HomeMy WebLinkAbout2019 Wise - 8 Day � Form CPF M 102: Campaign Finance_Re�ort _
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Municipal Form TC� :•v,; C L F R K
Ot7ice of Campaign aud Political Finance P�r�..i� j i�� V, j��AA./
Commonwwlen 2 9 Ippp} /^ (I��
OfM8958ChY5G[5 jG�¢�yj�� C��Cxp�CIttKD[EI¢OIfOA'COI�1�11194100
Fill in Reporting Pcriod da[cs: Beginning Date: � � zO,y Ending Dace: 3 I �5 I -,o�c�
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Type of Report (Check one)
❑ Sth dey proceding prelimi�ary 0 Bth day p�eeeding election � 30 dey ake�eiectiov � yea�cvd�eport ❑ diesolu[ion
(110rW:ti�J �.�1.�1'� I�NM�QL �� ��1 �oyh kJl�'
CandidamFullNeme(ifapplicabie) CommivwName
SC�IUGI CG�NmI{� �BILt 6�.1�."
orr<e s��gNt and Distno� Neme oeeo,�,��n«r�����
Is� �wi�� S< . �,,���.,a �Fl v�sW� rs�s��+k 5+ . �4n..v� �la oiu��
Residantiel Address Gmminee .ilinq ndd.ess
e-maa: r,iiiSC.�u'rt.c..[GMm�:.���ma:l .w�n e-ma��: l.us2�rzr_d'�r.RmaC�rv.cul. is�,+�
Phone k(optiowq�. Phana#(opuovep_
SOMMARY BALANCE INFORMATION:
Line 1: Ending Balance Gom pcevious repor[
Line 2: "Iotal xeceip[s[his pedod(pagc 3, linc 11) �j � ��
Line 3: Subtotal(line 1 plus line 2) ' u ut'
Line 4: Tocal ezpenditures this period(page 5, line 14) (�
Line 5: Hnding Balauce(line 3 minus line 4) (4,�;.,��
Liue 6: Total fn-kind conhibutious this peciod(page 6) �(�ff�
Liue 7: Total(alI)outstanding liabilities (page 7) � 'rJ �_j_ J �
Line 8: Name of bank(s)useA: �p,i,.c�.+K (�U c:.�iv �'.-r
nma..0 or ca�m�nH T.�.,�.e�:
I cettiy ohel l havic examivcd ihis re0on fuclutlLng evached scheJules end ll is,ro�he bes�of my knowiedge e�d belief,s we avd wmple�e satemevt of all campaign fue�ce
ea�ivfty,lncluding nll conrcibutions,loan;receip�s,cxpcndlNvcy disbursemenls,inJcind conMbNions eud liebflflfas[or�M1n¢poning penod and repvesen�s�he cempaign
finenceac[iaityolallpeesonsepluy�ndo�haaothontyoroubeM1el[oFlhiscommineafnaccordancewitAtliercqul menlsofM.G.L.c.55.
9igne0 undee tM1e Perolliee o[perjury: �.a��(��_ l�J--�- (Treesu�Ms sf�emrel Dale: �/Zy/�(
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FOR CANDIDATE FILINGS ONLY: wfna..�t�tC.�d�d.c.:(�h.�k 1 bo.o�ly)
Canaiaate with comminec md na ac�ivity independent o[the aomminee
�ertiry�Fat I M1ave examiued tNs repon woludivg etmched schcdulcs eutl h is,m the besi o[my knowledge and belief,a we eod oom0�e�e stemmem o[all nmpaigi fiuence
c�iviry,of all persons eGfvg wder Ihe e�tM1onty o�on behalCof this mmmittee in azmrdance wi[h[hc requiremems o[M.G.L.a 55. I M1ave no[rweived auy aonvlbutiow,
moumed euy liebflitios nor made any expendlmres on my beLalf dwing ehls vepotllug period.
Cenditla�e wilhout Cammiltee OR Ca�ditlafe wi�h indepevdent activiry fling eeparam rtpar�
� I mrtiry�M1e[1 heve¢xvmived thix report including e¢acFed scM1edules and it is,ro the bu�of my knowiedge end belief,e we end complete stecement of all campaigu
lva�reactivity,incWdingconttibutions.loans,eece' sexOevdimres,disbwsemen¢.io-kindconvibwionsa�dliabilitiafor[hisreporti�g0e�odandrepresen¢�he
campaigufnenceaaivlryofallpersoneeeuvguuder eemForityoro beM1el[oCthiseommineeivaccoNanaewllh[heoequiramemsofM_Q.L.c.55.
Si d�neer the Ities ot Date: Z� �
gne Pena Perlvry: (Cendidate'ssignama7
SCHEDULE A: RECEIPTS
MQL. c SS reguires(hat fhe name and residentia7 address be repor(ed, in alphabetlm!orCer,for all receipfs over$50 in a calrndar
yem'. Commif[eu must keep demiled acrounts and rewrds ofall receip(s, bul needonly rtemizelhase recetpls over$50- [n addf(ion, ihe
occupation and employer mus!be reported(or a/l persans who ronhibu[e$200 ar ma�e in a cale�dar yeac
(A"Schedule A: Receipts" attnchment is available to complete,prin[aud aHach ro thie report,if additional pages are required to
reportall receipis. Please include your committee uame and a page uumber on eaeh page.)
Vame and Residenfial Address Occupation&Employer
Da[e Reeeived (alphabetical listing reqaired) Amomt (Por con[ributions of$200 or more)
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2�I�-�f�l 3 ��,,7� �,Rn�c $loc%.,."
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Line 9:Total Receipts ovec$50(or listed above) f �"
Line L0: Total Receipts $50 and under' (not listed above) ���'��
Line i l: TOTAL RECEIPTS IN THE PERIOD '� w�` f F,nter on page l, tine 2
" Ifyou heve itemized receipts of 550 and wder,include them in line 9. Liue l0 should ivclude o�ly those receipts vot itemized above.
Page 2
SCHEDULE A: RECEIPTS(couHnued)
Name and Resideo[ial Address Occupation&Employer
Date Received (alphabetical lis[ing required) Amoun[ (for contribuHone of$200 or roore)
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Liue 9: Total Receipts ovec$50(oc listed above) �
Line 10: Total Receipts $50 arid under* (not lisced above) �
Line 1 L TOTAL RECEIPTS [N THE PERIOD � F Enter on pege 1,line 2
•If yo�have itemized�eceip[s of$50 and under,include Ihem iu line 9. Line 10 should ivclude ovly Ihose�eceipts nol itemized above.
Pagc 3
SCHEDULE B: EXPENDITURES
MG.L. a 55 requfres commi[teev fo lis(, in alphabetica!order,al[eependi(ures over$50 in a reportlng period. Cammitteu mustkeep
detailed accounts arzd records ofall upenditures, but need on[y ftem7ze lhose wer$50. Expendi(ures$50 and under may be added logether,
from commf(tee records, and reported on Iime/3.
(A "Schedule B:Expendi[ures"at[achment is available ta complete,print and attach[o this report,if additional pages are required to
report all expenditures. Please include yoor committee name and a page number on each page.)
To Whom Paid
Date Paid (alphabetical listlng) Address Purpose of Expenditure Amoun[
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Line 12: Total Expendimres ovec$50(or listed above) �
Line 13:To[al ExpendiNres$50 and undec° (not listed above) �
Enrer on page 1,line 4—� Line 14: TOTAL EXPESDITURES IN THE PERIOD �
*If you have itemized ezpeuditures of 550 end under,include them in live 12_ Li�e 13 should inelude only those expenditurea not i[emizeA
abwe. Page 4
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SCHEDULE B: EXPENDITURES(coutinaed)
To Whom Paid
DaYe Paid (alphabe[ical lis[in� Address Parpose o[Expendimre Amouu[
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Line L2:Expenditures ovec$50(or listed abovc) �
Linc 13: Expenditures$50 and under* (not listed above) �
Enter on page 1,lioe 4 + Line 14: TOTAL EXPENDITURES IN THE PERIOD �
•ICyou heve itemizeA ezpevdiN�es of S50 avd��deq i�clude them iv line 12. Line 13 ehould ivclude ovly those expendiWres not itemized
above.
Page 5
SCHEDULE C: "IN-HIND" CONTRIBUTIONS
Please itemize conhibutors who have made in-kind contribu[ions of more than$50. In-kind contributions$50 and under may be
added togethec&om[he wmmittee's cecords and included in line 6 on page 1.
Da[e Received From Whom Received* Residen[ial Address Descriptian of Contribution Value
��z8� ly 7ucly Gl�v� ��,m����� Mrt c r�� F`x%c� 5(�.`i3
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Line 15: ImKind Contributions over$50(or lis[ed above) � q�
Line 16: In-Kind Contcibutions S50 &undet(not lis[cd above)�
Entcr on page 1, lice 6-� Line 17:TOTAL IN-KIND CONTRIBOTIONS �
'ICan imkind con[ribution is received @om a perso�who convibures more than$50 in a calendar yeaq you must report the name and address
of the contribnmq in additioq if[hc oontribulion is$200 or more,you mus[also aport thc contribNor's occupa[ion and employec page 6
' � SCHEDULE D: LIABILITIES ��
MQL. c 55 requiru rommitteu to repor�ALL liabili[ies which have 6een reparted previa��sly and are still outstanding, as wel/
as those liabiNties Zncimred during tHis reporting period.
Date Inwrred To Whom Due Address Purpose Amoun[
2 ( 19���� �il,s,�,u.5 1,v,'�2 �91 .Su. � S�� �Si�j��S 1ti3��.a�i
2'Z�r�iS '�ww.c.� W'�3t �$l S�u1�.`��. 17nnK5 ��'�� ' 851L
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Enter on page I,linc 7 -� Line 18: TOTAL OUTSTAFDING LIABILITIES(ALL) I�J 5.�j�
Pege 7
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