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Home My WebLink About2012 Arena - 8 Day , i Form CPF M 102: Campaigu Finance Report Municipal Form . .OfllceofGmpdLoavdPoiltlnlFfo�va ��ECEIVED r`�' TOWN CLERK Fu,M,y. R€ " B I N G.�.S S CirymTownClwtorEla�bnCommission Pleaseprintorlypeallinforma�oqexcep[signamres. 201i FEB 2l A � 44• Fill in datp: w,w a,. nv w,n, � au vw, Reportng Pxiod Beginning o I O 1 2o i2 Ending O 2 ' Z�{ 2 o i 2 Type ot roport: (Check one) . ❑Bth day preceding preliminary �8th day preceding election ❑30 day aRer election Oyeaz-end�report Odissolution JnG� 1 F4rc�n� � /��ennC��y��.d�,,. �ou,u,��/�ee FShcNameotCandidate(ifnppliuble) Cam iticeName S�eC�n�c.� G- �..�ur �veu0. � Ogce SouQM ood Di9trict Neme ofCommit[ee Treuurer 2(� {'Yq..oSs �L}��c IZ¢a�.w� HVF pKd Z6 .�ir�o:S l�-�v2 � Resid<ntiol Address Committee Mailing Addras r�8� 9�ty-36b� ?81 - 9K�1- 366y Tel.Na(op0onol) Tel.No.(optionaq SUMMARY BALANCE INFORMATION: Liue 1: Ending balance from previous report $ —O — Line 2: Total receipts this period (�age z,iine �q $ — ° � Liue 3: Subtotal pine t plus line 2) $ — � — Line 4: Total eapenditures this period �age s,iNe �a) $�Z 96.6 0 Line 5; Eud'►ug balance pine 3 minus Gne 4) $ C 2`I 96.6�) -------------------------- -- Line 6: Total in-kind contributions this period (�age n� $ � � �' Line 7: Total (all) outstanding liabilities (page a� $ — � — Line 8: Name ofbank(s) used 17e�,�� aa,� ��,.: �cn� � � A1fWvif of Commitlee Trp�urer: i aNfy Uut I M1eve exemincd 0is rtport inclW ing ettaehed xhedWes end It is,W the besl of my knowledge and'beliet,a tue end complete shtmrtn[of ell cwpi�8unce KGvity,ircluding ill contribuCons,laees,rtceipb,expendiN�cs,disburseme�e,io-kind conmbo�ions md IiWJi�ia fir N6 rtpwtivg paiod �od repmamb Ihe cempni�fiomce�etiviry of dl persona meivp iinda�6e�ut6ority or oo behdf of this cammittee in ecco�dnice wi�h Me rryui�emwls of MG.4a35.�(l� /t Sleoedundert6epeo�lCeeofperJury: . z,�,��, �� l�� J �z 7Ta��rtY�ripo�Nri(n ink) .. D1te FOR CANDIDATE FILINGS ONLY: (CANmnATE muSTSICNBeLow� . � .1�WAtotC�odid�fe: (ehttklbaxaoly) � �h�did�tt wit6 Cammittee aod m�cfiriry iedepevdem of the oommfttee 1 eutlly tlu[I have aumimd Nu rtport includivg�ltached x�eddm eM it.u,lo Ne bat et my knowledgc�nd belief,e true�vd wmpla<attlement of JI e�mp�ip�fiunu activiry, of dl pemons ec[ieg uoder Ne autAonty or av beAaff of �his wmminee in emwdence with ihe¢quiremwts af M.G.L a 55. I h�vend rtceivM eny contribution;mcurted eny liebilitid mr m�de my upendiN�ee ae rtry behel(during this rcponing penod � ❑Cudid�h M�boet Committee Q$Cmdid+k wiW iudepeodevt aativih rt�op esW��h reper� i cuEfy Mtl I Wve aamined t6u repon ivcluding n1�cM1ed schedWea end i�is.a Me hesl ot my knowled6e�nd belie;e vue W eomplerc ale�emevt of JI ump�ip Siunce�etiviry,inclutlieg conlnbutiom,loms,�cceipu,aapcMitwe,d'ubursemena,in-kind covtribulwna eod liebililiee(or fils rcpoeting period �ed rtp�mm¢ILe ump�i�Iinenfie�ctivhy of tll pcnons acting mEn Me�uNonry or w hhdf of ihu commiqa in occordence with the m�uLemmn o( M.G.L.a55.�. ` j � Sko�dmEertbepmdHeaofpeyury: � �!'��" � -��,c�.--- � �7�� ' ' G�dldRe�omre(in ink) — Dek �� _, � SCEIEDULE A: RECEIPTS � . .KG.L. a SS sequises that!he name and resrdentla(add�ua be reported +�ulpha6e(ical order,for all receipv over E50 in a cdendar ye�. Commi(teu murt keep detaf(ed accounk and records of all rereipts, but need on7y itemize those receip(s wer 850. In addition, the occupallon ond employer mwt be repo'(edfor all perrons who coMribute 5200 or more in a calendm�year. � This page may be copied if addiuonal pages ere requveA to report all receipls. Please include your committee narne md a page number on each page. Date Name and Residenfial Address Amount Occupation &Employer. Rceeived (alphabeHcallisHag reqaired) (for contributions of$200 or more) � _ o _ Line 9:. Total receipts in excess of$50(or lis[ed above) - — �— � Line ]0: Total receipts$50 and under• (nat�isted abave) —o— � Line 11: TOTAL RECEIPTS-IN THE PERIOD —a— ��on page 1, line 2 'If you have itemiud receipts of S50 end imder include them in line 9. Line 10 should include only thosc roceipts not itemiud ahove. Page 2 ' _. • �SCHEDULE B: EXPENDITIJRES ALG.L. c 55 requires commiaees Jo(is( in alphabeNcal ordes, al!upenditures wer$50 in a reparnng period. Committees mus!keep detniled accrounfs and records of all expendrfu�u, 6uf need only ifemize rhose mer 850. Fxpendimres d5D and umder moy be added tagether,¢am committee records, and reportedon litte 73. 'Ibis page may be copied if additlonal pages are requ'ved ro repori all expenditures. Please include yow committee natne and a page mmbu on each paga � . Date Paid To Whom Psid Addmss Purpose of Eapenditure Amount . (alp6abefical Gating) �FJ�IZ �'�c'G, M2ff-r'� Z 20o c� /�-dL I/.Jp� i��.eJ-�-rJln� � .S �Z� � `1 ��i V l� 20166 - �� ,� �Pee�� S��i.S ��-o..� Ci� � 1'L {�ve✓�iSdr�j I I U�- �'� 3Zo2 z!z� Iiz Gra�k,zs �,� P6�. sf ��;.erds� � � I 38 ��ti Mr� oi �{6� Line 12: Expendilures over$50 z,<{� ,�p - . Line 13: Expenditures $50 and under• —p � Enter on page 1, line 4 Line 14:TOTAL EXPEND[TORES Zyyb � � •If you Leve itemized e�cpendimms of S50 md under, include them in line-12. Line ]3 should include ouly those erzpendiaues not itemized ahova . � Page 3 - , �� ^ SCHEDULE C: "I1V•HIND"CONTRIBUTIONS - Please itemiu contriburors who have made in-kind contributions of moro Ihan 550. In-kind contributions S50 and wder may be added Wgdher from Me committee's records and included in]ine 16. Dete From W6om Received• Residential Address Description of Velue Received � ContribuHon .. ' Z�� 2oi ��d4'��'�' y� �A�� SL. (G�.R��g Coo�ics �' /J�,o� � Z �r,� Cal�o -B4�c� y oi66� . � Line 15: In-kind over$50 . /� p� � Line 16: In-kind$50 and under � Enter on page 1, line 6 Line 17: Total In-kind •If an in-kind contribution is received from a person who contribu[es moro than S50 in a calendar yeaz,you mus[report Ne name and � address of the contributor, in additioq if the contribuNon is 5200 or more, you mus[ also report the contributor's oaupa[ion and employer. � � SCHEDULE D: LIABILITIES MG.L. c. 55 requires mmmlfteu to repaT ALL liabilitiu which hwe 6een reporred prwious(y and me stiII avistm�ding, ns well as Hwre liabiJlti¢s incwred dwing rhis reporting period Date To Whom Due Address Purpose Amount Incurred _ � — � � Enter on page 1, line 7 Line 18: Oi1TSTANDING LIABILITIES (ALL) This pege may be copied if additional pages are required to report all acdvity. Please indude your commiaee n�e and a page number oneachpage. � Page4