The URL can be used to link to this page

Home My WebLink About2019 Parks - 30 Day � Form CPF M 102: Campaign Finance Report Municipal Form � ,, .- ,. Office of Campaign and Political Fina ��q�4�r�a �� [� "fCti , i�: .,(�ERK �ommo�»�a�� P.E",�, �" r, h9A. olMazsnchusens ' Ci -or n er ElectionComioissian Fill in Reporting Pe[iod datCS: Beginning Date: 03/16/2019 Endin e. o z i ' Type of Report: (Check one) ❑ Sth day preceding pceliminary � 8th day preceding election � 30 day after election ❑ year-end report � dissolutiou �1,�.. . LI. � W- II Csndid re Full Neme(if applicehle) Commftae Name S.�I.ac\ �r�+�..M..��f.-P_ �q Oflice Sought end Dirt�ict Namc of Commfltec Tremurer �� Wa_.c. = c�C Sr . I Residrn[iel Addass Commivee Mailin�Address F-mail: �a�„�jb�kC � �w.�G�JZ,JIP.T F.-mail: Phonc M(opnonal): 7�-/ ��-�- ��a� Phonc N(o0��onal)'. yy . SUMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous repon O Q� � Line2: Total receipts this period(page 3, line I 1) Q � Q Lioe 3: Subtotal (line I plus line 2) Q ,p �J Line 4: Topl expenditures this period(page 5, line 14) Lioe 5: Ending Balance Qine 3 minus line 4) Q_(�O Line 6: Total in-kind contribu[ions this period (page 6) �pQ Line 7: Total(all)outstanding liabilities(page 7) n, QQ Line 8: Name of bank(s)used: nmao.��orc�mm�nee r.eas��e.: I certify iha�1 hnve examineA this rcDotl including et�echeJ schedules and It is,m�he bes�of my knowledge end Mlicl;a tme and wmplem stamment of all campalgn finxnce ac�iviry,including ali convibu[ions,loans,recei0�s,expendfwres,dfsbu�semems,imkind contribNions ena Ilabilf0es Co�Nfs reporting peviod end rcpruuts Ihe campelgn ❑nenccuiivityoFallpersonsacOngundcrtM1c utM1 Ityoronb If fthiswmmineeinaccordanecwi�h�hcrcquiamentsofM.G.L_c5i SigocdunJerlM1epenallienofperjury: (Trcavurcr'ssignaNre) DetC: � a FOR CANDIDATE FIW NGS O Y: AlTdevit ofCandidale:(check 1 box only) Cmdidvre wilh Commipee and m scrivity independent nf the commitlee ❑ 1 cenify ihet 1 heve examineA�his�epon including attaehed schedules snd i�is,to�he bes�of my Imowledge and belief,e�me and com0�ete sptement of all cempaign finanee aaiviry'.of ell persons aaing under the authority o0 on behalfof rhis commitac in accordence wiih�he requimments of M GJ_o.55. I have nm recelved eny convibutions. incurted eny iiebilt�cs wr maJe eny expendimms on my behalf dnnng ihis rcpotling porioQ CandiJa�c witM1out Cnmmipee Q�Candidare with independem ectiviry filing separa�e report � 1 eertify thnt 1 have exemined this report fncludfng avached schedules and it is,m Me hes�of my kmwleJge and belief.e tme and eomple�c stecemem ofall cempaign (inance activlty,lneluding wnvibutions.loane,receipts.�pendiwas,disbu�semwts,imkind contnbulfons anJ liabili[ies for ehis reponing penod and repmsen�s thc cam0aign Gnance eaivity of e0 persons acGng under the awhunty oron behxlfof�his commincc in accordance wlth the mquiremcnu of M.GL.c.55. � Date:� Signed vndcr thc penal�ies o[perjury: (Candidntes signemre) SCHEDULE A: RECEIPTS MQL. c 55 reguires lhat(he mm�e and residen(Ia(addresa�6e reporfed, in alphabe(ica(order,for al(receipts over 350 iv a calendar year. Committees must keep demiled occaunls and records njoll receipts, bu(need on(y itemize those receipts over 550. !n addition, the occupotion and emp/oyer must be reported for a(/persons who contribute$l00 or more in a calendar year. (A "Schedule A: Receipts"a[tachment is available�o wmple[q priu�aod atlach lo[hie repor[,if additional pages are required to report all receipts. Please include your cammittee name and a page number on each page.) Name aod Residential Address Occupation & Employer Date Received (alphabe6cal lis[iog required) Amauot (for cootributious of$200 or more) � � � � � � � � � � � � � � � � � � � � � � � � � � Line 9: Total Receipts over$50(or lis�d ebove) � Line 10: Total Receipts$50 and under* (not listed above) � Line 11: TOTAL RECEIPTS QV TAE PERIOD � f Enter on page 1, line 2 " If you have itemized receipts of$50 and under, include[hem in line 9. Line 10 should include only those receipls not itemized above. Page 2 SCHEDULE A: RECEIPTS (continued) Name and Reaiden[ial Address Occupation & Employer Da[e Received (alphabetical lis[ing required) Amouot (for contributions of$200 or more) � � � � � � � � � � � � � � � � � � � � � � � � � � Line 9: Total Receip[s over$50(or listed above) � Line 10: Total Receipts $50 and under* (no[lis[eA above) � Line 11: TOTAL RECEIPTS IN THE PERIOD � c— gnter on page I, line 2 '' If you have itemized receipts of$50 and undec,include them in line 9. I,ine 10 should include oNy those receipts m[i[emized above Page 3 SCHEDULE B: EXPENDITURES MG.L. c. SJ requires committees m list, in a[phabetiea[order, a//expenditures over$50 in a reponing period Comminees must keep detailed accounts ond records ojal(expenditures, but need only i(emise(hose over 550. Expenditures$50 and under may be added logefher, Jinm committee records, and reported on(ine 73. (A "Schedule B: Ecpenditures"a[tachment is available[o eomple[e,prin[and a[[ach[o Ihie repor[, iPaddi[ioual pages are required[o report all expendiW res. Please include yoar committee name and a page number on each page.) To Whom Paid Date Paid (alphabetical listiog) Address Purpose of Expendi[ure Amaun[ � � � � � � � � � � � � � � � � � � � � � � � � Line 72: To[al Expendi[ures over$50(or listed above) � Line 13: To[al Expenditures $50 and under" (no[ lis[ed above) � Enrer on page I, line 4-� Lioe 14: TOTAL EXPENDITURES IN THE PERIOD � ' If you have itemized expendimces of$50 and under, include them in line 12. Line 13 should include only those expendilures wt itemized abo�e. Page 4 SCHEDULE B: EXPENDITURES (continued) To Whom Paid Date Paid (alphabetical listing) Address Purpose of Expeuditare Amount � � � � � � � � � � � � � � � � � � � � � � � � � � Line 12: Expenditures over$50(or listed above) � Line 13: Expenditures$50 and under* (not listed above) � Enter on page I,line 4—� Line 14: TOTAL EXPF.NDITURES IN THE PERIOD � " Ifyou have itemized expenditures of$50 and undeG include them in line 12. Line 13 should include only those espendiNres not icemiud above. Page 5 SCHEDULE C: "IN-HIND" CONTRIBUTIONS Please itemize co�tributors who have made in-kind contribu[ions of more than$50. In-kind contributions$50 and under may be added toge[her from the committee's records and included in line 16 on page l. DateReceived FromWhomReceived* ResidenfialAddress Descrip[ionofCootribution Value � � � � � � � � � � � � � � � � � � � � � � � � Line I5: In-Kind Contributions over$50(or listed above) � Line l6: In-Kind Contributions$50& under(not listed above)� Enter on page I, line 6-� Line 17: TOTAL IN-KIND CONTRIBUTIONS � * If an imkind mn[ribu[ion is received Rom a person who contributes more than$50 in a calendar year,you must report[he name and address ofthe contribumr, in additioq if the mntribution is$200 or more,you must also report the wntributor's occupation and employer. page 6 SCHEDULE D: LIABILITIES MG.L, c. 55 requires commi(tees to report ALL liabili(ies which have been reported previou.cly and are stil/outstanding as well as those lrabilities incurred during this reparting period. Date Incurred Ta Whom Due Address Purpose Amouot � � � � � � � � � � � � � � � � � � � � � � � � � � � � Encer on pege l, line 7 � Line 18: TOTAL OUTSTANDING LIABILITIES(ALL) � I Page 7