HomeMy WebLinkAbout2019 Alvardo - Year End � Form CPF M 102: Campaign Finance Report
Municipal Form
Omce of Campaign and Political Finance � , -;�� � � �r ,
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Commonweallh �� � : F. �. . , _ ?S -
ofMassachuscns `j�
File w' � r Town Cicrk or Ekc[ion Commission
Fill in Reporting Period dates: segin�Ng�ace: i/1/zoie Ending Da[e: � S%10L9 PIi O' SU
Type of Report: (Check one)
❑ Sth day preceding preliminary ❑ Sth day preceding elec[ion ❑ 30 day after election X❑ yeaz-end report ❑ dissolution
VAN�SSA �SH(�EL �LVATU�C� �mMMIrTEE 7a �LFeT VANL'�'S/a �LVAf20.�
Candidffie Full Name(if applicable) Committce Name
S�LFC.T ��ERRD � %.�,�✓ ac Z�A�nR: �C�A6�'RR TSEC.KAk�S-tZ�SNCUq
ORw Sought and District Neme of Commipee Treazmer
� 62c�+�D Sr, R�tD�nn,, it�lA � �Ei+.� S�,��p,Nt- .�tl�
Residen�ial Address Commit�ee Mvling AdNess
E-meiL E-mail'.
Phone k(op�ional): Phone k(op�ionel):
SUMMARY BALANCE INFORMATION:
Line 1: Ending Balance from previous report
Line2: Toml receipts this period(page 3, line 11) � �
Line 3: Subtotal(line 1 plus line 2)
Lioe 4: Total expendiNces this period(page 5, liue 14)
Line 5: Ending Balance(line 3 minus line 4) �j'L,(o,�}�Q
Line 6: Total in-kind contributions this peciod(page 6) ��
Line 7: Total(all)outsqnding liabilities(page 7)
Lioe 8: Name of bank(s)used: �y (}j
AtTOrvil of Commiuce Trtuurer:
I artify Na[1 have examined ihis report includ �Ytached scAedules and it Uie bes�of my knowledgc and hlicf,a we and wm0��u s��ent of all campai@i finence
ectiviry,incWCing ell cono-ibutiore,loens, ei0�.pxpendilwes, I^!rts en m-kmd wnvi ' s and liabilities for Nis mporting penod and represrnts ihe cempei�
❑nence activity of tll persore acting unde autho ity or on be alf c ommittec in acc dan wi�A Nc mquiremcn�s ofM G.L.c 55.
Signetluntler[hepenalheeofperjury: .� � �L� (Treasurerssignamre) Date: � - 2,� —�L,�
FOR CANDIDATE FIGINGS ONLY: wifidrvit of Caodidate:(cheek 1 box only)
ondid��e wifh Cammittn ood no aeHvity iodependm[o(fhe mmmithe
I artify Uiat 1 have exemi�wd Uiis report incWding etteched scM1edules end i[is,m the best of my knowledge and belief,a we anA wmple�e su¢ment of all cam0ei�Flnance
acfivity,of all persovs acting under Ihe authonty or on behalf of tM1is wmminee in accorAence wiRi ihe requirements of M.Gl.c 55. 1 heve mt received eny conrtibutions,
incurted any liabilrties nor made any expcndiNres on my behelf dunng Nis reporting period.
Cantlidme withw�Commilta SLR Cvndidafe wi[h indeprnAeof activity filing aeprt�h report
I certify Nat I M1ave examincd tAis reporc incWding aneched schedules m�d it is,lo Ne best of my knowledge end belief,a bue and complek sukmen[of ell cam0aign
� finance ecfivity,incWd'mg convibu[ions,loaris,receipts,expendimms,disbursemm�s,imkind contribu[ions and liabili[ies for Ihis reporting period and represenfs Ne
emnpaign finence ectivily of all persons eRi undtt�he eulhonly or on halfofNis mmmitlee in acroedarice wilh(Ae rcquirements of M G L.c.55.
Si eduoderMe elrioof u �a"�` �� (CandideKssi mre Date: � /ZO�QOZU
go peo perj ry: gna )
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SCHEDULE A: RECEIPTS
MG.L. c. 55 requires that the name amd residenJial address be reported, in alphabetica(ordeq J'or all receipts over$50 in a calendar
yeac Committees mus(keep demi(ed qccounts and rerordr of all receipls, but need on/y itemize those receipts wer$50. /n addition, the
ocevpption and employer mvst be reporredfor al!persons who rontribvle$200 or more in a ca(endar year.
(A"Schedule A:Receipts" attachment is available to complete�prin/and attach to this reporQ if additianal pages are required[o
report all receipts. Pleese include your committee name and a page number on each page.)
Name and Residential Address Occupatiou&Employer
Date Received (alphabetical listiug required) Amoou[ (for eontribufions oP$200 or more)
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Line 9: Total Receipts over$50(or listed above) �
Line 10: Total Receip[s $50 and under' (no[listed abova) �
Line 11: TOTAL RECEIPTS IN 7TiE PERIOD � f g�tec on page l,line2
' If you have i[emized receipts of$50 and under,include them in line 9. Line 10 should include only those receipts not itemized above.
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' SCHEDULE A: RECEIPTS (continaed)
Name and Resideotial Address Occupation&Employer
Date Received (alp6abeNcal listing required) Amount (for contributions of$200 or more)
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Line 9:To[al Raoeipts ovec$50(or listed above) �
Line 10: Tofal Receipts$50 and under' (uo[listed above) �
Line 11:TOTAL RECEIPTS IN THE PERIOD � F Enter on page I,line 2
*If you have itemiud receipts of$50 and undu,include them in line 9. Line 10 should include onty those ceceipts not itemizeA above.
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SCHEDULE B: EXPENDITiJRES
MG.L. c 55 requires committees to list, in alphabetica!ordeq all expenditures over$50 in a reporting period. Committees must keep
detalled accounts andruords o,Ja(1 upercdltures, but need only itemize those over$50. Expenditures$50 and under may be added together,
from committee recards, and reported on line !3.
(A"Schedule B: Expendi[ures"atlachmeul is availsble ta comple�q prin[and ettach to[his reporl,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 (alphabetical lisling) Address Purpose of Expenditure Amomt
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Line 12: Total Expendi[ures over$50(or listed above) �
Line 13: Total Expenditures $50 and undu*(not Iisted above) �
Enter on page 1,line 4-� Lioe 14:TOTAL EXPENDITURES IN THE PERIOD �
• Ifyou have itemized expenditures of$50 and undeq include them in line 12. Line 13 should inNude only[hose expendihves not itemized
above.
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SCHEDULE B: EXPENDITURES (continued)
To Whom Paid
Date Paid (elphabetical lisdng) Address Purpose of Expenditure Amount
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Line l2: ExpendiNres over$50(or listed above) �
Line 13: Expenditures$50 and under• (not listed above) �
Enter on page l,line 4-� Line 14:TOTAL EXPENDITURES IN THE PERIOD �
* If you have i[emized expendiNres of$50 and under,include them in line 12. Line 13 should include only[hose expendinves not itemized
above.
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SCHEDULE C: "IN-HIND" CONTRIBUTIONS
Please i[emize contributors who have made io-kind con[ribu[ions of more than $50. In-kind con[ribu[ions$50 and under may be
added[ogether from the committee's records and included in line 16 on page 1.
Date Received From Whom Received* Resideo6al Address Description of Contributioo Value
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Line 15: In-Kind Contributions over$50(or listed above) �
Line 16: In-Kind Contribu[ions$50&under(not listed above)�
Enter on page l,line 6-� Line 17:TOTAL IN-KIND CONTRIBUTIONS �
' If an in-kind contribution is received 6om a person who wntributes more than$50 in a calendar year,you must repon the name and address
of[he contribu[or; in additioq ifthe contribution is$200 or more,you mus[also report the contributor's occupation and employer.
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SCHEDULE D: LIABILITIES
�MG.L. a 55 requires committees to repor!ALL[iabilities which have been reported previovsly and are s[il[ov[standing, as wel/
as those liabilities incurred during this reportlng period.
Date Incurred To Whom Due Address Purpoae Amount
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Enter on page l, line 7 -� Line 18: TOTAL OUTSTANDING LIABII.ITIES(ALL) �
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