HomeMy WebLinkAbout2019 Wise - Year End �
� � Form CPF M 102: Campaign Finance Report
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Municipal Form
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O�ce otCampaign aod Political Finance � ;, � � ,
CommomvealN + I�` �d,
ofMassachuvetts � F
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Filewi�h: Ci orToxmClerkorElectionCommission
Fill in RepoRing Period da[es: eeginning Date: oa/z7/ioie snding�ate: ���§�/��� H�� �� �4
Type of Report: (Check one)
❑ Sth day preceding preiiminary ❑ Sth day preceding election ❑ 30 day after election ❑X year-end report ❑ dissolution
'(,ho.n�u W�St, �ww�iflc.� i� e.l,�c�' Trvh rJix.
Q �CendidffiIeFull Neme(if a.p{plioable) Comminee Namc
J�y�001 �bvN1x(II( u �fA� W�.S�.
ORice Soup}��end Disvict Name of Committee Treasurer
t`6\ .5�..� �,t- Qnr,d.w,a MA 0�61� l`a1 S„tl, �t. Ru.�c4.�w MFF 6�gC.�-
/� Residrn[ial ddress f Commil4e/MailingAddress
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Phone N o tional � J ��
( P ). Phoneq(optiooap:
� SUMMARY BALANCE INFORMATION:
Line 1: Ending Balance from previous report i��,�G
Line 2: Total reoeipts this period(page 3, line i])
Line 3: Subtotal (line 1 plus line 2) ���w
Line 4: Total expendiNres this period(page 5, Iine 14)
Line 5: Ending Balance(line 3 minus line 4) �I Nj�.��
Line 6: Total in-kind contributions[his period(page 6)
Lioe 7: Total(all)outstanding liabilities(PaSe 7). �5/J,SI
Line 8: Name of bank(s)useA: Q,¢.p� ��� .
ARMevi[ofCommina Treaeurer. �
I certify Naz I have exsmined Ihis report including attached schedules and it is,m the best of my knowledge and belief,a vue end wmplete staremrn�of all campvg�f�nence
aceiviry,incWding all contribu[iore,loans,receipu,expendiwre;disbmsements,in-kind wnvibutions and liabilities for ihis reporting period end ropresents Ne campaig�
fnenw activity of all pereons acting under Ne auNonty oron behelf f th�s committee in ucordance wi�M1 Ne mquirements of M.Gl.c.55.
\ /Siguedunderthepeeeltiesofperjury: � ' I.LAl"�� (Tressurer'ssignaNre) Date: i/�!� ��(y
FOR CAIVDIDATE FILINGS ONLY: ARJavi�ofCaoJiJa�r.(e�eek 1�ox ooly)
Godidah with Committee antl no aafivity independent of Ihe mmmittee
❑ 1 artify the�1 heve examined�Ais report including atlached schedules and it is,m Ne best of my knowledge and belief,a true and wmple¢sta�smrnt of ell cempei�fnancc
activity,of all persons acting under�he aulhonty or on behalf of Nis wmm�tlee�n acwrdance with[he requ'vements of M G L.c 55. 1 have not reuived eny contribmio�,
mcwred any liabili[ies nor made any expenaitmes on my behalf during Nis repotling penod.
Candidvte without Committee 4R Gudidah wilh inaependent a<livily Oling separote re0orl
�i certify Net I have exvnincd�his report including atlached schedules and it is,m�te bes�of my knowleAge end belie(a vue and comple�e sta[emm[of all camptigi
fnance ec[ivity,including conUibufions,loans,mceipts,expendilures,disbursemenLs,in-kind cono-ibu[ions and liabilities for this mpohing penod and rcpresrnh ihe
cempdgn fivancc activity of all Oersons acling under�Ae au�hority or on behelf of this commiMe in acwrdance wiN the requiremen6 of MAL.c 55.
Signed uvder[he peo�lfiee of perjury: � Da[e:
(Cendidme'ssignemre)
SCHEDULE A: RECEIPTS . '
MG.L. c. 55 requlres tha[!he name andresidentia]address be reported, in alphabetica!order,for a[[recefpts over$50 fn a calendar
year. Comml[[ees must keep detailed accoun�s and records ofa!(receipts, but need only itemize those receipts over$50. In addi�ian, the
occupation and employer must be repor(ed for a//persons who corctri6ule 3200 or more in a calercdar year.
(A"Schedule A:Receip[s" attachment is available to complete,print aud attach to this report,if additional pages are required to
report all receip[s. Please include your committee name and a page number on each pege.)
Name and Resideotial Address Ocwpation&Employer
Date Received (alphabetical listing required) Amount (for contributions of$200 or more)
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Line 9: Total Receipts over$50(or listed above) �
Line 10: Total Receip[s $50 and under* (not listed above) �
Line 11:TOTAI.RECEIPTS IN THE PERIOD E- Enter on page t,line 2
• If you have itemized receipts of$50 and undeq include Ihem in line 9. Line 10 should include only those receipts not i[emized above.
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' , SCHEDULE A: RECEIPTS (confinued)
Name and Residential Address Occupation&Employer
Date Received (alphabetical listing required) Amouut (for cootribudons of$200 or more)
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Line 9: Tohl Receipts over$50(or listed above) �
Line 10:Total Reoeipts$50 and under' (not listed above) �
Line 11: TOTAL RECEIPTS IN THE PERIOD � F Enter on page I, line 2
" If you heve itemized receipts of$50 and under,include them in liue 9. Line 10 ehould include only those receipts not itemiud above.
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SCHEDULE B: EXPENDITURES • '
M G.L e 55 reguires committees to list, in alpAabefica[order, a!!expendi(ures over$50 in a reporting perlod. Commitfees must keep
detailed accounts and records of a(1 espenditures, 6ut need only itemize those over$50. Fxpendilures$50 and under may be added together,
from commilfee recordr, and reported orc line 13.
(A"Schedule B: Expeudihres" atlachment is available to comple[e,print and attach to lhis report,if additional pages are required to
report all expenditures. Please include your committee name and a page number on each pageJ
To Whom Paid
Date Paid (alphabetical listing) Address Purpose of Expenditure Amount
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Line 12: Total Expenditures over$50(or listed above) �
Line 13: Total Expenditures $50 and under*(not listed above) �
Enter on page l,line 4 -� Lioe 14:TOTAL EXPENDITUAES IN Tf�PERIOD
* If yw have itemized espandituree of$50 and under,incl�de them in line 12. Line 13 should include ouly tliose expenditures not itemized
above.
Page 4
� ��, SCHEDULE B: EXPENDITURES (condnued)
To Whom Paid
Date Paid (alphabetical lisfin� Address Purpose of Expenditure Amount
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Line 12: ExpendiNres over$50(or lis[ed above) �
Line l3: Expenditures$50 and under* (not listed above) �
Enter on page l,line 4� Line 14: TOTAL EXPENDITURES IN THE PERIOD �
* If you liave itemized expenditures of$50 and undu,inclode them in Iine 12. Line I3 should include only those expeudiNres not itemized
above.
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SCHEDULE C: "IN-HIND" CONTRIBUTIONS . '
Please itemize con[ributors who have made in-kind contribu[ions of more than$50. In-kind contributions$50 and under may be
added[ogether from[he committee's records and included in Iine 16 on page I.
Date Received From Whom Received" Residential Address Descriptioo of Cootributioo Value
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Line 15: In-Kind Conhibu[ions over$50(or listed above) �
Line 16: In-Kind Contribu[ions$50& undar(not listed above)�
Enter on page I,line 6 -+ Line 17: TOTAL IN-KIND CONTRIBUTIONS
' If an imkind con[ribution is received from a person who contribu[es more[han$50 in a calendar year,you must report[he name and address
of[he contributor; in addi[ion,if[he contribution is$200 or more,you mus[also report[he conhibu[or's occupalion and employer. Page 6
SCHEDULE D: LIABILITIES
MG.L. a 55 reguires committees(o report ALL liabilities which have been reportedpreviously and are sti(1 outstunding, as well
as those liabi(ieies incurred dw�ing thrs reportrng period.
Date Inwrred To Whom Due Address Purpose Amount
�1�1 lq �IkauuS W�S(. l`6� .$uw� �Jt, �11. hS (43D.39
7{Qb�l9 'fi�o.�ws W.'ac, 1SI Stx�t� �F- L�;�ks �-.e.✓e.�' �s.lZ
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Encer on page l,line 7-> Liue 1S: TOTAL OUTSTANDING LIABILITIES(ALL) j��5,51
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