HomeMy WebLinkAbout2012 Tafoya - Year End � � Form CPF M 102: Campaign Finance Report
Municipal Form ; � : �; ��
Oiflce of Campaigu and PaWical Finance 1 �i`I i1 i��_�i(K
Cmmwnwl�h �,_, ._i�ti���, �i�55.
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Fill in Reportiug Period dates: Beginning De�e: 1/1/2012 ending Dace: oiz
Type of Report: (Check one)
❑ Bih day preceding preliminary ❑ Sth day preceding election ❑ 30 day after election ❑X year-end reporl � dissolutlan
Ben Tafoya The Tafaya Cammittee
CmdiCeu Full NemcQf appllcebla) Comminee Name
SeleQman Utherine Gleawn
Oficc SougM1�entl Disvia Namc of CommiiKe Trtasurtr
40 Oak 5[ q0 Oak 5[; Reatling, MA 01867
Residentiel Address Commi�e Maili�g Addeess
TdryhmeNumba(op�ianel): (781)944-3118 TelryM1oneNumhr(oqionap:
SUMMARY BALANCE INFORMATION:
Lioe l: Ending Balance Gom previous report 219.83
Lioe 2: Total receipts[his period(page 3,line I 1) �--�
Line 3: Sub[ohel(liue 1 plos line 2) �- 214.83
Line 4: Tofal expendiNres this period(page 5,line 14) 32.5
Line 5: Ending Balance(line 3 minus line 4) � iaz.3s
Line 6: Total in-kind contributions this period(page 6) �--�
Line 7: Total(all)outstanding liabilities(page 7) 10,499.11
Lin¢8: N3rtIC Of b20k(S)uSed: Reading Cooperative Bank
ARWavit of CommlMe Treuurcr:
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aciivity.inclWi�gallconuibutiona,loans.receipY.sxpmdiNrea.Oisbunemenu -ItiMw�tribuYonsendliebili�iaforNiercpoetingpenodendrtprtamuNewn�mign
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SI{oeauoaer�M1epeotldnotperjury: Gl (imrum'ssipunuc) Date: 1/20/2013
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SlgrduberuupntlXao(perJury: (C��did.m'ssi�aaec7 Da[e: 1/20/2013
. SCHEDULE A: RECEIPTS
AiG.I.c.55 reguires that rhe name and resiAert(ial address be reported,in alphobeJical order,for a(1 receip¢aver$50 in a ca/endar
yeoc Commitleu must keep defailed accounts and rerords ofa!/receipts,bu!need only itemrze lhose receip(s over$50. !n pddifio4 the
occupation and employer must be reportedfor aU persons who contribure 5200 or more in a calendar year.
(A"Sehedule A:Receipb"atnehment ia rvailable to complele,priut and atlac6 to Ihis reporl,if additfooal p�ges are reqwred to
rcporl dl recefph. Plene include yaur committee name and a page oumber on eac6 pag<J
Name aod Reaidentisl Address Occupatlon&Employer
Dete Received (elphabetical lisfing required) Amount (for contributlons o(5200 or more)
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Line 9:To[al Receip[s over$50(or lis[ed above) �
Line l0:Total Receipts$50 and under'(mt listed above) �
Lioe ll:TOTAL RECEIPTS IN THE PERIOD � i— Enmr on page 1,line 2
"Ifyou have itemized receipls of$50 and wdeq include them in line 9. Line 10 should include only those receipts not itemized above.
Page 2
� , SCHEDULE A: RECEIPTS(con[inued)
Neme and Resideo[ial Addrese Occupatioo&Employer
Date Received (alphabetical listing required) Amouut ((or conVibutions of 5200 or more)
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Line 9:Toral Receipts over$50(or listed above) �
Line ]0:Total Receipts$50 and unded (uot listed above) �
Line 11:TOTAL RECEIPTS IN THE PERIOD �0 i- En[er on page 1,line 2
•If you have itemizrA aceiprs of§50 and wder,incWde them in line 9. Line 10 should include only tLose receipfs not ilemiud above.
Page 3
, SCHEDULE B: EXPENDITURES
�S1.G.L.a 55 reguires commiltees m lisl,in alphabetica!ordeq all upenditu�es over$50 in a reporhng period. Commitfeu must keep
demi(ed accaunts and records ajall ezpendimru,but need only itemize lhose over 550. Expenditures S50 and under moy be added tage(her,
from commiftee recards, nnd reported on line/3.
(A'Bchedule B:E:pendi[ura"attachmeol is rvailable to complele,priut aod attach to thie repory it adtlitlood pages are required ro
report WI expeoditurea. Pleue ioclude yaur cammittee name aod a pege number oo each page.)
To Whom Paid
Date Paid (alphabeticel listing) Address Purpose of Expmditure Amouot
12/31/2012 Reatling Coopera[ive Bank Haven Sq Reatling, MA 0186] Bank fees 32.5
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Line 12:TotalBxprndinves over$50(o�listed above) �
Line 13: Total Expenditures$50 aud under• (not lisced above) �
Enrer on page I,line 4-� Line 14:TOTAL EXPENDITURES IN THE PERIOD 3Z.5
"Ifyou have itemized exprndinues of S50 and undeq include them in line 12. Line 13 should include onty Nose erzpendinues nol itemized
above.
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� , SCHEDULE B: EXPENDITURES(coutinued)
To Whom Paid
Da[e Paid (elphabetical Iis[io� Address Purpose ot Expendi[ure Amaun[
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Line 12:ExpendiNres over$50(or listed above) �
Line l3: ExpendiNres$50 and under'(not lis[ed above) �
Enar on page I,line 4-� Line 14:TOTAL EXPENDITURES IN THE PERIOD �
'If you heve itemized exprndiNres of S50 and undeq include fiem in line 12. Line 13 should include only Nose expenditures nol itemized
above.
Page 5
SCHEDULE C: "IN-HIND" CONTRIBUTIONS
Please itemize contribu[ors who have made in-kind contributions of more Ihan 550. In-kind coutributions$50 and under may be
added rogether from the committee's records and included in line 16 on page 1.
Date Received From Wham Received• ReaidenNal Address DescripOon of Coo[ribu[ion Value
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Line 15: In-Kind Contribu[ions over$50(or listed above) �
Line 16:In-Kind Contributions$50&under(w[listed above)�
Encer an page I,line 6-� Line 17: TOTAL IIV-KIND CONTRIBUTIONS �
•If an inkind contriWtion is received from a person who contributes more[han$50 in a calendar yeaq you must report 1he name and address
of fie contriburor;in addifioq if the cantribution is 5200 or more,you must also report Ne wntributor's occupation and employer, page 6
SCHEDULE D: LIABILITIES
M.G'.L. u 55 requires cammittees m repor�ALL liabi(i�ies which have beem reporled previausly and are still ou[standing, as we11
as thase liabilifies incurred during this reporting period.
Dah Incurred To Whom Due Address Purpose Amount
10/19/2009 Ben Tafoya 90 Oak Sq Reatling, MA 0186] Loan S,Opp
10/]4/2004 Ben Tafoya 40 Oak Sq ReaGing, MA 0186] Loan S,Opp
4/3/2005 Ben Tafoya 40 Oak St; Reatling, MF 0186] Laan qgq.��
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Enteron page 1,line 7+ Line 1S: TOTAL OUTSTANDING LIABILITIES(ALL) 10,499.11
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