HomeMy WebLinkAbout2012 Gately Herrick - 8 Day �
Form CPF M 102: Campaign Finance Report
Municipal Form
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SUMMARY BALANCE INFORMATION:
Line 1: Ending balance from previous report $ �
Line 2: Total receipts t6is period �ge z,u� u� a �r r�u� �
Line 3: Subtotal p�e �pms uoe z� S 1 o da • —
Line 4: Total espenditures this period cyaBe 3,une is> S k�.- SO
Line 5: Ending balance Nne 3 m�,u�e a> S I �1�- 'R�
Line 6: Total in-Idnd contributions this period�age a> S
Line 7: Total (all) ouutanding liabilities �s�a� S Ov. O p
Line 8: Name of bank(s) used�r,.iirr (Z,r�.�n�
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SCHEDULE A: RECEIPTS '
hlG.L• c. SS requires thal the mm�e mrd residen(ialaddress be reparted in alphabetical order,jor all recerpts
��Kr SSO.in a cale�div yem. Canmillees must keep detai/ed accounts mtd records of a!!receipfs, but rreed only
�ICIIIIZC thOSC 7¢CE7ptS Ov¢I SSO. !n addif(on, [hr oco'u/xa(ion uirc�anploysr'mus!be reported jor all person,t who
cvu�trlbute 5200 w more in a ca[exdar yem. .
Tlilf PaB� �1'6e copied if additio�l paBa are reQuircd to 'epon all recdpts. Plase include your committee �ume and a P86�
mm�ber on wch peBe.
Date Name and Raidential Address Amount Occupation & Employer
Neeeived (alphabetical listing required) (for contributiona of 5200 or morc)
O`��U �4i1� f� ���,U" �a' '� J � !�
� 1� �(h�+-� SC U.d'ol SO lD
LNe 9: Total raeipts in cxass of S50(or listed above)
{,ine 10:Total receipts S50 and wder'(not listed above)
Line Il:TOTAI.RECEIPI'S IN THE PERIOD — Enter on page 1, line 2
• �(you have itemized 2aipts af SSO and under i�lude �hcm in line 9. Line IO slwuld include only Ihose reaipts aol itamimd
above.
Page 2
� , SCHEDULE C: "IN-HIND" CONTRIBUITONS
Plase itemiu wnlnbulors who have made io-kiod convibuliore of moro Nan S50. Io-kind canlributions SSU and wMer may be
addcA together from Ihe comotittee's records and included in line 16.
Date From Whom Reccived' Residential Addras Dacription of Value
gM���� � Contribution
Line 15: In-Idnd over S50
Line 16: In-kind S50 and under
Enter on page l,line 6 Line 17: Total In-kind
• I(an ialcind contribution is rcaived from a person wM conlributes va�e tAan SSO in a aleMar 7'ear.You musl rcport ihe name
aod adNess�ihe coMributor, in additim4 ��wntri6ution is 5200 or morc,you muz[also report ihe wnlnbutofs aavpetlon and
employer.
SCHEDULE D: LIABII.I7TES
M.G.L. a 55'tquirut commitlna ro reporf ALL liabilities which hwt been reported prevfovsly m�d are ttil!outrfanding, as�refl¢t
fhou lia6illfies i�urred during this rcporting period.
Date To Whom Due Addresa Purpoae Amount
Incurred
�� .2Pti��2rr� ��J �✓�-��I�1- � �,nL�� 6Oo ,od
d�ll� � , 1,�,ui C� cuti✓��°"� 30� '
Eomr on page l,line 7 Line 78: OITfSTANDING LIABILITIES (AI.L) Q�•�'
T1tis pyge msy bc oopied if additional paga arc Rquircd to �epun all activity. Pldx i�lude }rour committa name and a page
m�mbtt on tac6 PaB�� �) °`�°4 m�KxMn wx� Pagt 4
SCHEDULE B: EXPENDTfURES � '
M.G.L. a 55 requires committees!a Iist, in alphabe�im!wder, al!ezpexditures over 350 in a reporling periad
Committees mnsf keep detailed accounts and recwds ojal!e�endiwres, bvt rreed only itemize Uase over SSO.
£sperditvres$SO md u�er may be added logether,fiom commr�fee records, wd repnrfed on line !3.
11tis page may be copied ifaddidonai pages are requiRd to report all expendituru. Pleax include your committa name aoC a page
uumbec on each psge.
Date Paid To Whom Paid Address Purpose of E:penditure Amount
(alphabeticnl listing)
'� l.uDco-�(2�� QtowQ bUi9 �Wc� 75- 00
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L'v�c l2: Expenditulcs over S50 �7a__
Line 13: Expendirores S50 and under•
Eoter on page l,line 4 Lint 14:TOTAL EXPENDITURES �
�If yw havt itanized expenditurcs M T50 and under, include lhem in line 12. Line 13 should include only Uwse expeMitwes na
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