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Home My WebLink About2021 Stempeck - 8 Day � Form CPF M 102: Campaign Finance Re,�� '� ��: Municipal Form R r ,__�� `'-�� C�f, � ,-; . O�ce ofCempaign and Political Fioance �G21 N�;? I7 �M10 4G commo�wwm otMazeachusens FilewiN-. Ci orTownClerkorElacionCommisvio� Fill in Reporting Period dates: Beginning Date: UUzou Ending Date: 3/19/2021 Type of Report: (Check one) m Sth day preceding preliminary ❑ 8th day preceding elec[ion ❑ 30 day afler election ❑ year-end report ❑ dissolu[ion JG �.{.� � J7Em � e�.e� - CandidateFullName ifapplicable) CommitteeName �MLI� C�mm�s,�ivs,<R f n ,!^ 'OMfliw�Sought vM Disvin Neme of Comminee Treeswer �J^ /'�V l�Wn �� RaiGentid AdEress Committee hteiling Addreu �mv� �irN. S'>e✓nDed/�ry�ma, L, c� E-ma�� Phaw q(optio�ap'. Phone q(oPOanai)�. SUMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous report Line 2: Toql ceceipts this pariod(page 3, line 1 I) � Line 3: Subtotal(line 1 plus line 2) Line 4: Total expenditures chis period(page 5,line I4) 2"j,'?, G�d Line 5: Ending Balance(Iina 3 minus line 4) z27• y0 Line 6: Total in-kind conhibutions this period(page 6) � Line 7: Total(all)outstanding liabilides(page 7) Line 8: Name of bank(s)used: A/ Aifldadt of Commi�lee Traee nr: 1 cerrify tlut I M1eve�emind Mis report in<IuEing attached sch�ules e�tl it is,W Ihe besl of my knowlMge and belief,e vue e�d wmple[e s�a�ement ofall mm�qign flnance ec[iviry,including ell wntributions,loens,receipts,expendinues,dubursemenn,imkind<oncnbutiom and liabili�ies forNis�eponing period and represeno the campaign f ance ectiviry ofall perw�az[ing under the authority or on behelfof�his committce in a«ordance wiN Ne requireme�6 of M G.L.c 55. � SIBo�un4erlhePeoalf o(Perlory: (Treasurelssippelwc) DetG: FORCANDIDATEFILINGSONLY: AfOavvi�ofCondidvh:(ehmklbovovly) Ged'Wch wiW CommiHee aod no wINNy IveepenEeel af Ihe commiHee � I cMify Net 1 have exemined Uis repon incluEing anechW schdules and�it is,ro Ue best ofmy knowledge end belief,a tme end complete smcemmt ofell wnpei�fne�ce ectivity,ofa;ce:sons ecting wder the auNonry m o�beM1alf of Nis commina in accorJance wiN the requiremems of M G.L.a 55. 1 heve mt received any coninWuons, incwN any liebilitiw nor made any�penJiwres o�my behelfduring this reporting cerioa. Caoditlah wi@out CommitteeQ$Geditlele wilh istlepeotlmt aativiry Oliog upvvte rtpor� �f I ceM1ify Nffi I M1ave exeminM this report including ett�e6�d scFedulp anE i[is,�o�he Ees[ofmy knowledge and belief,a hue aiM complde smroment ofall campeipi �f� fna�ttactiviry,inciudingcono-ibu[ions,loens,rec5� � pendimre;di� msemmu,imkinOrontributlonsendliebilitiesforNisreportingperioCandrepresen�s'M1e campeignOna�ceazviviryofallpersonsactinguLer� eaut riryoro M1elfof�hiscmmittttinauoNan<ewiNiM1erequiremrnbofMGL.c.55 SignMuoaaUepeoaltieeotperl��Y: "! (canaldatessi�aam7 Date: / 7�jy SCHEDULE A: RECEIPTS M.QL. c 55 requires that fhe name and residen(ia/adAress be reparled in alphobetica!order,jar a((rereipts wer 850 in a calendor year Commiltees must keep detailed uccounts and rerords ofo(!receip(s, bvt need onfy rfemize lhose receipts over 550. In additian, the occupa[ion and emp(oye�mvsf be repor(edjor a((persons who conbibute$200 or more in a calendqr year. (A"Schedule A:Receipts"attachment is available ta completq pAnt and attach[a this report,if additlauel pages are required ta report all receipfs. Please include your committee neme sud a page number oo eech page.) Name and Residential Address Occupa[ioo& Employer Date Received (alphabetical listing required) Amoun[ (for contributions of$200 or more) � � � � � � � � � � � � � � � � � � � � � � Line 9:Total Receipts over$50(oc listed above) Line 10:Total Receipts$50 and under• (not listed above) Line 11: TOTAL RECEIPTS IN THE PERIOD F Enter on page 1,line 2 •Ifyou have itemized receipts of$50 and under,include them in line 9. Lice 10 should include only those receipts not itemized ebove. Page 2 SCHEDULE A; RECEIPTS(contiuued) Name and Residentiel Address Occupa8on& Employer Date Received (alphabetical listing required) Amount (Por contributions of$200 or more) � � � � � � � � � � � � �I � � � � � � � � � � � � � Line 9: Total Receip[s over$50(or listed above) Line 10:Total Receipts$50 and under'(not listed above) � Line I l:TOTAL RECE[PTS IN THE PERIOD F Enter on page l,line 2 "If you have iremized receipts of$50 end undey include[hem in line 9. Line 10 should incWde anty those receipts not i�emized above. Page 3 SCHEDULE B: EXPENDITURES MQ L. c. 55 reguires commitrees to list, in a(phobetical order,aU ezpenditures over$50 in a reparting period Cammittees must keep demi(ed accaurcls and reca'ds of all expendlfures, buf need only itemi_e lhase aver$50. �pendimres$SO and uruler may be added mgether, from cammitree recwds, and reprn(ed on line f3 (A"Schedale B:Ezpenditures" aHachment u available lo completq print and attach to this report,it addilional psges are required to report all expenditures. Please ioclude your committee mme and a page number on each pageJ To Whom Paid Da[e Paid (alphabetical lis[in� Address Purpose of Ezpendihre Amount � "F r�r2sAsrmado�4« // �o �i7i pr. ,f'��oNP Z27. 90 3 3 Zou s',g Nr tis ,,, >r �a� � � � - � � � � � � � � � � � � � � � � � � � Line 12:Totai 8xpenditures over$50(oc listed above) 2 ZH.�7 Line 13:Total 8�cpenditures$50 and under• (not listed above) Z , j O Enter on page 1,line 4-� Line 14:TOTAL EXPENDITURES IN THE PERIOD Q Z'/ �J O * Ifyou have ihmized expenditures of$50 and under,include Ihem in line 12. Line 13 should include onty those expendiWres not itemiud above. Page4 SCHEDULE B: EXPENDITURES (cootinued) To Whom Paid Date Paid (alphabeNcal listing) Address Purpose of Ezpe�ditore Amount � � � � � � � � � � � � � � � � � � � � � � � � � � SQQ ��.G (f Line 12: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 itemized expendiNres of E50 and undeq include them in line 12. Line 13 should include onty those expenditures m[itemized above. Page 5 SCHEDULE C: "IN-KIND" CONTRIBUTIONS Please i[emize contributors who have made imkind contributions of more than$50. Io-kind contributions$50 and under may be added[ogether @om the committee's records and included in line l6 on page I. Date Received From Whoro Received* Residential Address Description of Contribution Value � �J � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � Line I5: [o-Kind Contributions over$50(or listed above) Line 16: In-Kind Con[ributions$50&under(not listed above) Enter on page l,line 6-� Line 17: TOTAL IN-KIND CONTRIBUTIONS •If an imkind contribution is received Crom a person who contribuces more than$50 in a calendaz year,you must report the name and address of the convibutor,in additioq if the contribution is$200 or more,you must also report the convibutor's occupation and employer. page 6 SCHEDULE D: LIABILITIES MG.L. c. 55 regvires committees to repartALL liabililies which hwe been reported previously and qre slil[oufslanding, tu wel[ as those IiobiGties incurred during this reporting period. Da[e Inwrred To Whom Due Address Purpose Amount � � � � � � � � � � � � � � � � � � � � � � � � � � � � Entu on page 1,line 7� Line 18:TOtAL OUTSTANDING LIABILIT[ES(ALL) Page 7