HomeMy WebLinkAbout2020 Herrick - 30 Day � Form CPF M 102: Campaign Finance Report
Municipal Form
ORce of Campaign anJ Poli[ical Finantt �
�Commonu<alm �
orma��a<n�,.��. �r ;c ard;:;7d2id��m�commwro�
Fill in Reporting Period da[es: Beginning Date' z/t5/2o2o Ending Dare: 3/24/io2o
Type of Report: (Check one)
� 8�h day preceding preliminary ❑ Sth day preceding election � 30 day after elec[ion ❑ year-end reporl ❑ dissolution
\� A �� � �rR�E �-`{ KE �zR�< K ow -r�c� � E�e �� I�A�EU «ERfti'� K
GiWida¢Puil Nume(if appli<eble) CommMx Nam<
�CAD� N� SEc.�. �� p ,q�,p S�epH� u �-I� a�.�cit
ORa SougM+nd District Name ofCommittec Treazurer
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RaiJemial Addrev Comminee Mailing AGdrtee
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Phone p(opio�ul). PFoce M(opiionep�
SUMMARY BALANCE INFORMATION:
Line L• Ending Balance Gom previous repoe � � � 6 � 3 �
� Line 2: Total receipts this period(page 3, line I 1) � o e
31
Line 3: Subtotal Qine 1 plus line 2) � � � 7 6 � ,
Line 4: Total expendi�ures this period(page 5, line 14) � ,S h' � . ��
Line 5: Ending Balance Qine 3 minus line 4) � $7 . 3�
Line b: Total in-kind contributions[his period(page 6) b o u
Line 7: Total(all)outstanding liabilities(page 7) � / r7 O v, � �
Line 8: Name af bank(s) useA: �R 5"� E R N 3 A N �
nmea�n or commmK rrt..�.�.:
1 certify ihe�1 have euenine�Nls repon IncluJing attaand uhedules eM i�is,b Ihe bes�of my k�owleGge a�d beliet.a we and complHe srs�emm�of all ampeign linanw
ecliv�p�,vmluding all contribuuons,loans,rmei0��expen�nwes,disbwsemenb,ink�nd conmhu0ons and IiaMl�lia for Uis report�ng period enG rtprtune Ue cempaign
❑nan<e aztiviry of ell persona nming under @e amhonry m on Eehalf of i mmitl c iv acaora c wnh�Xe reqmremen�s o(M Gl.c.55.
shom�sa.r�e.�o,i�ea�e�ri�r.: - Qrwm.r::�vsa�we) Dare: 3 �d
FORCANDIDATEFILINGSONLY: ama.vi�ore.od�m�e:�cnMkluoaooiy7
c.oma.i�.�m commmH�oa o0 on�.ay�m�aea�m a��u«omm�rc«
1 emiry�a�I M1eve examined tM1is rtport InduJmg avacheJ schedules anG it Is,m Ne bes�of my kiwuledge end belref,a we and<omplem stemmrnt of all ampvign f ance
� activiry.o(all persons aceng unJer�he au�M1oriry or on behall of�n comminee in acmNance wi�h Ne rcqmremrnU of M G L c 55 1 Mve m�re¢iccd my convibmio�u.
mc�ned en}LabiLl¢s nnr meGe any expcnJiwres on my behall dunng 0�s repotling penod
CytlW�le wilGou[Comm�lin Q$CaodlAele wilh ieEepenOent aclNiry flio(xpv�le repatl
1 ceNh�iM1e�I�ave ezamined�M1is rcport mduGmg alucM1ed schedoles and it is,m iAe besi of mp knuxleAge end belrol,a we and wmplem su�ement of all campaign
fmna ac�iviry,inchding convibmions,loans reccipu,expundlmres,disbwsemrnts,in-kind comribwions end liebllities 6r�his reporting periotl aM reP�ex ts N
campaign fnaM'c avliviK of all pewns az i mdar ihe autM1ari ' n beM1alf ol�hi c m�ttm m ecaNance wi�Ue reymremenb ol M G L c.55
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spvea uoae.m�anm�in arv..jo.y:
(rsnmdam'ssiqnewre) Date:
SCHEDULE A: RECEIPTS � '
1/G l. c 55 reguires(hat tl�e name anAresidenli�l ad�ess be reponed in alphaAe�iaul ordrr,for alI receipts oier S50 in a mlendar
year'_ CommiLees mux!keep de(Qiled acrounts nnd rerords p�a/!rece(pts, hu(need ort(y(twtice INase rere(ph over SJO [n addilioq (he
uocvpallnn and emp(over musl he reportedfor oll per.sons x�ho mnlribure$700 or more in a calendar year �
(A 'Sahedule A: R<ceipts"vnachmeot a available[o complete,print nnd anach to ihis repan,if atlditional pages are required ro
report ull rereipts. Please in¢lude your committee name and a page number on eacM1 page.)
Name and Residential Address Occupa[ion& Employer
Date Received (alphabe[ical lieting required) Amount (for conlributions oP$200 or more)
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Line 9: To[al Rueip�s over 350(or listed above) � (�
Line 10: iotal Receipts S50 and under*(no[listed above) �
Line I L TOTAL RECEIPTS IN THE PERIOD � �� t— Enter on page I,line 2 �
• Ifyou have ilemized rereipts of$50 and under,include them in line 9. Line 10 should include only thuse receipts not i�emized above.
Page 2
SCHEDULE A: RECEIPTS(cootinued)
Name and Residential Address Occupation&Employer
Date Received (alphabetical listing required) Amount (for contributioos of$200 or more)
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Line 9: Total Receipts over$50(or IisteA above) � D
Line 10: Total Receipts $50 and under* (not listed ebove) �
ine Il: TOTAL RECEIPTS IN TdE P6RIOD (� F gotec on page l,line?
•Ifyou heve itemized receipts of$50 and u�deq include Ihem in line 9. Line 10 should i�clude onty those reoeipts wl itemized above.
Page 3
SCHEDULE B: EXPENDITURES �
A1 G L. c. 55 requires cammittees ro lisl, in o(phubeticnl orAer, nl(e.�pendlnmer m'er YSO irt n reporfing periwl Commi4ees mus!keep
delailed accounts artArecords oja(lexpenAllure.r, but neeAonly ilemlce tho.ee m�er 350. F.rpendflures 550 and imAer may be qdded(ogether,
f'om commil(ee�erords. nnd reported on line!3.
(A "Schedule B:Expendimres"attachment is availa�le m comple[e,print and anach to ihis repurt,if additional pages are required to �
repoA all ezpenditures. Please include your cammittee name and a page number oo each page.)
To Whom Paid
DatePaid (alphabe[icallis[ing) Address PurposeofExpenditure Amount
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Ges�CTN SEQ��cE-�
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�P�Pn�G-N �s�cA�PS
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CAMPA�G.� ST�c��F�S
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Line 12: Tolal Expendimres over Si0(or listed above) ) ��I7.°5
Line 13: Total Expendimres 350 and under' (not listed above) "33 9 o
Emer on page I, line 3-� Line W: TOTAL EXPENDITURES IN THE PERIOD ��8� ,�°�
I • I(you have itemized expenditures of$50 and under,inciude them in line 12. Line 13 should include only those expendiwres not itemized
; above. Page4
SCHEDULE B: EXPENDITURES (wotinued)
To Whom Paid
Date Paid (alphabe[ical listing) Address Purpose of Expendi[ure Amounf
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Line 12: Expendimces over$50(or listed above) �
Line 13: Expenditures$50 and undec* (not IisteA above) �
� Enter on page l,line 4—� Line 14: TOTAL EXPENDITURES IN THE PERIOD �
"Ifyou have itemized expe�ditures of$50 and u�deq include Ihem in line 12. Line 13 should i�clude only those expendiNres nol icemiud
above.
Page 5
SCHEDULE C: "IN-KIND" CONTRIBUTIONS
Please itemize con[ributors who have made in-kind con[ributions of more[han$50. In-kind wntribu[ions$50 and under may be
added together from the commi[[ee's recocds and induded in line 16 on page I. ,�
Da[e Received From Whom Received* Residential Address Description of Contribution Value
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Line I5: In-Kind Contributions over$50(oc lis[ed abwe) �
Line 16: In-Kind Contributions$50&undec(not listed above) �4
Enrer on page 1,line 6-� Line 17: TOTAL IN-KIND CONTRIBUTIONS y �
* If an in-kind contribution is received from a person who contributes more than$50 in a calendar year,yov must report the name and address
of the conlributor,in addifioq iflhe con[nbutio�is 5200 a�mo�e,you mus[alm[eport[he wm�iburo�'s occupation and employe[. page 6
' ' � SCHEDULE D: LIABILITIES
MG.G c. 55 requires cammittees to repor!ALL liabilities which hwe been reporled previously and are sli71 autstqnding, as we(1
as those liabilities incurred during this repar@ng periad
Date Incurred To Whom Due Address Purpose Amoun[
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V �la �� �E.K �-lc '� (�EAD� � G r'? lr+�TirFc2E �,�u,PP�s� l000, "`
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8��er on pege I,li�e 7-+ Line 18: TOTAL OUTSTANDING LIABILITIES(ALL) l 0 00, O1
Pege 7