HomeMy WebLinkAbout2019 Calley - 30 Day � Form CPF M 102: Campaign Finance Report
Municipal Form ;;;_'_, t ;ti� i'� p
Office of Campaign and Political Finance T V t�' � C 1.E�K c'1
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ofMusacFusc�K
File wit . wn 'le t
Fill in Reporting Period dates: aeginning�ace: o7/ie/zoi9 Gnding Da[e: 04/22/2019
Type of Report- (Check one)
❑ 8th day preceding preliminary ❑ 8th day preceding election �X 30 day after election � year-end report ❑ dissolutio�
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Offioc5oughtan Distnct NemeofCommineeTrexvurer
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SUMMARY BALANCE INFORMATION:
Line 1: Ending Balance from previous report ^ _]z�j, `/2
Line 2: 7btal receipts this period(page 3, lice 1 I) �,'�oj'� � (��
Line 3: Subtotal (line I plus line 2) (�
Line 4: Total expendi[ures[his period(page 5, line 14) (�
Line 5: Ending Balanoe Qine 3 minus line 4) �
Lioe 6: To[al in-kind contributions Ihis period(page 6) �'
Line7: Tohal (all)outstanding liabilities(page 7) �
Line 8: Name of benk(s) used: �p�„�A, G5p c•�cij� (S/,w.Ae,
nmae.n or commw«�o-o,s�.e.:
1 certil'y @at I M1ave exemined Ihis report ineluding avached schedulw and i�is.�o�he bcee of my kmwledge end belief,a tme and wm0le�e s�a�ement o�ell cam0algn linance
xalvlly,induding ell contnbuuons,loans,�cceipts,expendiwas,disbu�sements,in-kind comeibutions and liebilities for this mponing perio�anJ representv�he cemDaign
Gnence uuvi�y olell personz acting under the au hority or on behal(o[tNfs c/ommtvcc in e/cwrdance with the requircments oCM.G.I..c.55.
SiRneAuntlerlhepenotliesofperfury: ����J40YIiY4�.(.-� ITre39ureYssfgnaWrc) D8I2: � ��� �
FOR CANDIDATE FI W P7G5 OIVLY: .�mtle.�it nrcanaiaatc¢hak 1 bux onl.)
CendiOale wi[M1 Commiftee ene nn ectivity independenl of�ha commitlee
�.q I certi�y that I ha.-c cxamincd this mpon Including enached schedules and it is.to�Fc hcs�nfmy Iniowled�e and belief,nwe anJ wmplem stamment ofall cam0aign finanw
!?� acuvity,olall persons ecting undcr�hc authovity or on behalf of ihfs commincc in acmvdan¢with the eequirements of M G L.n Si I hare not received any com bmions,
IncurtcA anY Ilabilitics nov made any cependim�es on my behalf�uring�his rc0oning peeiod.
CenOidete witM1wt Comminn�fentlitlete with inJeDe�tlenl a<tivity filing seperere report
I ccnify�he�I hevc cxemincd this vepon inclnding auached schedulcs and ii is,m Wc bcs[of my Anowledge end beliel,a«ue and com0�ece s�a�emem olail campaign
� financc activity,including contributions,loens,rewipu,expendiWrcs.disburscmrna,imkind wnvibutions and linbili�ies for this re0orting period and represents the
campeign fnenee activity of all persons ecting under the amhori�y or on bchalf of Wis commitme in auo�denw with the mquircments of M.G.L.a 55.
s� <a��ae.me we.or /.f��.s R. Ct,RQw c�a�aa�e�.:� ,w�r oate: 5/i�/7
go pene perjury: � ( kn )
SCHEDULE A: RECEIPTS
MQ L c. 55 requlres 1ha!!he nome and residential addrers be repor(ed, in a[phabetica(order,jor all receipts over S50 in a ca[endar
yean Commitlees mvst keep de[ailed accaunts and recordr ofo[(receipt.v, bu!need only itemize thase receip(s over$50_ /n addlGon, Me
accupation and employer must be reported fnr all persons who contrlbute 3200 or more in a ca(endm year.
(A"Sehedule A: Receip[s"a�tachmeot is available to complcte,priot and attach to[his reporl,i[addi[ional pages are reqoired to
repurt all receip[s. Please include your committee name and a page number on each page.) �
Name and Residential Address Occupation& Employer
Date Received (alphabetical listing required) Amoun[ (for cootributions of$200 or more)
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Line 9: To[al Receipts over$50(or listed above) (p73,y�
Lice 10: Total Receip[s $50 and under* (no[listed above) Sp,ob
Line 11: TOTAL RECEIPTS IN THE PERIOD �"�a�J,�(�T. F Enter on page 1, line2
' If you have ifemized receip[s of$50 and under, include them in line 9. Line 10 should include only[hose receipts not itemized above.
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