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Home My WebLink About2010 Vote No on Meals Tax - 8 Day • � Form CPF M 102: Campaign Finance Report , Municipal Form Office uf Campaign and Polilital Finanre �,��J. Commnnxcul�h " - O[MNsuclmstl6 �� P �7�• 4 � Flc Clttko Iccnon(Ammiss�on Fill in Reporting Period da[es: BeginningDam�. _J��,� S. :s�o 8nding Dam: 6isr-s- �S , ao�o Type of Report (Check one) � 8th day preccding preliminary th day preceding elcetiun ❑ 30 day after election ❑ yearvend repotl ❑ dissolution . Q v/� � / .EPit�fu-(- - -_ CanOitln�x Full Name(iCepplirablq Comminee Name OOlce SougM1�and Ilismc� Name ofComminee Trcemrer � J � ! RaiJen�ial Aa�rws Commirtee Mailing AJJmss � TGephaneNumbm(op�lonap�. TelephoneNumber(optionel)�. SUMMARY BALANCE [NFORMATION: Line L Ending Balance Cmm previous report ) Line 2: Total rcccipts this period(page3, line I I) � Line 3: Subtotal Qine I plus line 2) �� Line 4: Total expendiwres this period(page 5, line 14) Line 5: Ending Balance Qine 3 minus line 4) Line 6: Total in-kind contributions this period (page 6) Line 7: Total (all)ou[s[anding liabilities(page 7) Line 8: Name of bank(s)used: rmaa.��orcomm�uee rre.:��:.: iundyvnei�ne.ocezmlooenusmaonlociumose��ncasoncaui�seoanls,m�nrnes�ormykno»�ea€ea�andleCuwcenacompi<ies�zremw�orencemo%�eJ�r en<c ncuviry,lncludingalleomribwions,loens,receipis,e iw � �ki tributioreandliabiliiiesCnrtM1rsreponingpmm�andapresrntsUmeampsign ❑nanceacn'nl�nfellpeaomec�inguntlenFen nbe ineeinac wi�M1�M1erequirementso[MGl.c55. ,� /,, ,�/�,[��—�� SiRnctlunGer�M1epmalJuofperjury: nnuarssignrwrq Dfllc: �%L—LJ FORCAVUIDATEFILINCSON : nRea� ' ne� :(�n«x�uaw�iy7 OntliJale x'iIM1 Commillee anJ nu aclivil)'indepenJent of tAe tommillee � i«mr�mm i ne�-e�,a��m�a m�s�.von��i��a��e Ava�n�a:�e<aw�:em�n��,m eee ne,�or my k�owi<d€=a�a nerrC s�N=soe wmviom sammem ornn�mp��q�n�a��e acbnt},uf all persons acting undu�he awhonry or on bchal(of�M1�u'mmmilme in accoNance n'nM1 tM1e reqwremen6 oCM G.L.c.i5. 1 M1are not reuivrd any eontribmionR inmmod nn}IIe�iL�lu nOr mea2 eny¢xpPndiNres On m)'beM1ulfdunng(M1i5 2�wrtiny pennd. CnnJiEah witM1oul Commiptt(LN CanJitla�e x'i1M1 intlepenJen�nc�i�'il}fling eepxrx�e repurl Icetl�y�M1'tiM1 an� 4�M1� D ��inclW� E�te 'hdsahc� l ' �l� mtM1�L�. � ( }kowledy abff,ewea�ticomplcmne¢mtmolollcampegn � finanuaut 1' 'Itling tbt ns,lon , � �pe xpendit :.Ab ' maus,� k� d tbutio 41' bftiesforNsre�nngperoasndmpasents�he wmpaign finance eain�v.of all persons eming untler�M1e ewhonry or on MhnlloRM1is wmminee in accorLance wilh iM1e oequiremcn¢ofM C L.c 55 9iQnMonJer�Aepenalticsofperjor. (Candldate'ssignnure) Deh:� __ �' � SCHEDULE A: RECEIPTS � � MG.L. c. i5 req¢ires t7mt rhe nnme aiid resiAert!!aluddrus be reported, le<dyhnbeti�'nl order,jor a[]rerelp(s m�er 6i0ln a calendw� yem. Comminees nn�si keep demi/ed nccmines ond recw'As Jn(I rereipls', bvt iieedon/p ilevei:e Ihose recelpls ever 550. /n adAlilatt !he � amipntimr nnd empinyer mve!be repuned for'all pu�snns rvho comriAene 5200 or mare!n u colcndur year. (A "Sehedule A: Receipts"atlachment is available�o mmplele,prim nnd atlach lo ihis repur�,if xd�ilionxl pages are reyuired�o report all receip�s. Please incluJe your commitlee nxme anJ a pxge number nn eaah page.) Name and ResiJential Address � � Occupa[ion & Employer - Date Received (alphabetical listing required) Amount (for con[ributions of$200 or more) � � �� 0 � �� 0 0 �-� 0 0 _ 0 0 0 0 � � � --- 0 0 0 0 �� 0 0 0 0 �� 0 � Line 9'.lbial Receipts ovet$50(or listed above) � Line 10:Tolal Receipts$50 and under` (not lis�ed ebove) � Line 11: TOTAL 2ECF,IPTS IN THE PERIOD F emer on page I,line 2 ` ICyou have ifemized receip�s of$50 nnd under,indude�hein in line 9. ine 10 should include only those receipts nol i[emizcd above. Page 2 � SCAEDULE A: RECF.TPTS (continucd) i Name and Residential Address � Occupa[ion& Employer Date Received (alphabetical listinq required) Amoun[ (Por contributions of$200 or more) � � � � � � � � � � � � � � � � I � � � � � � � � � � Line 9: Tolel Rcceip�s over$50(ur Iisied above) � _ Line 10: Total Receipts$50 and under` (not listed above) �� ) Line I I: TOTAL RECEIPTS IN THE PERIOD F Enter on page I,line 2 " If you have ilemiisd receipn of Si0 and undeq include them in line 9. Line 10 should include only�hore receip[s no[itemized above. Pnge 3 SCHEDULE B: F,XPENDITURES S1GJ, c. SJ r'equire.v mmneibees m ILvC in a[phabevlea7 order, all e�pendihves orer 550 n�a repm'ring perio2 Commiuev�must keep Aemiled acco��n�s ond records ojall espeirAihmes, brn need ori(ylremire(hose m�er SiO. E�pendihn'es 550 orid amder mo,y be aAded(ogelher, i jrom cmnmi¢ce recards. and reporleAon llne l3 (A "Schedule B: ExpenUitures" a��aehmenf is available fo mmpiele,print aud atlach lo this repor�,iCaddl�ional pages aa reqolred�o repor�all expendifures. Pleuse include}our commil�ee name nnd a pnge number on each page.) Tu N'hom Paid � � - Da�ePaid (alphabelicallisling) AJdrese PurposcofExpeodi[ure Amoun� � � � � � � � � � � � � � �� I � Line 12:Total Ezpendi[ures ove�$50(or listed above) � Line 13: Total P.xpendimres$50 and under* (no� lis�ed abovc) - Emer on page I,line 4 -. Line IJ: TOTAL EXPF.NDITURES IN THE PERIOD " Ifyou heve itemized expendiNres of$50 nnd under,include ihem in line 12. Line 13 shoWd inelude only those expendiRires no�ilemized above. Page 4 � SCHEDULE D: EXPENDITURES (continued) � To Whom Paid Date Paid (alphabetical listing) Address Purpose of Ezpendi[ure Amount � � � � � � � � � _ _ � � � � � � � � � � � � � � � � � Line I2: F,xpendi�ures over$50(or listed xbove) � Line 13: F.xpenditures$50 and under' (nol lisled 26ove) � Enteron pnge I, line4-� �Line l4: TOTAL EXPENDITURES IN TIIE PF.RIOD ' Ifyov have ilemized expendimres of$50 and undeq include them in line 12. Line 13 should indude only[hos'e expendiNrw ' mized ' 26ove. Page 5 SCHEDULE C: "IN-KIND" CONTRIBUTIONS Plzase ifemize contriburors who have madc in-kind conn'ibutions o(morc then 550. In-kind contribu�ions$50 and unde�mav be ' ddded toge�her from �he commi�tee's records and included in line 16 on page I. Date Received From Whom Received* ResiJential Address Description of Cuniribu[ion Value � � � � _ � � � � � � � � � � � � � � � � � � � � � _ i� � � i _ � � � � � � � � Line I5: In-Kind Contribu[ions over$50(or listed ebove) � Line 16: In-Kind Contributions$50& under(not listed above)� E'nteron pagc 1, line 6 -i Line 17: TOTAL IN-KIND WN'1'FiIBUT10NS � * If an imkind wmribwion is�eceived Rom a perron who contributex more ihen S50 in a calendar year,you mus�report the name and adJress of[he wnvibum�;in aJdition, if the contribution is$200 0�more,you musl also repon�hc mnhibutor's occupn�ion and employer. page 6 � SCHEDULE D: LIABILITIES . MQ L. c. 55 requires rommil(ees m re�or�ALL (iabilities �ehich/rave beei�reporled previonsly and are slill on[standing, as well � • as lhose liabililles incurred during diis reponing period - Dvte Incurred To Whom Uue AJdress Purpose Amount � � � � � - � � � � � � � � � � � � � � � � � � � � � � Enter on pege I, Iine 7-� Line I8: TOTAL OUTSTANDING LIABILITIES(ALL) Page 7