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Home My WebLink About2016 Berman - Year End ` � Form CPF M 102: Campaign Finance Report - � - Municipal Form � ��(.�`"E?' �. f `�of Campaign and Political Finance _ � p� ��'{� ��i K Commonwealth `'_''��Q 1�"�G,.'a ta S S:' ofMassachusetts � File with: Ci or Town Clerk or Election Commission Fill in Reporting Period dates: :. �i D�:' . oi6 Ending Date: 12/31/2016 � :. �.�� Type of Report: (Check one) ❑ 8th day preceding preliminary 0 8th day preceding election ❑ 30 day after election ear-end report ❑ dissolution 1 >G��r� �m r�,� � ��r nnv�� r � ��v►�c�.� Candidate Full Name(if applicable) Committee Name �,�G�'Vd1,w�n �� c}J��v Office Sought and District Name f Committee Treasurer �`1 I,,,��v��vtc,�,.) �---� �u.,�1nr, 1��' �1,� (��t�(, .S�' �.�.�h /�I/� � I �� 3� Residential Address Committee Mailing Address E-mail: V�i 7Qf MGI'i1 Oy �,I)JVI�LL�t• � E-mail: 1 ' ''�5 �'L"1��N�C�'l/� Phone#(optional): �� I — ��Z' �'�D� Phone#(optional): �Q�� I�� -` F� d 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) ��2, ��. �.� Line 4: Total expenditures this period(page S, line 14) ! ��J — Line 5: Ending Balance(line 3 minus line 4) 2, I � 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 knowledge and belief,a true and complete statement of all campaign fmance 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: �':!J�"'y� (Treasurer's signature) Date:�'pU�7,�� FOR CANDIDATE FILINGS ONLY: Affidavit of Candidate:(check 1 box only) C idate with Committee and no activity independent of the committce 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 ctivity,of all persons acting under the authority or on behalf of this committee in accordance with the requirements of M.G.L.c.55. I have not received any contributions, ' incurred any liabilities nor made any e�cpenditures on my behalf during this reporting period. Candidate without Committee O�Candidate with independent acfivity filing separate report I certify that I have examined this report including attached schedules and it is,to the best of my l�owledge and belief,a true and complete statement of all campaign � finance activity,including contributions,loans,re ts,expenditures,disbursements,in-kind contributions and liabilities for this reporting period and represents the campaign finance activity of all persons acting d r the thority or on behalf of this committee in accordance with the requirements of M.G.L.c.55. Date: > Signed under the penalties of perjury: (Candidate's signature) ` SCHEDULE A: RECEIPTS M.G.L. c. 55 requires that the name and residential addr•ess be t-eported, in alphabetical o��der,for all receipts over$50 in a calendar year. Committees must keep detailed accounts and recor•ds of all receipts, but need only itemize those receipts over$50. In addition, the occupation and employer must be reported for all 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) 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 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 � 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. SS r•equires committees to list, in alphabetical o��der, all expenditures over�SO in a reportingperiod. Committees must keep detailed accounts and records of all expenditures, but need only itemize those over$50. Expenditures$50 and under may be added together, from committee recor•ds, and reported on line 13. (A"Schedule B:Eapenditures"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 o, `2� I 6 �1�'rb� �� (.v,n (,oc,.� (�' ne�J' li �'o� Line 12: Total Expenditures over$50(or listed above) �J� � Line 13: Total Expenditures$50 and under* (not listed above) Enter on page l,line 4 -� Line 14: TOTAL EXPENDITLTRES 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 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) i Enter on page l,line 4� Line 14: TOTAL EXPENDITURES IN THE PERIOD �J.� �`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) Line 16:In-Kind Contributions$50&under(not listed above) Enter on page l,line 6 -� Line 17: TOTAL IN-I�ND 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 addirion,if the contribution is$200 or more,you must also report the contributor's occupadon and employer. page 6 ' SCHEDULE D: LIABILITIES M.G.L. c. SS 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) Page 7