize those receipts over$50. In addition, the occupation and emplayer must be reported for a!!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 (alphabeNcal listing required) Amount (for contributions of$200 or more) � , Line 9:Tota1 Receipts over$50(or listed above). ' Line 10:Total Receipts$50 and under* (not listed above) Line 11:TOTAL RECEIPTS IN THE PERIOD � Enter on page l,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 Addiess 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 � E- Enter on.page l,line 2 *If you have itemized receipts of$50 and under,include them in line 9. Line 10 should include only those receipts not itemized above. , , Page 3 SCHEDULE B: EXPENDITURES M.G.L.c.55 requires committees to list,in alphaberical order, all expenditur•es over$SO in a reporting period. Committees must keep detailed accounts and records of all ezpenditures,but need only itemize those over$50. Expenditures$50 and under may.be added together, from committee 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 � " � � � Line 12: Total Expenditures over$50(or listed above) Q , Line 13: Total Expenditures$50 and under*(not listed above) � . Enter on page l,line 4-� Line 14: TOTAL EXPENDITUI�ES IN THE PERIOD O *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 (conNnued) 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 l,line 4� Line 14:TOTAL EXPENDITURES IN THE PERIOD � *If you haye 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-HIND" CONTRIBU'TIONS 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 6 on page 1. Date Received From Whom Received* Residential Address Description of Contribution Value .. � Line 15:In-Kind Contributions over$50(or listed above) _ � Line 16: In-Kind Contributioris$50&under(not listed above) O Enter on page l,line 6� Line 17:TOTAL IN-KIND CONTRIBUTIONS O *If an in-kind contribution is received from a person who contributes more than$50 in a calendar yeat,you must report the name and address of the confributor;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 committees to report ALL liabilities which have been reported previously and are still outstanding, as well as those liabilities in.curred during this,reporting period. � , Date Incurred To Whom Due Address Purpose Amount Enter on page l,line 7� Line 18: TOTAL OUTSTANDING LIABILITIES(ALL) � � Page 7