HomeMy WebLinkAbout2010 Croft - Year End Form CPF M 102: Campaign Finance Report
Municipal Form i � r�>,�
ORce of Campaign and Palitical Finance I ^� _ ..�.,.
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ofMazu<M1uret�s A If1�oIQ
id�tl�t o�ro.arc�tli lEf6a�ionCommission
Fill in Reporting Period dates: eeginning oare: 1 20�o ending Date: \ 1 3{ 10�o
Type of Report: (Check one) .
❑ 8th day preceding preliminary ❑ Sth day preceding elec�ion ❑ 30 day after election � year-end report ❑ dissolution
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Cnnditlaie Full Neme O�evollcable) Commlvee Name
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ORae Sougnt and Disvict Name of Commiitee Treasurer
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Residential nddress Comminee Mailing Addmss
TCIapM1oneNumbu(optianel)�. ( TelopM1aneNumber(optionalp
SUMMARY BALANCE INFORMAT[ON:
Line L• Ending 6alance from previous report
Lioe2: Total receipts this period(page 3, line 1 I) a '� � �
Line 3: Subrotal Qine 1 plus line 2) p�.�' � o �
Line 4: Total expenditures Ihis period(page 5, line 14) / b. z�
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Line 5: Ending Baiance(line 3 minus line 4) � �1 S �
Lioe 6: Total in-kind contributions this period(page 6) �� �� .
Line 7: Total(all)omstanding liabili[iu(page 7) � l�
Line 8: Name of bank(sl used: ��Q�J h' �{�✓(�-�/G �- I
ARder'i�of Commtlhe Trecsurer:
I cercify tM1a�I have examined�M1ls repon Incluaing a��sc�ea scM1Mules antl il ls,�o Ihe best uf my knowleJge nnd belief,a ime and comple�e siatemenl of all campaign finance
acuvirv,lncluaing all convibmions,loans,receipu,expendiwres,dlsbursemenls,imkind mnlribulions and liabililies for�M1is reponing prio�end re0�cscn¢�M1c cam0eign
finanee aetiviry olell persons aning unacr�M1e ewM1ortry or on behulPof[his wmminee in occordunce w1N Ne mquirementv of M_G L.a 55.
SignetluntlerlM1epcosltieso[perjory: (Treasuar'ssignaNre) Date:�
FORCANDIDATEFILINGSONLY: AmasvitafCanaitlam:(cnacklbo.onq�
antlitluh witM1 Commi�lec anJ no¢�iviry indepenJm�of IM1e commiilee
I cenify�M1at 1 Fave examfnetl tM1is repon inclu�ing a�Uched schedules and II is,to Ihe besl of my knnwledge anA Eelief,a we and complem s�atemem of all�campaign Manee
ectiviry,of al I perwns ac�ing under�Fe euNoriry or on behnlf of tAis<ommiVee in acwrdana with tM1e requirements of M G L.c.55. 1 M1ave mt received any convibmions,
inwrze4 any linbililiev'nor mnde any upendiwres on my beM1al[durin6�his vcpotting perioa.
CvnJiJa�e wi�hout Commi�itt Qq CanJitlete witM1 InJepenOent nctivity f ling upan�e repart
I cenify Na�I M1ave exammetl�M1ls repon InvluOing a�mched schedules an0 il Is.lo�he hest of my knuwledge vnd belle[e�me an�eomplete natemem o[ell eempoign
� Onance ectiviry,IntluGing conmbubons,loans,reai b,expendiNrcs,disbunemenis,imkind oonvibmions and Ila�ili�ies for tM1is reponing period ana represenu iM1e
mmpnignGnam'meectivlryofellpusonsemingunde tFeauth/Vnry onbehel(of�M1lsc mmS�eelnaccmGancewil�IherequiremwtsofMG.L.c 55
Si%^etlunJerlM1epenxllieaufperjury: / (Wndidale'ssignaure) Da�e: � / ��
. _ SCHEDULE A: RECEIPTS
iMG.L. c. 55 requires(ha((he rtame and residenlial add�ea's be reported, in alphabelica/ordeq for a/!receipls over$50 in a calendar
yem. Commitlees must keep detai/ed accoun(s ond records af a/1 recelp(s, but need only(remL'e lhose receipts over$50. [n qddldon, (he
occupa(ian and employer must be reporred far al!persoru'who ronrcibure$200 ar more in a calendaryear.
(A "Schedule A: Receipls" pttachment is available ro complete,print and attach b Mis report,if additional pages are required to
report all receipts. Please include your committee name and a page number an eech page.)
Name and Residen[ial Address Occupation &Employer
Da[e Received (alphabetical listing required) Amount (for contributions of$200 or more)
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Line 9: Total Receipts over$50(or listed above) z, Q (�
Line 10:Total Receip[s$50 and under* (not listed above) �
Line 11: TOTAL RECEIPTS IN THE PERIOD ol,�D �— Enter on page I,line 2
'"Ifyou have itemized receipts of$50 and under,include them in line 9. Line 10 should include oNy those receipts mt itemized above.
Page 2
, SCHEDULE B: EXPENDITURES
+MG L. c. 55 requires commiuees tolist. in a(phabelica(osder, al!expendi(ures wer$50 in a reparling period Commilrees musl keep
demiledareounts and records oJul(espendimres, bu!need only i(emire Ihose over$50 F'xpendilures$50 and urtder may be aAded logether,
from rommitlee records, artd reportedon7ine 13.
(A"Schedule B: Expenditures" anachment is available m complete,print end atlach[o this roport,if additional pages are reqoired to
repon all e:pendihres. Please ioclude your commitlee name and a page number on each page.)
To Whom Paid
Da[e Paid (alphabe[ical lis[ing) Address Purpose of Expendi[ure Amoun[
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Line 12:Total Expendi[ures over$50(or listed above) 6 2
Line 13: Total Expenditures$50 and under* (not listed above) �
Enter on page I,line 4-� Line 14:TOTAL EXPENDITURES IN THE PERIOD D Z
* if yoo have itemized expendiWres of$50 and undeq include them in line 12. Line 13 should include only those expendimres not iiemized
above. Pagc 4
„ SCHEDULE C: "IN-HIND” CONTRIBUTIONS
Pleue itemize contributors who have made in-kind conhibutions of more than$50. Io-kind contributions$50 and under may be
added[ogether from Ihe committee's records and induded in line 16 on page 1.
Date Received From W hom Received* Residen[ial Address Description of Contribu[ion Value
qq �,�e�R n �r
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Line I5: ImKind Con[ribu[ions over$50(or lisred above) �p
Line 16: In-Kind Con[ributions$50& under(not listed above) �
Enter on page I,line 6+ Line 17:TOTAL IN-KIND CONTRIBUTIONS
* If an io-kind contribution is received from a person who mntributes more than$50 in a calendaz year,you mus�report the name and address
of the conViburor,in addition,ifthe contribution is$200 or more,you must also report�he contribubr's occupation and employec Pege 6
SCHEDULE D: LIABILITIES
MC.L. c 55 requires rommi[tees to report ALL liabili(ies which have 6een reported previously and are still au(standing, as welf
as those[iabilities incurred during this reporting period.
Da[e Incurred To Whom Due Address Purpose Amounf
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Ente�on page I,line 7 � Lioe 18: TOTAL OUTSTANDING LIABILITIES(ALL) ��8'
Page 7
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� Form CPF M 102-0: Campaign Finance Reporf
Municipal Form
0111<e ofGmp�iLn ud POI1�io�IFio�nos hL�V'�"� �
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CiryorTownof: R��D /N G �
Please prin[or type all infom�a[ion,except signamrcs.
Fill in da[es: Month Day Year MonN Da Year
Reporting Period Beginning `� a 7 a o/ � Ending /�- � / o� O / /�
Type of Repon: (Check One)
� Sth day preceding � Sth day preceding election � 30th day following elec[ion 201h day of lanuary
preliminary/primary (Town or Special) (Year-End Report)
Purmant m M.G.L.,Chapcer 55:
I. I certify that I am a candidate for or hold Municipal OR<e.
2. I cMify�hat 1 Aave mt received any wnnibutions,made any ezpendimres,or incurted any obligations during this
reponing periad,and do not have a campaign Pond in aistence.
3. 1 rertify that I do wt have a poli[ical committee.
DATE L SIGNATURE II. RESIDENTIAL ADDRESS IIL OPFICE SOUGHT
Signed under Me penalties ofperjury (Stteet and Number)
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I1/97
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