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HomeMy WebLinkAbout2019 Williams - Year End � ' ' Form CPF M 102: Campaign Finance.Re�Eo4'���� Municipal Form � G e���� `� � ��� �. �- � ,, , , . .,-�- � , , , ,; . ;.. ' .� Office of Campaign and Politicel Finance [L2� JHti � 3 pk �: � � 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 �1.1 �i A �I �l 1� arnC Candidae Pull Neme(if eppliaable) Comminee Nvne ��,i+cv��. C�mnu�'e_2 N�^e- 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�: —�— 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) � � � � � � � � � � � � � � � � � � � � � � � � Line 9: Total Receip[s over$50(or liated above) � Line 10: Total Reoeipts$50 and under* (not listed above) � �J 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. Page 2 � SCHEDULE A: RECEIPTS (continued) Name and Residential Address Occupation &Employer Date Received (alphabetical listing required) Amoun[ (tor cootribudons of$200 or more) � � � � � � � � � � � � � � � � � � � � � � � � � � 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. Page 3 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 � � � � � � � � � � � � � � � � � — � � � � � � � Line 12: Total Expenditures over$50(or lis[ed above) � �1 Line 13: Tolal Expendi[ures $50 and under" (no[listed above) � �I 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. Page 4 � SCHEDULE B: EXPENDITURES (continued) To Whom Paid DatePaid (alphabeticallisHng) Address PurposeofExpenditure Amount � � � � � � � � � � � � � � � � � � � � � � � � � � � 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. Page 5 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 � � � � � � � � � � � � � � � � � � � � � � � � 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. Page 6 • 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 � � � � � � � � � � � � � � � � � � � � � � � � � � � � Enter on page l,line 7 -� Line 18:TOTAI.OUTSTANDING LIABII,ITIES(ALL) � Page 7