HomeMy WebLinkAbout2013 West - 30 Day � Form CPF M 102: Campaign Finance Repo�j�WNEC�ERK
Municipal Form � �-��DING. MASS.
ORce uf Campaign and Polifical Finance ��p NAY I 4 A II� 21
CommonwwlN
ofMsasacM1�uGls
Fae w�m. c o�row,�c�Rt o�ei�c,o�commt�m�
Fill in Reporting Period datcs: Beginning Date: O I � endmg oatc: O. o � �J
Type of Report: (Check one) �
❑ Sth day preceding preliminary ❑ 8fi day preceding electlon [g 30 day afler election ❑ yearvend repon ❑ dissoWtion
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Candidam Full NumcQf a001icabic) Comminec Namc
ORce Sought and Dis�nm Name o(Comminee Trosurer
k
Res cmialAdarese CommittceMeilingAddrexs
TCIcpM1oneNumM�oO�ional)'. ��� 2 TelephooeNumber(optionalp
SUMMARY BALANCE INFORMATION:
Line 1: Ending Balance fmm previous report
Line 2: Tolal receip[s thie period(page 3, line 11) 0
Line 3: Subtotal Qine 1 plus'line 2) �
Gine 4: Tohzl expendiNrea thia period(page 5,Iine 14) Oa
Line 5: 8nding Balance Qine 3 minus line 4) ��_ �
Line 6: Total in-kind wntributions tl�is peciod(page 6)
Line 7: 7otal(all)outstanding liebilitiu(page 7)
Line 8: Name ofbank(s)used:
nrra..;r orcomm��e::rre.,�.:.:
i om�ry men ne�e e„mmea m�.�,eix�md�amg a�m�ned��neam.a.�a a�:,�o me ee:�ormy mowmas=a�a neuer,.we Na��mv���=su�rm�m oren r�mw�s�noa�a
aniviry,induJin6 a0 mmnbo�ions,lows,aaipu,cxprndimrts,dislwsemenn,imkina conmbmions mJ Gabiliiia 6r�his rcputting panW end reprettnu Ne evnpeign
fnancc aaiviq uf ull pvrsons u�ing undcr vM1c auvFority or on beAalfofihis mmmiitcc in awurdancc wiN tM1c rcquircmrncs of M 4'L.c 55.
9ignetlontluMepeoalfimoCperjory: (Trramechsiynatwa) Uule:�
FOR CANDIDATF.FILINGS ONLY: nmm.�e orc.�a�m�.:��n.�t�nox omy�
c.naemm mm�nmmume vne nn.crir�ry inaev��a:m unne aommia«
❑ �certify tAa[1 Aave eumi�eJ Wis rcryon iodvdivg ana;hed schednles antl il i.q m�he M1ea nf my 4wwleJge aud Mlicf,n wc m�com0��s�emmeu�of ell cxmpaign fu�ance
�ivity,o[all peewns vdmg undurtM1e aotM1onry or on bcM1ilfofcM1is wmmmcc in aeeoNavee wllh�Ae mqmamrnts ofM.G.L.o.55. 1 M1avc not rcocivcd any eon¢iboeion;
mcurted any liabili[ies nor made any expendiwres on my MM1alf dwing�Ais repuniny penuJ.
C tlitlale witM1oul Committee�R QnJiJale witM1 intlependenl aclivily Illing seVonle reporl
wrtify tM1a�1 M1ave exemined tM1is re�wn induJin6 T�cM1d scRNuks a�d it k,m�Fe Mc�nf my knnwlM6e a�d beliet,a oue anJ mmplc¢n�n¢mcnt olall cnmpalgn
fna aciiviry,induJingvomnbotimu,lun cvipu.cxpcndimres,disbmscmcros.in-kindmn�nbmionsandliabilitivsfurtM1isrcportinyperiadanGrcpresrnuNc
�nmpnib(nenuaaiviryofallpersonsactin6unGerNeao�M1nritynrn^n�AeAalfof�his_mm,m^iueei�ucmrJnncewi�FNertquir rn�so�M.6La55.
SiQnMuntle�IM1eIX�a��esolpmjury:•�-�,/// �� �y_ �Candid#CssiAalu�iv) D3�C: �i ' t�
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SCHEDULE A: RECEIPTS (continued)
Name and Residentlal Address OccupaHon&Employer
Dale Received (alphaM1eliral lietlng required) Amoun[ (for contributlone of$200 or more)
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3 wti.'�,<,h Ga� � iJ,� �'v'�P �Hh �lv�l�
s.d, �+M- Dia?c�
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Line 9:Total Receipts over$50(or listed above) ��
Line ]0:Tolal Receipts$50 and undec"(not lisled abwe) �
Line 11: TOTAL RECEIPTS IN THE PF.RTOD �, Oo F Eumr o�pagc I,linc2
"Ifyou heve icemized reccipts of$50 and under,incl�dc lhcm i�line 9. Line 10 shwld i�cludeo�ly those receipts not i�emized¢bovc.
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SCHEDULE B: EXPENDITURES
M.G.L.c 55 reguires rommi[(ees(o lis(, in a[phaAe�ical order',al]upendi[ures we'$50 ni o repor[ing period. Commitlees mus[keep
demlled accounts and rerords oJa[l eependitures, bu(need on(y itemi�e Ihw�e over$50. Expenditurer d50 a�d under may be odded mgether,
from rommitlee ru�wds, and reportrd an line J3.
(A"Schedule B:Expendi�ums" attachment is available to complete,prin[and attach to�his report,if additioual pages are required m
report all expenditures. Please include your committee uame and a page number on each page.)
To Whom Paid
Date Paid (alpM1abeHcal lisfiu� Address Purpose of Expenditure Amounf
//�I�c3 ��� F"Ecw� �-S�+r+--.l�i .f'/�fl7on
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Line 12:Total Expenditures over$50 (or listed above) �
Linc 13: Totnl ExpendiNres$50 and under'(m[listed above) �
Gntcr an pagc I,linc 4-i Line 14: TOTAL EXPENDITURES IN THE PERIOD �
�ICyou have i[emized expenditures of$50 and undeq include[hem in linc 12. Line 13 should include only those expendiNres not itemized
� ` SCHEDULE C: "IN-HIND" CONTRIBUTIONS
Pleue itemize contributors who have madc in-kind contributions of more than$50. Imkind contributions$50 and undcr may be
added[ogether from[he commi[[ee's rewrds and included in line 16 on page 1.
Date Received From Whom Received* Residential Address Description of Contribufion Value
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Line 15: in-Kind Conlribulions over$50(or listed above)
Line 16: In-Kind Convibutions$SU&undec(nol listed above)
F.ncer on page 7,line 6-� Line 17:TOTAL IN-KIND CONTRIBO'[IONS
'If an fn-ki�d contdbutio�is reeeived 4om a person who contributes more thav S50 in n calendar year,you m�s1�epoet the nnme end ddeess
of[he wntri6utor;in additioq iflhe contnb�tion Is$200 or more,you�nust a1Na aporl the con[ribu[or's occupation and employer. pane fi