HomeMy WebLinkAbout2019 Williams - Year End � ' ' Form CPF M 102: Campaign Finance.Re�Eo4'����
Municipal Form � G e���� `� � ���
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Office of Campaign and Politicel Finance
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commonwwlN
of Maasazhusett�
FilewiN: Ci orTownQerkorBhc[ionCommission
Fill in RepOrtirtg Pedod dates: Beginning Date: oa/23/2019 Ending Date: 1y31/2o19
Type of Report (Check one)
� 8[h day preceding preliminary ❑ Bth day preceding election ❑ 30 day after election 0 year-end report ❑ dissolu[ion
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Candidae Pull Neme(if eppliaable) Comminee Nvne
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Oflice Sought and Diso-ict Name ofComminee Treasurcr
4 o M FFI?�A w H o M�-�n �-r% k�eacL-v�M
Residential Address Committtt Mailing Addrus
e-mv��. M 4 M A I I S 7 "1 �m L. (�O� e-mai�:
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Phone M(opfia�al): PM1one M(oplioual):
SUMMARY BALANCE INFORMATION:
Line 1: Ending Balance from previous report O
Line 2: Total reoeipts this period(page 3, line 11) Q
Lioe 3: Subtotal(line 1 plus line 2) �
Line 4: Total expenditures[his peciod(page 5, line 14) �
Line 5: Ending Balanoe Qine 3 minus line 4) Q
Line 6: Total in-kind contribu[ions[his period(page 6)
Line 7: Total(all)outstanding liabilities(page 7) �
Line S: Name of bank(s)used:
ARidrvi�otCommit[ce Treesurer:
I certify Ma[1 have exemined'Ais report including at�ached schedules m�d it is,lo Ne best of my knowledge snd belief,a We and complece s�alement of all cempai�finance
activiry,including all cono-ibmions,loans,receipts,expendimre;disburscments,imkind contributions and liabili�ies for Nis reporling period end represwB Ne campei@�
fnance activity of all persons acting wder the euNority or on be/hal�f—ofthis wmmitcee in accordanw wiN Ne requiremrnts of M G L.a 55.
Sigoeduntlerfhepeoalliesofperjury: � / � (Treuurzr'ssignamre) Date: � � �
FORCANDIDATEFILINGSONLY: wifiaa.itotf.vvdidam:(cne<416oxonly)
Godidate wi[h Comminre und no acfivity iudependev�of[he commitlee
I estlify�hat I have exemined Nis report including aluched schedules aod it is,ro Ne ben of my knowledge and belief,e Uue and complete sl&emen[ofsll cempei�finance
� activity,of all penons ac[ing mder tM1e auUiority or on behalfofNis wmminee in accordance wiN Ne requirements ofM.QL.c.55. 1 have not received any contribu[ions,
incurted any liabilities nor made any expendi[wes on my behelf during�Ais reporting period.
Gndidete withoul Comminee 4$Caudidoh wilh intlepmtlenl acfivity filing separate rtporl
� I artify Net 1 heve examined this report incWding attacMd schedules and it is,ro trie best of my knowledge and belief,a We and mmplele s�abmrnt of ell cem0aign
flnmce activity,including cantribmioos,loens,receip6,npendiwres,disbwsemenfs,imkind contnbutions and liebilities for Nis reporting period v�d represems thc
cmnpeign finance ac�ivity of all persons acting nJer(Le euNoriry or on behalf of Uiis comminee in accardsnce wiN Jie requirements of M G L.c 55
Date: ZD
SigoedunderthepeuaLLiesofperjury: � � � (Candida¢'ssignamre)
SCHEDULE A: RECEIPTS �
MG.L. a 55 reqvires that the name and residentia/oddress be reported, in a/phabetical order,jor a!!receipts over$50 irc o calemdpr
year. CommiJtees mvst keep detoiled accouras arcd records of a!!receipls, but need onTy itemize those receipts over$50. ln addiNoq /he
occupatian ond emp[oyer mus!be reported for all persans who cannibute$200 or more in p calendm year.
(A"Schedule A: Receipfs"attachment is available to complete,prin[and attach[o tAis report,if additional pages are required lo
report all receipts. Please inclutle your committee name and a page number on each page.)
Name and Residentiel Address Occupation&Employer
Date Received (alphabetical lisfing required) Amount (for contribufions of$200 or more)
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Line 9: Total Receip[s over$50(or liated above) �
Line 10: Total Reoeipts$50 and under* (not listed above) �
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Line 11: TOTAI.RECEIPTS IN THE PERIOD � f En[er on page l,line 2
" Ifyou have itemized receipts of$50 and under,include them in line 9. Line 10 should include only[hose receipu not itemized above.
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� SCHEDULE A: RECEIPTS (continued)
Name and Residential Address Occupation &Employer
Date Received (alphabetical listing required) Amoun[ (tor cootribudons of$200 or more)
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Line 9: ToffiI Receipts over$50(oc lis[ed abova) �
Line 10:Total Receipts $50 and under* (not listed above) �
Line 11:TOTAI.RECEIPTS IN THE PERIOD � F Encer on page 1,line 2
• If you have itemized receipts of$50 and wdey include them in line 9. Line 10 should include oNy[hose receip6 noc itemized above.
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SCHEDULE B: EXPENDITURES �
MGl. c. 55 requires cammiHees!o lrs; /n a[phabefical ordeq all expenditvres over$50 in a reporting period Committees must keep
demi(ed acrovnts and records of o1J expendi(ures, bvt need anly ifemize lhose over$SQ Expenditwes$50 and under moy be added mgefher,
jrom commi!!ee rerords, ond reported on[ine 13.
(A "Schedule B: Expendihres" a[tachment is evailabk[o comple[e�print and a[[ach to[his report,if additional pages are required to
report all expenditures. Please include your committee name and a page number on each page.)
To Whom Paid
Date Paid (alphabe[ical listing) Address Purpose o(Expenditure Amount
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Line 12: Total Expenditures over$50(or lis[ed above) �
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Line 13: Tolal Expendi[ures $50 and under" (no[listed above) �
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Enrer on page I, line 4-� Line 14:TOTAL EXPENDITORES IN THE PERIOD �
* If you have itemized expendi[ures of$50 and undeq incWde them in line 12. Line 13 should include only those expendihves not iremized
above.
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� SCHEDULE B: EXPENDITURES (continued)
To Whom Paid
DatePaid (alphabeticallisHng) Address PurposeofExpenditure Amount
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� Line 12: Expenditures over$50(or listed above) �
Line 13: 8xpenditures$50 and under• (not listed above) �
Enter on page l,line 4 -� Line 14: TOTAL EXPENDITURES IN THE PERIOD �
' If you have itemized expenditures of$50 and under,include them in line 12. Line 13 should include onty those expendiNres not itemized
above.
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SCHEDULE C: "IN-KIND" CONTRIBUTIONS
Please i[emize conVibu[ors who have made in-kind wntributions of more than $50. In-kind contribu[ions$50 and under may be
added toge[her from the committee's records and included in line 16 on page l.
Date Received From Whom Received* ResideoHal Address Descripfion of Contribution Value
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Line 15: ImKind Contribu[ions over$50(or listed above) �
Line 16: In-Kind Contribu[ions$50&under(not listed above)�
Enrer an page l,line 6 -i Line 17: TOTAL IN-KIND CONTRIBUTIONS �
" lf an io-kind contribution is received Gom a person who conhibutes more than$50 in a calendar year,you must report Ihe name and address
of[he contributor, in addi[ioq if the contribution is$200 or more,you must also report[he contribu[or's occupa[ion and employer.
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• SCHEDULE D: LIABILITIES
MGl. c. 55 reguires committees ro repore ALL liabilities which have been repor�ed previous(y and are still outstanding, as we/!
as those liabilrties incurred durntg Ihis reportrng period.
Date Incurred To Whom Due Address Purpose Amount
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Enter on page l,line 7 -� Line 18:TOTAI.OUTSTANDING LIABII,ITIES(ALL) �
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