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Home My WebLink About2019 Parks - 8 Day � Form CPF M 102: Campaign Finance Repo Municipal Formry�f:�-:}c��i�:� i�•� �, Oflice ot Campaign and Politic Fle§dde� C.�_ �� d �F,_r, i �.i ;= P�1A. Commovwcal�h ' ofMassachmel[s or 2luoou Commission Fill in Reporting Pcciod da[es: Beginving Date�. � � zoi9 Ending Date: 3 � 5 Z��y Type of Report: (Check ouc) ❑ Sth day preceding preliminary 0 8th day preceding election ❑ 30 day aRe�elactio� ❑ yearvend report ❑ dfssolutiou a.�Q� �CW✓�vA �6-Y �LS Gudidate u0�iceble) CommiuneNeme .�'�,�� w,� ;� + ee. 2. � r (� ORce Soughi eud Disl�lei Name afCommltlee T�easuru �5 IVa-a.c,ac� S-t � Residen[iel Addeess Conunitlee Meiliug Address � e-'"°�� o�,. _ bn,..�«�' Cewcu^S�,NP< �ma�r. eno��rc(oo�o�p�.�, q-�9 ' ri�a-� rnooea(ovuo�ap�. SUMMARY BALANCE INFORMAT[ON: Line 1: Ending Balance from previous report Line 2: Total ceceipts this pe�iod(pagc 3, linc I l) � Line 3: Submtal(line 1 plus line 2) � Line 4: To[al expenditures this peciod(page 5,line 14) � Line 5: Ending Balance(line 3 minus line 4) � Liue 6: Total in-kind cou[ributions this period(pege 6) Line 7: "Potal(all)outstanding liabilitics(page 7) � Line 8: Name of bank(s)used: /U nma..�e arcommw«u�.�..�: I certify�M1et 1 have uamined this repon iucluding at�eched schedoles end it is,m�he bes�o[my knowledge and belieC a we o�a eumplem sremment of ali campeigv foevice acliviry,incLiding all rovvibmions,luarts,receipls,expendiNres,disbursemenls,in-kind connibu[ions a�d liabili�ies for Ihis reporting penod avd represmts�he campaigv fina�ce aniviry of all persons eqin6 undeo Ne aothovity or on behelfofvM1is comminee in accordence wieM1�he requirvnm�s of M C L c 55- Signed under t�e penalM1es of perjury: (Treamrer's signaNre) Da[e: EQ$��'[)IDATE FILINGSSINLY: Alfldavif of GnAtdalc:(ehcak 1 box only) c,�amaie w�m co�ma�:e.�a�o a�a.uy ma:v:�aem or me�ommm:: ❑ I ttttify tr�at I M1ave erantiucl�Itis repurt wtludivg aiuched schedules mA i�is,m[he best otmy knoxledge and belief,a mie avd mmple�e searemrne of all campvgn fventt eGivity,o[ell persuns am�g under Me euthonty or on behalf o[�his commmee m nccoNanw wi�h�M1e oeqm�ements of M_G L a 55. I have mt aoeived auy eovt botiortv, mamed any Iiabililies mr mede any expenAimres oo my behalf during[his reporting penod. Cantlidate wllRout Commitlu�Candidate wilh indepenAent aGiviry filiug sepante repoel 1 certify tliet 1 heve examived this rcport iuci�diug aldched schWoles and it i4�o�Fe best of my kwwledge and belief,a o-ue aud eomplem s�e¢mem o[ell eempaig� �f enee ectivlry,iucludlug convibu�iorts,loevs,reeei0�.expwdiwecs,disbursuneu6.Imkivd wnt buuons and liabilifies for�hls veportivg penod and vepresen6 the eampaigo Enevce eetivlry of all persons eceing�ndeo ehe authonty or ov behal[o[this oommiuee Iv aecordance with�hn reyoiremmh of M.0-L.c.55. s�s�wo�aumea�,meaaree�i�a: �� <caoa�a��•ss��em�e� �ate: 0311 / SCHEDULE A: RECEIPTS MGl c 55 requires[hat fhe name and�esidenfial add>ess be reparled, in alphabe(ica[order,far af!receipis aver$50 in a calendar yersr. Commil[ees must keep defailed accounts and records oJa[1 recelpts, 6u!needonfy itemize lhose receipfs over$50. In addi[ion, ihe accupalion and employe�must be reported fm'a(/persons who wntrlbu(e$200 or more fn a calendar year. (A "Sehedule A:Receipts" attachment is available to complete,print aud attaeh ro thie report,if addifional pages are required[o repor[all receipts. Please iuclude your cammittce name and a page number on each page.) ^lame and Residential Address Oceupatlon&Employer Date Reeeived (alphabetical lis[ing required) Amount (for con[ribuHans of$200 or more) � � � � � � � � � � � � � � � � � � � � � � � � Line 9: To[al Receipts over$50(oc lis[ed above) � Line 10: Total Receipts$50 and under* (mt listed above) � Line 11: TOTAL RECEIPTS IN TRE PERIOD � r Enter on page I,line 2 * If you heve itemized�eceipta of$50 and under, i�clude rhem in line 9. Line 10 should incWde only those�eceipts�o[itemized above. Page 2 SCHEDULE A: RECEIPTS(continued) Name and Residen[ial Address Occupation & Employer Date Received (alphabetical lis[ing required) Amoaut (for con[ribufions of$200 or more) � � � � � � � � � � � � � � � � � � � � � � � � � � Liue 9: Total Receipts over$50(or listed above) � Liue l0: Toral Receipts$50 end under* (not listed above) � Line 11: TOTAL RECEIPTS IN THE PERIOD � F Enter on page 1,line 2 "If yo�have i[emized receipts of S50 artd under,include them in line 9. Line l0 should include onty thase receipta�ot itemized above. Pagc 3 SCHEDULE B: EXPENDITURES M.G L c 55 reguiru committeev m[ist. In ulphabelical order, all eependt(vru over$50 in a repartingpertod Committees muv[keep de(ailed qccounts and reca�ds of a[l expendlturu, but need only ifemize lhose aver$50. Expendituru$50 and undei may be added together, from commi(tee records, and repor(ed on line l3. (A "Schedole B: E�enditures"attachment is available to mmplete,priut and attach to this repo�[,if addi[ional pagea are requi�ed m report all expeuditures. Please include your commit[ee name and a pago nomber on each pageJ To WM1om Paid Date Paid (alphabeticallistineJ Address Purpose of Ezpenditure Amoun[ � � � � � � � � � � � � � � � � � � � � � � � � Line 12: Total Expendimres over$50(oi listed above) � Line 13� Total Expenditures $50 and under' (not IisteA above) � Enter on page l,line 4 -� Line 14: TOTAL EXPENDITURES IR THE PER[OD � * If you heve i[emized expendiNres of S50 a�d u�deq include them in line 12. Line 13 s'hould includc only those expenditwes not itemized above. Pege4 SCHEDULE B: EXPENDITURES (coutinued) To WAom Paid Date Paid (alphabetical tisHn� Address Purpose of Expenditure Amount � � � � � � � � � � � � � � � � � � � � � � � � � "_ � Linc 12: Expendimres over$50(oc listed above) � Linc l3: Expenditures$50 and under* (not listed above) � e�ter on page 1,Ifne 4� Line 14: TOTAL EXPENDITURES IN THE PERIOD � ' Ifyou have itemized expevditures of$50 and unde�,ivclude them in live 12. Line 13 should include only lhose expendiNres not itemized above. Page 5 SCHEDULE C: "IN-KIND" CONTRIBUTIONS Please i[emize conMbutors who have made io-kind cuntributions of more than$50. In-kind conhibutions $50 and under may be added[ogethec&om the committw's records and included in linc 6 on page 1. Date Received From Whom Received* Residential Address Descrip[ion of Con[ribu[ion Value � � � � � � � � � � � � � � � � � � � � � � � � Line 15: In-Kind Contribu[ions over$50 (or lis[ed above) � Line l6: In-Kind Conhibutions S50&uudcr(not liatcd abovo)� Enter on page l, fine 6-� Line 17:TOTAL [N-KIND CONTR[BUTIONS � *If an in-kind con[ribulion is eeceived Crom a pecson who convibutes more[han$50 fn a calenda�yeaq you must�eport the name and eddeess of the conVibulor,in addilioq iCthe mnhibution is$200 ur mo[e,you mus[also report the contrfbulo2s occupu[ion e�d empfoyec. page 6 I SCHEDULE D: LIABILITIES MC.L. c 55 requires commid(ees to report ALL liab][ities which have been reparied previm�sly and are sti77 ou[smnding, as well os those liabilities incurred during this repor(ing penod, Date Incurred To Whom Due Address Purpose Amount � � � � � � � � � � � � � � � � � � � � � � � � � � � � enter o�page l,line 7� Line 18: TOTAL OUTSTANDING GIAB[LIT[ES(ALL) � Page 7