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Home My WebLink About2011 Janowski - 8 Day � Form CPF M IO2: Campaign Finance Report Municipal Form ORceotCampaignandRolitiT��anee . Commonweei�n - tttl.L o�Ma,.ah5C1� rowN c�Er�rc READING. MaS�exim c a,ro�ciuko� e��o�comm��,ro� Fill in Reporting Period dates: aeg��g paie: i i enaing oa � 8' // Type of Report: (Check one) - ❑ 8th day preceding preliminery Sth day preceding election � 30 day after election � year-end report ❑ dissolution Ctlndidak Full Name(if appliceble) Commluee Neme 5�1'l Corrl/Yll Q Towh 22� ORce Soughl and Disvict Name afCommirtee Treasurer 3t� ZceLea Cu-uz Residemial Address Comminec Mailing Aadress Telephone Number(op�ianap TelepFone Number(optionap�. SUMMARY BALANCE INFORMATION: Line L• Ending Balance from previous report .�3C�. p(7 Line 2: Total receipts this period(page 3, line I I) � � a p O, �C� Lioe 3: Subtotel(line 1 plus line 2) � 34 p(� �—� Line 4: Total expendi[ures[his period(page 5, line 14) � � � (x7 � Line 5: Ending Balance(line 3 minus line 4) Ct pC� Liue 6: To[al in-kind wn[ributions this period(page� Line 7: Total(all)outstanding liabilities(page 7) � Line 8: Name of bank(s)used: [L �Ql�IL Afil0uvil of Commitln Tnvsurer: 1 artity Ihav I hnve examined��is repop InduGing ulucM1M uhedules anA i�is,b�he bcs�of my knowledge and belle(a We anG romplere sie�emem of sll campeign finana aainry,Induding all convibmions,loans,receipu.exce�aiwrcs,disbursements,in-kind wnvibmions and I labilities for�his reponing perioa ana represrn�s ue cempaign Gnance actrviry of all persons acting under[M1e amboriry or on beha�fof Nrs wmmltlee in ecemJana wiih Ne requirements of M G L.c.55. $ignMunGVlbepennitiesaf0�rjury: (Treazurefssignamrc) D3f¢:� FORCANDIDATEFILINGSONLY: amaa.no�ca�mam::�m�rkino:o�iy� c.�ama�:w�m eamm�nee a�a�o a�wny maep.�arn�or m��ommma � i an�ry mn i na�e e.em��ee m��e�n��ma��a a��=nee:�nea�ir„�d n�:,w me n�:r ormy u�owaoaso a�d nener,a vN�a�a oomoi��a�m=��oran�amw�s�r a�a a<[rv'iry,of all persons ec�ing under�he au[M1oriry or on behalf of Ihis wmmitlee in ecrorJsnre wi0�Ne requiremen6 o(M G L.c. 55. I have mt receiveA am contnbutions, incurreJ any Ilabililies nor me�e any expentliNres on my behalf Auring LM1is reporting periotl. ndidate witAoo�Commit�ee 9jt fentlitle�e wi��InOependent atl��ily fling sepvrs�e reporl Icerti � e� Ined�hlsreqoninelWinganacheGscM1edulesandi�iqm�Febestofmyknowlo�geanAbelle(eWeandcompleles�elemwlofellcempaign fmanec ac[ivirye ncluding wntriLu[ions,loam,receip6,expen0imre;aisbursemrn6,in-kmd conmbutions anJ Ilabililies for Nis reporting periaG anG repraen¢I�e wmpal�Ilnanee se�iviry o(nll persons ae�in6 unJev IM1e authoriry or on behelCof tM1is comm�l¢e in aceorGanee wllF iM1e requiamenls o[Mq.L.c.55 Signetl unGer�M1e 0��+��notperjury: � (CanJida4's signaNre) Date: � �( SCHEDULE A: RECEIPTS , MG.I.. c. 55 reguires that(he npme and resldemial address'be reporled. in alyhabelica!order,fw'al]receip(s over$50 in a calendtm yeqr. Comm!ltees mus(keep de(ailed accaunts qnd rerords ofa!(rereipls', bu(need on7y ilemise ifiose retelprs oeer$50. In additlon, lhe nreupation anAemployer musl be reporled for a!l persons who rontribute$200 or more in a calendaryear. (A "Schetlule A: Receipts" xQachment is available lo comple�e,prin[and attach to[his report,if additional pages are required to report all receipis. Please indude your commi�tee name and a page number on each page.) Name and Residen[ial Address � Occupation & Employer Da[e Received (alphab ' al isqng e ulred) . . Amoant (Por cootribations of$200 or more) 3��/r K�A�e��z�s� aoo. ,uee� ��i« s��1s� , Rss��s�ivc re�G�tc�� s' cEa�e � � � � � � � � � � � � � � � � �� Line 9:Total Receip[s ovec$50(or listed ebove) � p(� (� Line 10: Total Receipts$50 and under' (no� listed obove) � Line 11: TOTAL RECEIPTS IN THE PERIOD oZ��J t— En1er on page 1, li�e 2 * Ifyou have iremized receipls of$50 and under,include ihem in line 9. Line 10 should include onty those receipts mt itemized above. Page 2 � • SCHEDULE A: RECEIPTS(wntinued) Name and Residen[ial Address Occupa[ion& Employer Date Received (alphabetical lis[ing required) Amounl (for contributions of$200 or more) � � � � � � � � � � � �� Line 9:To[al Receipts over$50(or listed above) � Line 10: To[al Receip[s$50 and under* (no� listed above) � Line I 1: TOTAL RECEIPTS IN THE PERIOD � F Encer on page 7,line 2 "If you have ikmized receipts of$50 and undeq include them in line 9. Line 10 should include onty those receipts nm itemiud above. Page 3 SCHEDULE B: EXPENDITURES . MQL. c. 55 requires commi((ees rolisl, in alphaAetical order,all expendilures m�er$50 in a reporting periad Commi(lees mirs!keep demiled accoimis and records of all expenditures, bul need only Itemice thase o��er$50. 8spendltures 550 and under mqy be added mge(her, from rommtllee recorQr, nnd repoited on/ine[3 (A"Schedule B: Expenditures" attachment is available to comple[e,prin�and auach to Ihis report,if addi[ional pages are required to report all expenditures. Please include your commil[ee name and a page number on eacM1 page.) To Whom Paid DatePaid (alphabeticallisting) AJdress PurposeofExpendi[ure Amoun[ Pa`5 31is�� `5�� W�bwn� ,(,la- Sl� � �L � � � � � � � � � � � � � � � � � � � � � � Line ]2: "fotal Ezpenditures over$50(or lis[ed above) � . Line 13: To[al 8xpendimres$50 and under" (not listed above) � Encer on page 1, lice 4 + Line l4: TOTAL EXPENDITURES IN THE PER10D � • Ifyou have itemized expendi�ures of$50 and under,include[hem in line 12. Line 13 should include only�hose expenditures no[itemized above. Page 4 - SCHEDULE B: EXPENDITURES(continued) � To Whom Paid DatePaid (alphabeticallisting) Address PurposeofEzpendifure Amount � ' ___'_' � � _'__'_.' � � � � � � _". � � � � � � _'_— � � � � � � � � '__' _'__ � � � Line 12: Expenditures over$50(or Iisted above) . � Line 13: Expenditures$50 and under' (nm listed above) � Enter on page l,line 4-� Line 14:TOTAL EXPENDITURES IN THE PERIOD � k Ifyou have itemized expendiWres of$50 and under,include lhem in line 12. Line 73 should include only[hose expendi[ures no[itemized ' above. Page 5 SCHEDULE C: "IN-HIND" CONTRIBUTIONS . Please itemize contributors who have made in-kind contribu[ions of more[han$50. In-kind wntribu[ions$50 and under may be added toge[her from the committee's records and included in line 16 on page 1. Da[e Received From Whom Received* Residen[ial Address Description ofContribution Value � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � Line I5: Io-Kind Coniributions over$50(or IisteA above) � Line 16: In-Kind Contribu[ions$50& under(not listed above)� Enter on page 1,line 6� Line 17: TOTAL IN-KIND CONTRIBUTIONS � • If an in-kind comribution is received from a person who contributes more than S50 in a calendar year,you must report�he name and address o(�he contributor;in addition,if the contribution is$200 or more,you must also repon Ihc contributor's occupation and employer. page 6 SCHEDULE D: LIABILITIES MG°L a 55 requires commit(ees !o report ALL[iabi(ities which have been reported previous/y and are still ou(standing, as well as those li6bilities incurred during this reporting period - Da[e Incurred To Whom Due Address Purpose Amoun[ � � � � � � � � � � � � � � � � � �� Enter on page l, line 7-� Line IS: TOTAL OUTSTANDINC LIABILITIES(ALL) � Page 7