HomeMy WebLinkAbout2011 Tafoya - Year End ' � Form CPF M 102: Campaign Finance Report
Municipal Form f;ECEivED
Orcce of Campaign and Polilical Finance T�44�!1 �L E{�K
commo�wm�m REr�DINCr, M�15S.
orn�n�um
�Fpil�e�with: Ci ortownClekwElcctionCommiuion
FiO in Reporting PO�iod da[es: Beginning Date: 5/1R011' Ending k79tl:MA i i/ i '
Type of Report: (Check one)
❑ Bth dey preceding preliminary ❑ 8th day preceding election ❑ 30 day afler eleaion �X year-end reporl ❑ diswlution
Ben Tafoya The Tafoya Cammittee
CeMidare Full Neme(ifapplicable) Committa Name
Selecbnan, Reatling,MA Ca[herine Gleason
Offce Sought aM Distrim Neme ofCommintt Truaeaurer
40 Oak 5[; ReaAing, MA 01867 10 Sylvan Rwtl; Reading, MA 0186]
ResiJemial Address Commit4e Meiling AJ�mss
TelephomNumber(aptioiW): (781) 944-3178 TcleplwneNumbcr(optional): (]81)944-3041
SUMMARY BALANCE INFORMATION:
Lioe 1: Ending Balance from previous report u9.e3
r
Line 2: To[al receipts[his period(page 3, line 11) o
Line 3: Sub[otal Qine 1 plus line 2) 2t9.83
Line 4: Total expenditures this period(page 5, line 14) o
Lioe 5: Ending Balance Qine 3 minus line 4) 2i9.&3
Lioe 6: Total in-kind contribu[ions[his period(page 6) o
Line 7: Total(all)outs[anding liabilities(page 7) lo,a99.ii
Lin¢8: Name of bank(5)used: Reading Cooperacive Bank
Allid�vit of Conmlltee Trcuunr:
I ccnify thet 1 havc cxemircd�his reporc i�luding ettechN schcdules ad it is,ta thc bcs[of my kiwwlcdgc aW bclicf,e vue eM wmplecc smtemrnt af ell cempaign finance
activiry,includingellcanMbutio�,lmu,reccip�sexpendimrcs,disburumen imkindconvibmio�adliabilitksforNisreportingperiadvMreprzsentsNccampeign
finenceecti.iryofe�lperso�mtingundenhe riryoronbeM1alfof�hisco taeinaccoNancewiNNerequiremenlsofMAL.c55.
Sig�eEuodathepmdriaofperjury: (Treesurerssigiumre) Det¢: 1/20/2012
FORCANDIDATEFILINCSONLY: nma..�iorc.�a�an.:�m.�k�uo,o�iy�
c.oe�a.k w�m commmee.ua oo a<a.iry ineeprne<n�orm<oomm�ae.
� I ceniy Nat I have<ramined this rtpwt iceiuding enached xhWules and it is,m Ihc besl of my knowldge and belicf,a vue eiM wmpinc stecemmt of all cempaign fwree
ectiviry,of ell peesons ec[ing wdm tM euthoriry or on bchelfof chis commina in ecmrdarce with the rw�uiremen�s of M Gl.c.55. I lave no�rtceived any cantriheians,
iceurred eny liabili[ies nor medc eny enpcndimres on my behalfduring Nis reponing period.
C�uNd�le wllhoN Commifue Q$Cndid�te wi�h io0ependent u�ivity filing xpynrc rcpon
I ceniy Nat 1 have exeminM this report i�luding anecheE xhedules aM it is,lu thc best of my kiwwlcdgc and belief,e we and compinc s�eremmt ofell cempaign
firenccaz[iviry,includi�convibu[ions,loans, excendiwr disburummrs,inklndwnrcibutionsandliabilitiwforthisreportingperiodar�OrepreunbNNe
eampeignfrencemtiviryofallpersortr � amhoriryo pehalfoflhiscommineeinaccoNancewi�M1NerequircmenuofMAL.c.55.
Sig.munaernepeminnorpeJury: (canaldacdssigrewre) Date: 1/20/2012
SCHEDULE A: RECEIPTS
M.G.L.c 55 reguires lhot the m�me ond residenlial address be repor(ed, in a(phabetical order,far al(receipts over$50 in a cale�ar
yeac Cammittees must keep detailed accounts and records of a!1 receipts, bw need only i(emize(hose receipts over 550. !n addi(iors, fhe
occupation andemp(oyer mus(be reported jor al(persons who canlribute$100 or mare in a m(endar yem
(A"Schtdule A:Receiptv^ot4chment is available to rnmpletq prinl and altach to this report,if edditiond pnges are rcquired to
report all receipb. Please include your committee name and a page number on each page.)
Name aod Residentiel Address Occupation& Employer
Date Received (alphabetical listing required) Amount (for contributions of$200 or more)
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Line 9:Total Receipts over$50(or lisred above) �
Line 10:Total Receipts$50 and under* (not lis[ed above) �
Line Il: TOTAG RECEIP7'S IN THE PERIOD �0 t— Emeron page 1,line 2
• Ifyou have itemized receipts of S50 and under,include them in line 9. I,ine 10 should include onty those receipts no�itemized above.
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SCHEDULE A: RECEIPTS (continued)
Name and Residential Address Oceupation& Employer
Date Received (elphabetical listing required) Amount (for contribu[ions of 5200 or more)
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Line 9:Total Receipis over$50(or listed above) �
Line 10:Total Receipts$50 and under+' (no[lis[ed above) �
Line 11: TOTAL RECEIPTS!N THE PERIOD � f Encer on page I,line 2
•Ifyou have ihmiud receipts of$50 and under, include�hem in line 9. Line I O should include only those receipfs no[i�emiud above.
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SCHEDULE B: EXPENDITURES
MG.L. c. 55 requires comminees m lisl, in alphabetica(order, all espendilures over 850 itt a reporling period. Commil�ees mur(keep
detailed accaunts a�records ofall expenditures, but need only i+emize/hose over$50 Expenditures$50 and under may be added mgether,
from cammilfee rerords, and reporled on line l3.
(A"&hcdule B:Expenditures"attachmenl is availabk to compk[q print and attach to this rcport,ifaddilional pages are requircd to
report all expmdihrea. Please include your mmmittee name and a page number on each pageJ
To Whom Paid
Da[ePaid (alphabeticallistiog) Address PurposeotExpeoditure Amount
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Line 12:Total Expenditures over$50(or listed above) �
Line 13:Total Ezpenditures$50 and under' (not lisred above) �
Enrer on page 1,line 4-a Line 14: TOTAL EXPENDITURES IN THE PERIOD �0
•Ifyou have itemized expendiNres ofS50 and undeg include Ihem in line 12. Line 13 should include onty those expenditures no�i�emizeA
a6ove. Page4
SCHEDULE B: EXPENDITURES (continued)
To Whom Paid
Date Paid (alp6abetical listin� Address Purpose of Expendihre Amount
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Line 12: Expendi[ures over$50(or listed above) �
Line 13: Expenditures$50 and under' (not lis[ed above) �
Enteron page I,line a-� Line 14: TOTAL EXPENDITURES IN THE PERIOD �
*Ifyou have itemized expendimres of$50 and undeq include[hem in line 12. Line 13 should include only those expendimres not itemimd
above.
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SCHEDULE C: "IN-KIND" CONTRIBUTIONS
Please itemiu contribu[ors who have made imkind contributions of more than$50. In-kind contributions$50 and under may be
addeA together from the committee's records and included in line 16 on page I.
Deh Received From Whom Received* Residenfiel Address Description of Contribution Value
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Line I5: In-Kind Contributions over$50(or listed above) �
Line 16: In-Kind Contribu[ions$50& under(not lis[ed above)�
Enteron page I,line 6-� Line 19: TOTAL IN-HIND CONTRIBUTIONS �0
•If an in-kind contribution is received fiom a person who contribures more[han S50 in a calendar year,you must repon[he name and address
ofihe contributor; in eddition,if the contribmion is 5200 or more,you must also report the contribu[or's occupation and employer. Page 6
' ' � SCHEDULE D: LIABILITIES
MG.L. c. SS requires commi!lees lo report ALL liabilities which have 6een reporled previous/y and are sti!(oufs(anding, tu we((
as thase liabilities rncarred durimg Jhis reporting period.
Date Incurred To Whom Due Address Purpose Amouot
10/19/2004 Ben Tafoya 40 Oak Sp ReaGing, MA 01861 Loan 5,000
10/29/2004 Ben Tafoya 40 Oak Sq Reatling, MA 0186] Loan 5,000
4/3/2005 Ben TaPoya 40 Oak St; Reatling, MA 0186] Loan q99,��
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Enrer on page I,line 7-� Line 18: TOTAL OUTSTANDING LIABILITIES(ALL) 10,a99.11
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