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Home My WebLink About2019 Berman - 30 Day � Form CPF M 102: Campaign Finance Report Municipal Form R r;:E ; V i=u Otfice ot Campaign and Poli[ical Finance T�t'1 "� r�.i R K RE:1,n ; i: r.;, PAA. Commom�cal�h ofMusachuseu� Filewi n I� mmisnon Fill in Reporting Period dates: Beginning Date: 03/16/2019 Ending Date: 04/22/2019 Type of RepoR: (Check one) � 8th day pceceding pceliminary ❑ Hth day preceding election � 30 day after election ❑ yeao-end report ❑ dissolution Q�,rrx �}rtll,rqn � aar�vnn � aenwf �OtA-� S �d,d�u��o��e, ��-c1�1� M�� ,��e cle� OffttSnughtandD vict N eofCommineeTreuura �`1 �e'w� V1t�.J Q-o-a.,), �. blSb} S`1 �s+wyN� � �r.�.lh al$6� I I Residcn[ialAddress � Committe MailingAddress r-ma�i-. YJC,YJe.�y.ay� N/l CAM�Gy�" F-mau: 'r�C,�e/��yMNu�Pha, Qrl� �(M� •�6'M ehonea(optionap: ��}� pq�" �7�j Phoneq(ov�ionap: " �7p"' 8�}_p��' SUMMARY BALANCE INFORMATION: Line L• Ending Balance from previous report � 8 Line 2: Total receipts this peciod(page 3, line 11) (? i � Line 3: Subtotal (Iine 1 plus line 2) (, �q • �j'� Line 4: Total expendicures this period(page 5, line 14) 3�- °�� • � Line 5: Ending Balance(line 3 minus line 4) '�� QY�'� • j Line 6: Total in-kind wnhibu[ions this period(page 6) X/ Line 7: Total (all)outstanding liabilities(page 7) �CJ Line 8: Name of bank(s)used: A?duvi�af CommiHcc ireesurer: I cenify tAet 1 hare exvnined�M1is report including ailached aehedules nnd it is,m Ne bes�of my knowledge and bellel',e we end complele su¢ment of all campai�finanec aexivity,includlqg all contnbutions loens,mceipis,expendim�u,dlsbursemuitc io-klnd contnbu�ions end Ilabifiuu for lhis�eponln50eriod ond repeesents Itieeam0eign fnanw activlty of all permns actlng under�M1c au�M1onty or�o/n�bcM1all�Oiis commiuce in acco�dana with�he mquiremrnts of M.GJ..c.>5. 9ignetlunderthepeneltiesofperjury: � �/ �—� 1 ��—^'' (Taasu�w'ssignaWre) Date: ��, ��,�G� FOR CANDIDATE FILINGS ONLY: nmaevit ofcxna�ae�e:�eneck 1 box oniy� Gndidate wi�h Commivee vnJ no aclivih indepcnJenl of IM1e mmmi�ice ^ 1 cegdqihet 1 have exemined�hix mpotl including anached schedulev end It is,m the best of my knowle4ge and bclief,e nue end com0le�e s[aament of all cem0algn finance �i�ivi�y,of all persons aming under�he authority o on behalf of�his coinminee in avwrdance wiN�he re4uircmrnt nf M QL.c.55. I have wt received any ronvibutions, m�urzed any liabilitics nov mede any expendi�mcv on my behal�during Ihis reponing period. Cantlidate wilhout Cnmminee OR CanOiOere with inJependent ec�ivi�y fling sepan�e rcpor� 1�ertify IFa�I h ' d th�� port' lud' g an hed schrA I . d l is.to�M1c h _t f y kno IeAge and h f C tr e and comple¢s[a[ t of all cam0algn � Gnanccact�-n ' 1 d g � -b tons loens i' e.0 dim d'�b semcnls - k' d [-b (onsandl b'I'Y f tti� eponngpe ' d drepresenesNe campaig t i 'p of dl pc sons ac�ing thc amM1ovity r' behalfol'thi omminee in mw d th the rWuire ents of M G L. 55 i,/�� SgvedunOer�M1epeoslnuof0equry. �l� '\ �� ((andaam§sig amreJ Da[e. �K SCHEDULE A: RECEIPTS M.G.L. e 55 requires!ha[the name and residen[ia[addre.vs be reported, in a[phobetical order,for aAreceipts over$50 in a calendar year. Commi!lees mus!keep demi(ed accounts and rerords aja/1 receipeq but need only itemie lhose receiptv over$50. In oddition, !He occupafion and emp(oyer must be reporred for o!!persons who contribule 3200 or more in a calendar year. (A "Schedule A: Receip[s" attachment is available�o complete,priu�aod a[[ach to[hie repor[,i[additional pages are required to repor[all receipts. Please include your commi[[ee name and a page number on each page.) Name and Residen[ial Address Occupation &Employer Date Reeeived (alphabetical lis[ing required) Amount (for contribations of$200 or more) � � � � � � � --_ � � � � � � � � � � � � � � � �� Line 9: Total Receip[s over$50(or listed ebove) � Line 10: To[al Receipts$50 end undec' (not lis[eA above) � I Line 11: TOTAL RECEIPTS IN THE PERIOD � f Enrer on page 1,Iine 2 ' Ifyou have itemized receipts of$50 and undeq include[hem in line 9. Line 10 sho�ld include only[hose rueipts not itemized above. Page 2 � SCAEDULE A: ItECEIPTS (wntinoed) - Name and Residential Addresa Occupa[iou & Employer Date Received (alphabetical listiog required) Amoon[ (for contributions of$200 or more) 1 r �.h,ti� pR� �;��,�,mn ��w �IH ��^M�.S �rnrr ot�)L � OV M ��Y Sc,H,� SQ�';1,"'� � (37 3 �� i�srr �Cui�, c� Su� vt- l r r�,w,s� i p,��,�� I�\ �� frtniu �e�� aL�L� (d J � I��I�h 3 � e��k,� 1��.. (�,.�,, � � �n�M�- Vc�r�� ,h > h� o�� i i� � >>,�, � ��,�,u,MA � >�7 �I �I�y ��,�.� � �-� `� I� �(u �i'�a��.41�n, �MdtDlu,+ � � � � � � � � � � � � � � Line 9: Total Reoeipts over$50 (or listed above) �� Line 10: Total Receip[s$50 and under* (not lis[ed ebove) (}�Dlt p Line 11: TOTAL RECEIPTS IN THE PERIOD �� F Enter on page I, line 2 ' If you have itemized receipts of$50 and undec,include them in line 9. Line 10 should include only Ihose receipis not itemized above. Page 3 SCHEDULE B: EXPENDITURES MG.L. a 55 requires commluees ta llat, in alphobetical arder, a((upenditvres over$50 in a repor(ing period Commiaees must keep de(ailed accounts and records ojal!expemditures, bu�need an/y rtemize those over$50. Expenditures$50 and under may be added mgether, from commitlee records, and reported an llne l3. (A "Schedule 6: Expendihres" attachment is available[o comple[e,prin�aud a[[ach to[his report,if additional pages are required[o repor[all expendilores. Please include your eommittee name and a page number on each page.) To Whom Paid DatePaid (alphabe[icallistin� Addrese PurposeofEzpenditure Amount � � � � � __ � � � � � � � � � � � � � � � � � � � Line 12: Total Expenditures over$50 (or listed above) � I,ine 13:To[al Expendimres$50 and under* (no[ listed ebove) � Enrer on page 1,line 4 -� Line 14: TOTAL EXPENDITURES IN THE PERIOD � * Ifyou heve itemized expenditures of$50 and under, include them in line 12. Line 13 should include only those expenditures not itemized above. Page 4 SCHEDULE B: EXPENDITURES (continued) ' To Whom Paid Date Paid (alphabetical listiog) Address Parpose of Expenditure Amount � �onn>ll Qr, t-I J��n MaG�,,,•�, 251�.�k r¢�^�6.�irr,v..,/� H1`l\� �MH 'WhJ� I�UM �IJW � Q��"� .t��' � {'.e.�J � YI<c.IYUmC � ' �L � ,� k 21'. ak � � u � � � � � � � � � � � � � � � � � Line 12: Expenditures over$50 (or listed above) �1 q�,')p Line 13: Expenditures $50 and under* (not listed above) � Enter on page I, line 4 � Lioe 14: TOTAL EXPENDITURES IN THE PERIOD y!`�,j.� " Ifyou have itemized expenditures of$50 and under, include them in line 12. Line 13 should include only those expendiNres not itemized above. Page 5 SCHEDULE C: "IN-KIND" CONTRIBUTIONS Please itemize contributors who have made in-kind contributions of more than $50. In-kind contribu[ions$50 and under may be addeA toge[her from the committee's records and included in line 16 on page I. Da[e Received From Whom Received* Residential Address Description of Contribution Value � _ � � �—� � � � � � � � � � � � � � � � � � � � � � � � � Line I5: In-Kind Conhibu[ions over$50(or Iis[ed above) � Line 16: In-Kind Conhibutions$50& under(not listed above)� Enter on page 1, line 6-� Line 17: TOTAL IN-HIND CONTRIBOTIONS � ' If an in-kind contribution is received 6om a person who conhibures more than$50 in a wlendar year,you mus[report the name and address ofthe mnVibutor, in addition, if[he contribu[ion is$200 or more,you must also report[he contriburor's occupation and employer. page 6