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Home My WebLink About2013 West - 8th Day ' � Form CPF M 102: Campaign Finance Report Munici alForm '``-�t�vcD P i0'Ny CLERK ORce oiCampaign aod Polificel Finance „ `,I�F,y, H�� S. �cammonww�m ) . fMaSsaM1usetis Filewi6� er E Commimon FiII in Reporting Period dates f3eginni�g nate: 1 t ��j F�ding vate: � �J I 3 Type of Report: (Check one) � g�ry dyy preceding prcliminury Sth day Prececling election ❑ 30 day after election ❑year-end report ❑ dissolution <" Commitlee Name CendidalePUllName(iCaOV��cable) � " Y NameofCommitteeTreaurer � p11ice SougM anJ OisVic� v�1 `� CommittceMailinBAdN+.ss Residen el AOdreu TeleplwrcNumber(oDtio�all'. /p �—� �i ��i U TdeP�neNumber(op�ionnl)_ SUMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous report Line 2: Total receipts this period(page3,line 11) ��O✓, o Lioe 3: Subtotal(line 1 plus line 2) �0.0 , 02 L{oe 4: To[al expendiNres tM1is pe�iod(page S,line 14) a p, o Line 5: Ending Balance Qine 3 minus Iine 4) Line 6: Total in-kind contcib�tions this period(page 6) Line 7: Total(all)outstanding liabilities(page 7) LioeB: Nameofbank(s)used: ARdMI of Com mitta"f rea*u rtr: Icetli�y�M1atlhavicexaminNtM1isreponim'�Iudinga��scheduhdulesaMi�is,tolhebes�ufmyknowleagca�dbeliel,aM1ue�cn��est&emenmfallcampaign�1�^n¢ aclivity,includingalimnvibutions,Ivws,receip�s,expeMimres,daburscments,in-kiMwnvibutionsandliabili�ieslonM1isre rtin udandrepresen¢Nemm finanw ac�ivity of a0 pxrsons acting wdet�Lc euthoriry or on beM1alf of�M1is comm�t�ec in uccordvre wnh ihe raauiremc�is of M.G L.a 55. (rreavuals st€neoure) Date:� Sigved unJv Ihe pe�allies of perjnry: FORCANDIDATEFILINS'iSQNLV: ARM�vitofC��eNme.(cneatlbo.00ly) 6ndid��a wifL Commitln m0 0o atlFity ietlepcndm�af Ihe rommillre ��e ❑ 1 certi(y Nu�1 have�emineA @ix report Including atWCM1ed%ch dules end it is,b Ne best of my knowl�ge antl belie(,a o-ue and comple�e sUtemrnt of all campaign atliviry,of all persons ecting order Ne auNonry or on beM1alf o![M1is wmmittee in accordarce wi�h thc ra�uiremenu of M G.L.c.55. I heve w�receivW anY mnttibu�ions, incurzd any liabili�ie�nor madc anY e*Pe"d��um on my beM1alf dwing�M1is repohing perioJ. tl�dvMwilhou�C 11 �RCaudldv�ewrt�indeReJe � cl ryflinRxP � P°N I �esUlemc`rtofallcampaigr� rtifYtiatlM1eveexa ' 4N portincludin%atlavhcdxM1Nl . d��- �otFcbest ( Y� I�& �dbel� faWc d P f�a�eeacfvry,includng t-bi x,lm� rece�pu,expendt d:b mem6 � k J hM1 [os dl�atilOesFortM1 repnngperiodandreprese�uiLe cympeign fnance aclivi�y ofall persow ecling uMer Me auNoriry or on behalf ofNis m mit¢e in Ydanw wiN lAe nyuiremenu f M G L.c 55. (candfes�ssip�s��e) Dam:�� SIgnW untlerlheprnWliaofperjury: � ' SCHEDULE A: RECEIPTS M QL. c.SS requires that fhe ruime and residenfial addresx be reparted�n a�P�be(ical order,for all rereipls over$50 in a calendar yenr. Committees mvsl keep demiled accovnls and*ecordt of al1 recefp(s,bu!neeAonly iremi_elhose receipts wer$50. [n addilion Ihe accupa(ian and employer mus!be repor(ed for a!l persovu who conlribufe$200 ar more in a calendar year. (A"Schedule A:Receipts"attechmmt is aveilable to completq priot and attach to this reporl,if aAditlooal pages are rcquired to report all receipb. Please ivclude your commiHee oame avd e page oumber on eech page.) Name and Residential Address Occupation& Employer Da[e Received (alphabetical listing requir¢d) Amount (tor contribufions of$200 or more) 2,//L��`� �LJnhl'd1 /is+"�- ,� $5'�yp �rr' �/��h ��-`, �� Line 9:Total Receipts over$50(or listed above) po,c� Line 10:Total Receipts$50 and under*(not lis[ed above) Lioe 11:TOTAL RECEIPTS IN THE PERIOD �oo,pZ �- Entcr on page I,line 2 "If you have itemized receipts of S50 and wder,include them in line 9. Line 10 should include only those receipts not itemized above. Page 2 � SCHEDULE B: EXPENDITURES M QL.c.55�equires comminees m lisl,in a!➢habetiwl arder,al!upendifures over$50 in a reporting period Committees mus!keep demiled accaunts artdrecords af all expenditures,bvt tteed onty item'r_e Ihose over$50. F,xpendltures$50 and vnder may be added mgether, from commi(fee rerords.and�eparted an(ine 13. (A "Schedule B: Ezpenditures"aHachmeot is available ro complete,priot and aHech to this rcport,if odditlooal paga arc rcquircd to report all e:penditurcs. Please incluAe your committee name aod a page number on each page.) To Whom Paid Da[ePaid (alphabeticallisting) Address PurposeotEzpenditure Amount � 2/ 5�� 3�nstnSa �� 5�� G�� ,3rs �� . z is � o a � � � � � � � � � � � � � � � � � � � � � � Line 12:Total Expendimres over$50(or lis[ed above) ��ij��p Line 13:Total Expenditures$50 and under*(not listed above) �� Enteron page 1,Iine 4-� Line 14: TOTAL EXPENDITURES IN THE PERIOD 71�.Dy *If you have itemized exprndiWres of$50 and undeq include them in line l2. Line 13 should include only lhose expenditures not itemized above. Page4 � SCHEDULE C: "IN-KIND" CONTRIBUTIONS Please itemize contributors who have made in-kind confibutions of more than$50. Imkind contribufions$50 and under may be added rogether from the committee s records and included in line 16 on page 1. Date Receiv¢d From Whom Received• Residen[ial Address Descriptlon of Coutribution Value � � � � � � � � � � �� Line I5: In-Kind Contribulions over$50(or listed above) Line I6: Io-Kind Contributions$50&under(not listed above) Entcron page 1,line 6-� Line 17: TOTAL IN-KIND COPITRIBUTIONS • If an io-kind contribution is rcceivcd from a person who contributes morc lhan$50 io a calendar year,you must report the name d address of the contributor;in additioq if lhe contribution is S200 or more,you must alsa report the wntriburor's occupation and employer. page 6 i ' SCHEDULE D: LIABILITIES MG.L. a 55 requires commi#ees to report ALL liabilities which hme beett reported previously and are still outsfanding, as well as thase(iabilifies incunedduringlhis reporting periad. Da[e Incurred To W hom Due Address Purpose Amaunt � � � � � � � � � � � � � � � � � � � � � � � � I � � � � F.nter on page 1,line 7+ Line 18:TOTAL OUTSTANDING LIABILITIES(ALL) Page 7 �