HomeMy WebLinkAbout2019 Wise - 30 Day � Form CPF M 102: Campaign Finance Report
Municipal Form Y E G= I VE p
Oflice of Campaign and Poli[ical Fivance T C'���`�:��(�'(
Rer�'�"�; � MA.
Commonweal�h '
ufMasaachusens
Filewith� 1 mission
Fill in Repo['[ing Peiiod dates: Beginning D'ate: 03/16/2019 Ending Date: 04/22/2�19 ef
Type of Report: (Check one)
❑ Sth day preceding preliminary ❑ 8th day preceding election ❑X 30 day after election � year-end report � dissolution
I YIDIMfiS �.UtSL. ICJ�'WhIN'C.� -{� lMi-'r �W"t (��`l�
Candida�e Full Name(ifnpPlicable) Comminee Name
SCb�pL'� CoY1.W�-l�k-e., -�G�; i.il ��
Office Sought ana Dlsvic� Name of Commitlee Treasume
l`6� Su.:+�n �t ��c�,w� MA o��6�� I`bl S�� ��_ k'��.ci;��c, nNA uSe�
r Residentiel Addres CommiVee Meiling Address
e-mzn: �ai�S2-�Dr��+wMa.��tjv�6.a�.�m [-me�i: �Aj��&,to're_at1�.�,4Mu.L.qYv.a�.<o,�l
Phonett(op�ional): V Phonek(optionalp
SUMMARY BALANCE INFORMATION:
Line 1: Ending Balance from previous report w�
Line2: To[al receipts this period (page 3, line I1) CG��'
Line3: Subtoql (Iine I plus line2) �� '�j w
Lioe 4: Total expenditures this period(page 5, line 14) cp
Line 5: Ending Balance(line 3 minus line 4) �w W
Lioe 6: Total in-kind contribu[ions[his period(page 6) � - c�—'.r
Liue7: Total (all)outstandingliabilities(page7) ��j�rj S�
Line 8: Name of bank(s)used: �7h-� �
Amaavit orcumminee Treesurer:
I ccrtify that I heve exemincd�M1is re0ort fncludfng euached schedulu and it i;m�hc bcs�ofmy knowledge and bellef,a vuc and wm0lea stemiowt of a0 cem0aign finnnce
ae�ivily,including ell wn�ribuuons,loans,�eceiptc expendiwres.disbursements,in-kind eum�ibmions end liebiliticz foe Uis repo�fing perlod and representv Ne campalgn
finencc amivi�y of ell perso�aming undcr the aulho�ity o�un beh:J f[hrs wmmtticc in ecwraance wi�h�he�equireinents ofM_G.I..c.55.
Si edunderthe enalticsof Da[e: / �
x� o n�.��ry: � ,�r_ �� l, � I'�, �T2a���mr���s�a��,�> 9%?1i /
FOR CANDIDATE FI W NGS ONLV: aman.��o[ca�aiae�r.(eh�<k�box o�iy�
CmJitlale wilh Commipee anJ m vctiviry inJepenJenl of IM1e tommiltee
—«niy Na[I hevc cxemined Ihis report IneWding eneohcd schcdulcs and il is.to ihe but of my knowledec end hcGcL a vue xnd wmplem stetcmcm ofall campnign fnenm
� �tivity,ofellpermnsectingwdertheauthontyoronbehalfofpiiscommit�ccinawo�dancewiNtheeequirementsofM.Gl.c.55_ IhavenotrcccfveAanyconmhutlons.
inwned an}liahilitics nor made eny expendlmas on my bchelf duving this re0�rting period.
CandiJarcwi�hnutCommilhe 1LRCanJidarewithindcpcntlentec�ivityflingsepurulere0ort
� 1 certify thx�I have ccamined�hls requrt incWdfng anached schedules and it is,w Ihe bes�of my knowledge end belicf,e vue and wmplem staamem of all campai�
linana activity,including wnviFutionsJoans,reaip�s.expendimres,disbursements,in-Aind convibutions and liabili�ics tor�his re0�rting period and represenu the
campaignfnanwactivityofellOcrsonsacGngunde �auMorityoronb�halfofTismmmiueeinacwrdancexiththerequiremen�sofMOL_o.55.
1,� - Z( �('�
SigneJun�mlhapcnvlfieso[perjury: ��� � 0 (Candldaee'ssigna�ure) D3t¢: !
SCHEDULE A: RECEIPTS
MG.L. a 55 requires thal the ttame and residential address be reported, in alphabe(ica(ordeq for all receipts over$50 in a calendar
yeoc Comml[tees must keep detailed occounts attd records ojal]receipts, bu!need anly iremize lhose receipts nver$50. Itt addition, (he
occupation and employer mvst be repar(ed far a1/persons who contribute 3200 or mare in o calendnr yem.
(A "ScheAule A: Receipte" at[achment is available to complete,print aud atlach to�his repor�, itadditional pages are required to
report all rueip[s. Please inclode your committee name and a page number on each page.)
Name aod Residential Address Occupation& Employer
Date Received (alphabe[ical listiog required) Amoant (for eontriba[ioos of$200 or more)
�I7-1r1��1 �^c' 3c..w�.i.� ��4
2�4 Wor�u 1T d�m�,�Ui 6 Fi
M'�c�.11.z- L�'eeflw�^l1- ��„�
3ju:� w i.G s�7nn-�F7'�+�y �e�lu, ��'"��l ��'` 4� .� s�nxd;o„cL'. �t.�+�xfS
� �1,,v,�m,�c. 1.usK- 9'Su
��I��l� �2 Wnrm•vt7w �},i2`m`iNt-,as9
� �
� �
� �
� �
� �
� �
� �
� �
� �
Line 9: Total Receipts over$50(or listed above) �r��j'��
Line 10: To[al Receipts $50 and under* (no[ lis[ed above) � I
Line Il: TOTAL RECEIPTS W TAE PERIOD #7U6 "�' F Enter on pege I, line 2
*1(you have iremized receipts of$50 and under,include them in line 9. Line 10 should include only those receipts not i[emized above.
Page 2
SCHEDULE A: RECEIPTS (cootinued)
Name and Resideu[ial Address Occupa[ion& Employer
Da[e Received (alphabe[ical listing reqaired) Amoun[ (for coo[ribations of$200 or more)
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
Line 9: Total Receip[s over$50 (or listed above) �
Line 10: Total Receip[s $50 and under* (no[ listed above) �
Liue 11: TOTAL RF.CEIPTS QV THE PERIOD � f Enter on page I, line 2
" Ifyou have itemized rueipts of$50 and under,include them in line 9. Line 10 should include only those receipts not itemized above.
Page 3
SCHEDULE B: EXPENDITURES
M G.L. c. 55 requlres rommitteu(o Gsr, in afphabefical arder, all�pendi�ures over$SO in a reporfing period. Committees must keep
demiled acrounts and records ojall expendltures, bu!need an(y itemlze[hnse over$50. Ezpenditures S50 and under may be added together,
from commi!!ee reeords, ond reporled on 17ne [3.
(A "Schedule B: Expeoditures" attachmeu� is available to complete, prio[and a[tach to ihis report, if addi[ional pagea are reqaired to
report all expenditures. Please include your commi[[ee name and a page number on each page.)
Ta Whom Paid
Da[e Paid (alphabetical Iistin�J Addreae Purpose of Ezpenditure Amount
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
Line 12: Total Expenditures over$50(or listed above) �
Line 13: Total Expenditures$50 and under" (not listed above) �
Emer on page 1, line 4-� Line 14: TOTAL EXPENDITURES IN THE PER10D �
* Ifyou have ilemizcd expendi[u�es of$50 and under, indude lhem in line 12. Line 13 should include only those expenditures not itemized
above. Page 4
SCHEDULF. B: EXPENDITURES (continued)
To Whom Paid
Date Paid (aiphabetical listiog) Address Purpose o[Expenditure Amoun[
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
Line 12: Cxpendiwres over$50(or listed above) �
Line 13: Expendi[ures $50 and under* (no[lis[ed above) �
Enter on page I, line 4 -+ Line 14: TOTAL EXPENDITURES IN THE PERIOD �
' Ifyou have itemized expendiNres of$50 and u�der, include them in line 12. Line 13 should inclade only those expenditures not itemizeA
above.
Page 5
SCHEDULE C: "IN-KIND" CONTRIBUTIONS
Please itemize con[ributors who have made in-kind contribu[ions oC more[han $50. lo-kind contributions$50 and under may be
added together from the committee's records and included in line 16 on page l.
Date Received From Whom Received* Resideotial Address Description of Contribution Value
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
Line I5: In-Kind Contribu[ions over$50(or lis[ed above) �
Line 16: In-Kind Conhibutions$50&under(not lisred above)�
Enter on page I,line 6 -� Line 17: TOTAL IN-KIND CONTRIBUTIONS �
* If an in-kind conhibution is received from a person who contribotes more than$50 in a calendar yeaq you must report the name and address
ofthe contribu[or;in addi[ioq ifthe contribution is$200 or more,you mus[also repott the contributor's ocwpation and employer. page 6
SCHEDULE D: LIABILITIES
MCl. c. 55 reguires commrttees!o repor!ALL IiabDilies which have been reporfed previausly and are sNl7 outstanding as well
as lhose Iiabilities incurred during this reportrng period
Date Incurred To Whom Due Address Purpose Amount
2)i�,� �k ��,a�,c�s �,sz. �`�� swt4,�. ��v.s ��i3�. 3�t
�1�'Il5 '(�n.a�wS W�k I�i1 S+.vrl��. `i�riv�K-S -.�'v� w+�:t SSS.��
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
Enreron page I, line 7 � Line 18: TOTAL OUTSTANDING LIABILIT[ES(ALL) �SJ,S,g/
Page 7