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Home My WebLink About2010 Yes for Reading - 30 Day � '� Form CPF M ]02: Campaign Finance Report I =;K Municipal Form ,'. , . . OOire ufCampaign xnJ Pulilitnl Finanre Commom�evlin � "`"""�'"`"°,"�" 2C�0 JUL -1 A 8� 46 �� c� '��J 'Z o t c PiIc�N�h�. CiprorToxmOerkorElacemCoinmission FiIIInR¢pOrtingPe�iodda[es: BeginningDa�e: EndingDace: TiH�..c. �5; ��i Type of Reporr. (Check one) � � 8ih day pmceding preliminary '��, th day p�ecedi�g election �30 day after elufion ❑ yea�-end�epon ❑ dissoiution � l� � C�.h 19 Canaiea¢PUIINameQfavPGreble) � CommineeNam I u om�s��ma�do�,ma uamrorcomm�n�� < < S l,) % z,J C ' k w V ae.�ae�vai naare.� eommme<mn�r��g naa.r.n TelepM1oneNumber(op�ional)�. TelephoneNumber(optionelp � U' SUMMARY BALANCE INFORMATION: Line L Bnding Balance from previousreport Line 2: TOPzI receipts this period(page 3, line I q � .�� Line3: Subtotal Qine 1 plus line 2) _ �� Line 4: Total expendi[ures ihis period(page 5, line 14) � � . Line 5: Ending Balance Qine 3 minus line 4) � - � Line 6: To[el io-kind wnlribu[ions this period(page� Line 7: Total (all)outstanding Iiabilitles(page 7) Line S: Name of bank(s)used: � QG�p 1�, c � C ,�ma,.�i orcom�en�:rre,:�.e.: i�mr�ina��no��.a��m<a m�:a�n��i��s��s a�m�nrd,�n�d�ir>a�d�i�:,m�ne ne:�ormy k�o�meea=a�e nerer a�No em�omvia<s�m<mem orau�mra�s�r a��e emivip-.inclutling all comnbmions,Imns.ru�eip�s,expendiluru,disburseinen�s,irokintl wmribWions ena liabilltiu for�Fis rcponing penod and reprucros�he mmpaign ❑nunccuciirip�ofellpersonseeungunJariM1e��u � o�obeh �tM1iswmmineeinnccorannccwllNO¢requlvcmcn�sofMCL.c55. SiR��unJer��epenahicsofperjury: (Treasure(ssignaWre) Dale: (V �OR_ C.\�'DIDATE,FILINS:_�QNLY: Amtivri�of nJiJa�r: necklbo.o�ly� cn�a+aeie.-nn commia«n�a��r.;n��a.n��e<m or m��o��m�vm � i«ni, m��in . �eam�.avon��i a� a v nw,�n�d i — e�i : i�m,.e . r yk �i as acer<re�tieem�omvi=w�u�em � ru � w�s i�a�<e a.��, n. ruv � na=ma�m«n�ea�mop� e�nairorm� �� e��a«oda��e �mme,<� � me��orn�c.�.�.ss. ina.e�o� e� �eaa ,� o�„b�io�. ��wRed n�s i�nn�rre��maae a��o.a�,a�wre,o�mr xnairo��s�n�s«wm��s a��od c,�amn�e.��no��commme�Sza e.�ama�<��m��eeoeoa.��i.��.��i.rr�x.<n,..�e reron I conRy�hat I M1a�c oxeminod iM1ls repon md W ing at�acM1e4 saheGWes md n Is,m tM1r brn o[my kno�vledge and belie[a tme and cnmplae ste¢mcm of ell crvm0oign � f mance nc�iviry,inelutlin6��ribmiortx,Innns,receip6,e.ependimret disbursemen¢,io-kind mntriFmin�nntl liehilitiu for Ihis reporting pariod end represents�Fe �ampaign Flnanu aaivip�ofall persons actin6 under Ne aulM1onry or on bcM1alloRM1is wmmiv�in ecmrAxns witM1�hc rcquircmrnta of M G L.e.SS SlgneJunJerlhepenal�iesofperjury: (CnnAide�e'ssi6�ewre� Da[e: � SCHEDULE A: RECEIPTS � '� MQL. c. )5 re9eiirer(ha(the name and rexidentin/nddr'ess be reponed, !n a7phabetica/arder.for al!reoeip[s m�e�5�0 in a ca/en�lm year. C'ammillecr musl krep demiled acmmus qnd reonrds o�al]receipls', bu(need mely ilernire lhore reoeiptr over,S50. /u a�lAi�ion, the ocnrpmlon mid ernplover musi bc reporred for all persuns vho convibvnr$?00 nr morc in u calendar year (A "Sche�ule A: Receipls"a�fxchment is available lo cumple[e,print and x�tnch tu this repur�,if adJilional pages are rryuircd�o repurt all receipts. Plexse include)'wr cmnmi�lee name anJ A page number on each pege.) Name and ResiJential Address Occupation& F.mployer Date Received (alphabelical lis[ing required) AmouN (for contribu[ions uf$200 or more) ��C,�� 4(r�Nn aY :o �.,Jn V ��1�7 � �Q/� �K y�^" � � I�- I IC �lo Oall S�' .��^ �� 7 I� I '�o o�tl S-Y K� �� c , �� ,� �� .,5,z �e� 6 1 �� 3 �/ti,�kali �N (�ih �-�� c I.h�lz> I � b�v� / 9 � 1��'a �J � l �1��. (,Y✓ l�0 � O �'1L�'j} LNf� �+(MN^ �'1 � I�I Z� �f7.J� ,�� I1 S 4z,\+� M�1r„ � � ;� c��l�� 'l� JJ M t'( W �1�a � �� J� �� L__ __' �I � � Line 9: Total Receipis over$50 (or listed above) "J }'� J� I,inc 10: Total Receipts$50 and undcr' (not lisled above) � ��_ Line 1 L TOTAL RECEIPTS IN THE PERIOD �� F F,nter on page l,li�e2 * If you have itemizeA reoeip�s oC$50 and unde�,indudc ihem i�Gne 9. Li�e 10 should includc o�Iy those receipts not itemisd nbove. Page 2 SCdEDULE A: RECEiPTS (cootinued) Name and Residential Address Occupa[ion& Employer DateReceived (alphabeticallistingrequired) Amouot (forcontributionsof$200ormore) � � � � � � � � � � � � � � � � � �. � � � � � � � � � � � Line 9: Total Receipis over$50(or listed above) � -- Line 10: Tolal Receipts $50 nnd under' (m� listed above) � Line I I: TOTAL RF,CEIPTS IN THE PERIOD � F gnter on page I, line 2 k Ifyau have iremized receip[s of$50 and u�deq include�hem in lice 9. I,ine 10 should include oNy�hose receipts no�itemized hbove. Page 3 SCHEDULE B: EXPENDITURES ' .11.G.L c i5 reguires romni!¢ee.x m/isC in a7phabenca(nrder', a(/erpendimres orer SJO in n reparling perioA Carnmi((eer mu.rt keep detniled nccmuvs nnd rerords ojn7/expendi(ures, bu!need ori(y Oemis Ihose m�er'S50_ Expendinves 350 ond�wdrr way be uddedlogelGer, jram ronnnlner rerords, nrid r eporled mi l(ne 13. (A "Schedule ft: Ezpenditures" aftAchment is available fo romple�e,print anJ ntlach to fhis reporl,if addifional paRes nre required fo report all cxpendi�ures. Pleasc indude yuur rommi�fee name and n page numDer un each pxge.) To Whom Paid Uate Paid (alphabetical lis[ing) Address Purposc of Expenditure Amouo[ a � ��- �d i ncs4 �� a�- —ncs � � Q �a �i�n� � �vb a� �s�o ��„ � � � �� 6 tlll� �L'i�� "�oAt�l( Pia`^�o� l r �I2 �� lVd 3/ � � � ,r�e� P��» � � �'�� '�" P^J( cH-no� � � IG �lo /`�'C�e ��) n �+� A0�/ D!+ 23J J� � � � � � � � � � � � � � � � � � � Line 12:To[al F,zpendi[ures over$50(or listed above) �� Line 13: 'Potal P.xpenditures$50 and under• (not listed above) � Enter on page I,linc 4 -� Line IJ: TO'1'AL EXYF,NDITURES IN THE PERIOD �� . S 1 ' Ifyou have ilemized espendim�es of$50 and under,include�heni in line I L Line 13 should include only�hose expendrtures nat itemized above. Page 4 SCIIEDULE B: EXPENDITURES (cuntiuued) To Whom Paid DafePaid (alphabe[icallis�ing) Address PurposeoCExpenditure Amount � � � � � � � � � � � � � � � � � � � __ � � _'_ �I � � � Line 12: Expendinres over$50(or lisletl above) � Line 13: Espenditures$50 end under' (nol listed above) � Cnter on page I, line 4 � Line 14: TOTAL EXPENDITURES IN THE YERIOD � " Ifyou have i�emized expendimres of$50 and u�deq include lhem in line 12. Line 13 should include only[hose expendimres�o�itemized ' above. Page 5 SCHEDULE C: "IN-KIND" CONTRIBUTIONS ' Pleese ilemize contributors who have made in-kind contribu[ions of more lhan$SQ In-Aind contribu�ions$50 and under may be nddcd togelher Gom[he commii�ee's records end includcd in line I6 on page 1. Da�e Received From Whom Received* ResiUen[ial AdJress Descripliun ofCootribution Value � � � � � � � � � � � � � � � �I � � � � � ' � � � � 0 00 0 00 0 00 0 � 0 I.ine I5: In-Kind Coniribinions over$50(or lisred above) � Line 16: In-Kind Con[ribu�ions$50 &under(not Gs[ed above)� r:n�er un page I,Iine 6� Line 17: TOTAL IN-KIND CONTRIBUTIONS � ' If an imkind convibution is received fmm a person who contribwes morc than$50 in a calendar year,you must repon the name and address of the contribumq in nddi�ioq ifthe contribWion is$200 or more,you musl also repon the conhibutor's occupe�lon and employc�. Page 6 �� ' ' SCHEDULE D: LIABILIT[ES iUf.QL. a 55 reg¢�ires mmmi(tees lo repor!ALL[iUbi[ities which have been repor[ed previously ond nre s!i(l outs�andin,k, r._, nslhoseliubi(iliesi�icumedduringlhivrepor(ingperfod � � Date Incurred To Whom Due Address Purpose Amounf � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � Enter on page I, line 7 --� Line 18: TOTAL OUTSTANUING LIA6ILITIF.S(ALL) � Page 7