HomeMy WebLinkAbout2019 Berman - 8 Day � Form CPF M 102: Campaign Finance Re{�or-tF��✓ ��
� Municipal Form ���� '�'r�� `=LERK
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\ I '' Omce of Campaign and Poli[ical Rivance '`�' `' '` �l i PY��.
�o,nmo�w<a��n ���j�un� 2a19 MAY —2 AH 10� 0$
o[MnssacM1useuc
Pile wl�k CLi or Town C�erk or ElcGion Cammission
Fill in Reporting Period da[es: Beginni�g Daie: � �p� Ending Date: ��f �
Type of Repoct: (Check one)
� Sih da}preceding preliminary 0�8th day preceding election ❑ 30 day after election ❑ year-end repoe ❑ dissolution
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��arrti �Zna��n,� ��Z�,w�nn �� �,( �(�- I�vw�
Candide�e Full Namc(if apP���able) Commitlee Neme
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orr«so�ah��a��n. � rvamoorcomm�n«rre�� �
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a7 �D�wv�� �Le� �e�n��.� Mf1' aiY � `� �n�1Vl�n,1 �'1� [�y�,u� �v d (l� u'
—�� ResiecmialAaaress � CommneeMVlingAddLres�s�1
E-innil: �-�l�M �'fv�Y�LA1"r V�J� E-mall'. ����M������` �O I �'Yl�� � ���
Phoneplop�ional)- ��� —�j(�0�'�`�Yj�' PhoneIX(oPlioml)- ���� ���`^ p �,y�
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SUMMARY BALANCE INFORMATION:
Line 1: Ending Balance from previous report , �j-'
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Line 2: Total receip[s this peciod(page 3,li�e ?I) � ���
e
Line 3: Subtotal Qine 1 plus line 2) , (J l��b. }�
Line 4: To[al expendiNres this period(page 5, line 14) V
Line 5: Hnding BalanceQine3 minus line 4) j p . �'
Line 6: Total in-kind contributions this period(page� —{�
" Line 4: To[al(all)outstanding liabilitiu(page'� ����
Line 8: Name of bank(s)used: „� )
mm�..a or commwerrte.,�.e.:
i,����r inm�na�<e.a����ea�n�:�eaonm�mamgaua�neasonw�iva�anismm<ee:ooemr�owimsea�dbeuer,a�N�a�awmpi<�e.�a�em�moran�emre�s�n�a�o<
vc�evitt.Intluoing nll covtnbmiont lonns,reaip�z exprnAdumc dizbu�semen4��-kind vonmibwlons wd Iisbili0ev[onM1ls reponi^8 Pe��od end repasents�M1q camoaign
ilnnn¢naiviry of ell peizons eetin6�^der ihe w�ho�yy or on beFA/�Co/[��M1ls\comIm/it�ee in acrortlance w➢h�M1e aqulromcros ofM.O.L c.55.
Sie^�J unUm Ne PennlY af Perlury: ��� X � � \ UL✓ (Taa�urels slBnewre) Date:�� � i�
FORCANDIDATF.FILINGSONLY: Amaav��ofCa�ama�c(anaw�uoxonly)
c �n a � m c. u a � �ry u p a i rti n
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fv� ! Ilp � f g d IF �F l bel If fiti �tl ManeewlM1lherequ' t o[M.GI..a55. lhevenotrec � d vibmions.
Red vm fabl fcs nn eae any expend\ rc my beM1alf Jurin6�h s reponmB Per od.
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-mp g ! ( t f Ilp nsa (ngund M1eamhorry beM1alfoRhisco Aeeinaccord �1h�M1 q � t ofMGL.e55
nen9 Pef'ury Date:
SlguWuoJenM1c tle�of (C d�detessiB�e�u�e)
� � Form CPF M 102: Campaign Finance Report
� � � � `' "� Municipal Form
TO't�'�J CLERK
t^�., r ;, ,�,; �.��,, ��A �v OMce of Campaign and Polifical Finance
Commovwral�h
°`"'a"""°„"' 2�i9 NAR 25 AN 8� 29
Pilewith Ci orTowuClerkovElccuovCommission
Fill in Reporting Period dates: Beg�����g oace: � � io,y e�d��g��ce: 3 I i S I Zo�y
T}pe of Report: (Check one)
❑ 8lh day preceding preliminary �X Rth day preceding eleclion � 30 day aRer election ❑ year-end report � dissolu[ion
� fn.r/� �R�Mf^'n V�l/„'uM '�J� �q.�f d���
� GndidereFUllName(ifapplicable7 CommiveName
S�k�7 R•o.f�, �-wA,�,l Y�GtiQna
Oflice Sough�end Disvic[ Namc ofCommiuee Treusurer
Sh �anhNW 11-A OiB6t' S'�1 la�yhen,l �l 11Qu.Qv., ��}ai�6�
�l Residmtisl AdNus Committee Meiling Addrws�
e-'^a��: b�o.ww...r(,a.w.ren? , n.� e-mai1: r,«kroS .mr ch2rG.(c��mci�\ .Cr�m
eeooex�o�ro�ap� 61�" ba�l' �`18� enooex(ocdooep: q98-40�-SdOV'
SUMMARY BALANCE INFORMA7'ION:
Line 1: Ending Balance from previous report ' G , �
Line 2: I'otal rowipts this period(pagc 3,linc 11) g �
Line 3: Subtotal(Gne 1 plus line 2) � �
Line A: Total expendilures this peciod(page 5; line 14)
Line 5: Ending Balance(line 3 minus line 4) r g U S'
Line 6: To[al iu-kind wn[ributions this pe�iod(page 6) ,�'
Line 7: Total(all)outstanding Iiabilities(page 7)
Line 8: Name of bank(s)used: � J .
ARdevit of Committee ireasurer:
I ernity�he�1 have examived hds�epon IueluAlu6 atuehed seReAWes evA i�iv,m�he bes�o(my Wowled6e and beliel;e we evd mmplete atatemen�oCell campeigv fuavw
activity,induding xll mnrcibmions,loans,receipts,upendiwres,disbonamen�s,imkinJ contribmions and liabili�ies tor tAis reporting penod and reqresen¢Ihc eempaign
finan<c eqivity ofali persons actin6��aa�hc authority or on hhaif of�his commince in accordancc wiih Ihc rcquircmcros of M G.L.c 55.
s�e�=a�m�.m:e•��in<�ore=�i��n: ��Q -Q _� c�_ [rrees�«rs y�soamre> Date: 3�I d5� l9
FOR CANDIDATE FILING9 ONLY: ameavimfCanalau�c(chuk I box on1y7
/t�.�didah with Camminee sntl na avfivity i�tlepentlem otthe comminee
yl certify Nat 1 heve examiued Ihis report imlading eaached xAedules nnd it is,w[he Fest of my knowledge and bclicC,a uue anA comple�e s�atemrnt of all campaiyiluenre
G �iviry,of all perrons acung wAer IM1e amFonty m on beM1alf of Ihis commitlee in acmrdance wi�F iM1e reqmrements of M G1.c 55. 1 have not renived any contnbuliovs,
incumd uny liabili�ics mrmadc any axpendimms oo my bchalf dunng�M1is mporting pcnod.
GnGitla��without Commi�he OR 6n0itlale witM1 i� PenGent ulivity filin6 separah rePor�
� 1 oetlify[hal l have exemluod�hls erqon ineludin8 a�4 he sehetlules evd i�f;m the bec�oCmy kmwledge and beli¢f,a We and comple�e stalemen�of ell oampaigu
tiveuce vmivlly,Incloding contribonons,loans,recei i, xnendfwres,disbi�ements,imkind wvtnbolions and liabililiu for Uis reqortivg penoA anA rep�esems the
campaign fvavice activiry of ell persons aaing unde � autl�o�/ntIy or on be f of his committm in aaordance with[he requiremenu of M.G L. 55
Si Ounderlhe Ifieeof / /� Candldate'ssi aWre Da[C`�zy �I q
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SCHEDULE A: RECEIPTS
M.Q4 u SS ieguires lhai lhe name and�esidentia/address be repar(ed, in nlyhabetical ardep jm a[7>eceipfs over$50 in a calendar
year. Commiltees mus!keep detailed acroun[s and recor ds oja(1 receiyls, but need only i[emize(hose receiy[s wer$50. In addi[iore, Ihe
occupatlon and emplover must be reported for al[persons who contribu(e$200 or more in a calendaryear.
(A"Schedule A:Receipts" at[achmeot is available to complete,prin[aud attach ro thie report,iFadditiooal pages are reyuired ro
report all remipts. Please incWde your cammit[ce nnme and a page number on each page.)
Name and Residential Address Oceupa[ion& Employer
Da[e Received (alphabe6cal listing required) Amoant (Por contribuHone of$200 or mare)
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Line 9: Total Receipts over$50(oi listed above) �
Line 10: 'Iotal Receipts$50 and undec"' (not lis[ed above) �
Line 11: TOTAL RECEIPTS IN THE PERIOD � F En[er on page 1,line 2
•If you have iremizeA r�eipts of$50 and�nder, include them in line 9. Line 10 sho�ld incl�de only thosc receipta�ot i[emized above.
Page 2
SCfiEDULE A: RECEIPTS(continued)
Name and Residenfial Address OccupaHoo&Employer
Da[e Received (alphabeHcal listing required) Amount (for contributions of$200 or more)
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Line 9:Total Receipts ovec$50(or listed above) ��
.Line ]0: Total Receipts$50 and under`(not listed above)
Line ll:TOTAL RECEIPTS IN THE PERIOD 3 0 F Enter on page l,line 2
*lf you have itemized receipts of$50 and under,indude them in line 9. Line 10 should include only those receipis mt itemiud above.
Pege 3
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SCHEDULE A: RECEIPTS (continoed)
Name and Residential Address OccupaHon& Employer
Date Received (alphabetical lis[ing required) Amoun[ (for contribufions of$200 or more)
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Line 9: Total Receipts over$50(or listed above) "Z 'j S
Li�e 10:Total Receipte$50 and uridec" (not listed above) a �
Line 11:TOTAL RECEIPTS IN THE PERIOD 26�Z f Enter on page l,Iine 2
*If you have itemized receip[s oC S50 and under,include Ihem in line 4 Line 70 should include only those mceipts not i[emized above.
Page 3
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SCHEDULE A: RECEIPTS (wntinued)
Name and Residenfial Address OccupaHon&Employer
Date Received (alphabeNcal lis[ing required) Amount (for contribufions of$200 or more)
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Line 9: Total Receipts over$50(or listed above) �
Line l0:Total Receipts$50 and under'(not listed above)
Lioe 11:TOTAL RECEIPTS IN THE PERIOD F Encer on page 1,line 2
"If you have itemized mceipts of$50 and under,include them in line 9. Line 10 should i�dude only those receiDLs not itemized above.
� Page 3
SCHEDULE B: EXPENDITURES (contiuued)
To Whom Paid
Date Paid (alphabetical listing) Address Purpose of Expeuditare Amount
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Liue l2: Expcudi[ures ovcc$50(or listcd above)
Line 13: 8xpenditures $50 aud undcc* (not lismd abovc)
Entcr on page l,line 4—� Line 14: TOTAL EXPENDITURES IN THE PERIOD N3�Q� q�
'ICyou have ilemized expendiWres o($50 and under,include[hem in live I2. Li�e 13 should includc only those cxpcvdiNms not itemized
abovc.
Page 5
SCHEDULE C: "IN-HIND" CONTRIBUTIONS '
Please itemize contributors who have made imkind conhibu[ions of more than$50. Imkind contributions $50 and under may be
added together from[he commit[ee's reeoeds aud included in line 6 on page 1.
Da[e Received From Whom Received* Residen[ial Address Descrip[ion of Contribu[ion Value
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Lfue 15: In-Kind Con[ribu[ions over$50(or listed above) �
Liue 16: ImKind Contributions S50&under(not listed above)�
Ente�on page I, line 5� Line 17: TOTAL[N-KIND CONTRIBUTIONS �
' If an io-kind contribution is reccivcd fiom a person who conhibutes more than S50 in a calendar year,you must report the name and address
of the contriburoq i�additioq if the contribution is$200 or more,yo�must also report the contribWor's occupation and employec Page 6