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Home My WebLink About2012 Anthony - 30 Day � Form CPF M 102: Campaign Finance Report Municipal Form ORce of Campaign anA Potldnl Finence Commo�xwN of Macsazhuxtls FilewiN: Ci orTownClnkarElre[ionCommisvion Fill in ROpoRing Period dates: Beginning Date: ,�� Ending Date: o?6 �.� �_y��..—.�. Type of Report: (Check one) � � ❑ 8[h day preceding preliminary ❑ 8[h day preceding election (/.ysU dey after election �year-end repott � diswlution /� 2/ Cendidace Full Neme(ifappliceble) Comminee Nsme � OFliceSougMandDis � NameofCommineeTmavurer 2 /.l/fUL �� ResiJentiel Address Committtt Meili�Address TelepMneNumpav(opfia�lp �— .�/ _ 3�0� TelephoueNumba(op0anel): SIIMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous report � — � — Line 2: Toial receipLs this period(page 3,line 11) �p� — Lioe 3: Subrotal(line 1 plus line 2) — Line 4: Total axpendiNres this period(page 5,line 14) �— ��— � Line 5: Ending Balanoe(line 3 minus line 4) � � � � � Line 6: To[al in-kind contributions this period(page 6) �—'—Q-- � Line 7: To[al(all)ouktanding liabilities(page 7) —� � Line 8: Name of bank(s)used: A18Evvit otCommitta irtaonr: I certify Net I M1eve rrvni�red tAu report iMIuNnB ewcM1M sclsOWea vd it is.b Me bs[of mY�wl�ge vtl belief.a true aM comPlere ataremmt ofdl�awpY�bwpe activiN.�lud'mg dl wntributions.laers.eaeipb.expentliMn.disbureemmm.w-ki�d contnbucimu eM lubiliaes for tiie repo�nng penod e�d represeme IIl��igu f viceactiviryofdlperson5ecnngundertheavUmnryoronMidfofNiswmminamxwrAercewiNMem�ui�menbofMG.L.c.55. SlgnMuotla�hepemlNcofperjury: (Trtesua(ssl�aNra) Date:� FORCANDIDATERILINGSONLY: AIM�NtofC�ea'xi�rc:(UeeYlboaoely) asau.o-wnn c��.m so.rn.in mam�e.i orue m�u�a � 1 certify that I have exemined this repon iMi�ding enachai schetluks and it is,to Ne bes[ofmy knowl�ge and belief,a vue and comple�e smremmt ofall cempai�firence ac[iviry,of ell persons ecting ander Ne wNoriry or on h6alfofNis mmmNec iu eccordence wiN Ne reqmremrnu of M.G L.c 55. I M1ero mt receivM eny co�vibotiortv, incivrM eiry liebilines nw made mry capeMinucs on mY�+If tlunry Nia reporong periad. GOUId�h MIE00�COmm114LQqCJYtlW�h Wilh I�tlepnUlO�BNhiIY NY�MplRh RpOrt ,--,.Fcenify Me�i heve eKami�this reporc including etmched xh tlWa end it i;io�he bes�of my knowledge end belief,a we eM complete smcemm�ofall cempeigi II�J f�ance activiry,�cIW�g ca�miWaons,loans,receipn,upeMi�wes,aisburseme�m,in-ki�W contrib�tions end lubilities for Nis reporting period and represm+s Ne campaignf anceecmiryafallpenonsaning tttheauNonryoronbeM1el Misco eccordencewiNNe�uiremenwofM.GL.c.55. Sigeeduoderlhepeoallkeofperjury: dide�e'ssi�eWre) Dace: o� /�, SCHEDULE A: RECEIPTS MG.L. a 55 regvires rha�Ur nome andresidential address be reported in alphabeticd order,for a!!receip�s over$50 in a calendar yem. CommiJrees must keep demiledaccounts aid records ojol!rereipts, bvl rred only itemize lhase receipts over$50. In addition, !he wcupotion andemployer must be repor(edfor p!l persorzs who conrribv(e$I00 ar more in a calertdar ye�. (A"Schedule A:Recdpts"acbchment u available ta completq pdot aod aHach to this rcport,if atlditlonel paga aro reqaired m report all reuipls. Plnee inelode your eommi@ee name and a poge number oo each page.) Name and Residential Addresa Occupation&Employer Dah Received (alphabeHcel listing required) Amount (for contributions of$200 or more) �/�3��z ��n'iOe� � � �d � � �� /� �' � 3� � � � � � � � � �� Line 9:Total Reoeipts over$50(or lieted above) � �CJ� Line 10:Total Receipts$50 and under"(not listed above) � Line 11:TOTAI,RECEIP'fS IN THE PERIOD Enter on page 1,line 2 '"� �"A11 3VESI�fih1'Ce fecei� 0 3B u� e's,fic e 47�SA . L751�10siYdulAim�ArdeonlytAase+meiPanotftanimAa6ove. P�ge 2 SCHEDULE B: EXPENDITURES M.QL.c. 55 requires committees(o list, in alpMbetica!order, al!ezpendimres over 850 in a reporTing period. Commi(lees mus!keep demi7edaccourvsardrerordsaJallupe�ditwes,butneedonlyitemizelhoseover850. Ezpendilures$SOw�dumkrmaybea&kdrogether, from commitree records,ondrepor�ed on lirre 13. (A"Sehcdule B:Espeoditum"attac6mmt is availoble to completq print mA atbch to thie rcporf,if atldiHonol pagea�rc required to rcporl dl e:peoditurss. Pleue ioMuAe yoor mmmittee name and a page number on e�ch paga) To Whom Peid DatePaid (alp6abetkallistiapJ Address PurposeotEzpeodituro Amount 3/.�� 7LiL b/t' � �,d�Z y U h- �i�� ,.� � � �� fLh-a..� �� i � � � � � � � —__ — � � � � � � � � � � � Line 12:Total Expendimres over$50(or listed above) ��e3 � Line 13:Total ExpendiNres$50 and under•(not listed above) � Enter on page l,line 4+ Line 14: TOTAL EXPENDITURES IN THE PERIOD �Q,� •If you have itemiud exprnditures of S50 and undey indude them in line 12. Line 13 should include only those expenditures no[itemized above. Page4 SCHEDULE C: "IN-KIND" CONTRIBUTIONS Please itemize confibu[ors who have made in-kind wntributions of mo�e tLan$50. In-kind wntribu[ions$50 and mder may be added together from[he commil[ee's records and included in Iine 16 on page 1. Date Received From Whom Received" Resideotlal Address DescApHon of Contribution Value � �� Line I5:ImKind Contributions over$50(or Iisted above) � Line 16:In-Kind Contrib�tions S50&under(not listed above)� Encer on page I,line 6-� Line 17: TOTAL IN-KIND CONTRIBUT[ONS —� *If an in-kind coniribu[ion is received fiom a person wlw con[ribuces more�han S50 in a calendar year,you must report the neme and address of the cootributor,in additioq if lhe contribution is 5200 or more,you must also report the contriburor's occupation and employer. page 6 SCHEDULE D: LIABILITIES MG.L. a 55 reqaires commiftees!o repor!ALL lipbilitles which have been reporled previously and ore sfi!/oufslanding, os we// as thoae liabiliNes incivred dvring this reporting period. Date Ioeurred To Whom Due Address Purpose Amount � � � � � � � � � � � � � -� � i � � � � � � � � � � � � � � I � � � ente�ou page 1, line 7� Line t8:TOTAL OUTSTANDING LIABILITIES(ALL) � Page 7