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Home My WebLink About2021 Bita - 8 Day �. Form CPF M 102: Campaign Finati�€��,9�. � y tu MunicipalForm FTC��,��tC! ERK ORce of Campaign aud Political Finance � ' �=� °i{�i � Commouwealih �� i(1('i �'� �M (�+ ofMawechuxnv Filewith: Ci arTownCllrkMllectianCommisvion Fill in Reporting Period dates: Beginning Da[e: i/iRou Ending Date: 3/19/2021 Type of Report: (Check one) � 8th day preceding preliminary ❑ Bth day preceding eleclion ❑ 30 day aRer election ❑yearcnd report ❑ dissolution � �n�n� � P kD1'�l,('�' A Q M4l �71�"YL, � CanUide¢F INeme(�fapp- ble) Comminee am �W1 L l� �J S'L_.� —��A � � � kln� pflice SougM1l s{�Disttict Name of�� reasurer I A G � �n n ��Gn.z R nalAddress Cammiare lailmg ddms P &mail' E-meil'. /�M� �� l�✓� PhoneM(aptioiup'. �Ifl� � �j�l � � �� Phanep(op[iowl -�� - �-�'U,� ry�� SUMMARY BALANCE INFORMATION: �ine 1: Ending Bala�ce hom previous report Line 2: Total receipCs this pe�od(page 3,line l l) � .� Line 3: Subtatal(Gne 1 plus line 2) � Line 4: Total ezpendiNres this period(page S,line 14) I L��,�(� ... ... . � .� Line 5: Ending Balance(line 3 minus line 4) r1�?j .�(� Line 6: Total in-kind conMbutions this period(page 6) Line 7: Total(all)outstanding liabilities(pege7) LineB: Nameofbank(s)used: � Alfld�vn af Cammipee Trmorcr. I ceniry Met I M1eve ewnined this report incl Wing anached uheduln a�d it is,�o�he best of my knowlMge eM belief,e vue aM cam0��ent ofall cemPo�finana activiry,inclWing all co�tribotions,loe�s,receipu,expcndiwas,disbursemenu,in-kind cono-ibmions end liabilities for[his reponing period end represe�ts Ne cempvgn fuwice ectiviry of all persom ec[mg onGer the auehoriry o;r�an b,eqha�lf o-f�Nis comminee in eccoMance wiN Ne requiamenn of M G L.c 55. S+goeaouaerm<peo.iuesofperjury: �v1'L-"•f \ (Tr=%swcrssi�anue) Offie: � FOR pN�A7'EFILINGSONLY: AlRdrvita[hodiEam(ehxkl6oxoely) Caodida�<wlth Cammilltt oetl no wlivNy Wtlepeedml af�he commilMe i certfy Naz I lwve examined�M1is eeport i�cluding ettacLed uhedules and�it is,to tl�e bes�of my knowledge srA belief,a we end wmplere smcemmt of all campai�fwe�ce � ectiviry,ofa:Lpers actingwderNeaoUoriryoronbeM1alfoftAiscomminwi�azmrdanecwiNtherequinme�aofM.G.L.c.55. IRevenotreceivNenywnfnbumrtv, iwurted any liebili[es nor ma&vry expenaimres on my beM1alf dwing�his reporting period. aod'M�k wilhaol CammlHce9$C�uAidate wi16 indepmtlm[aNvity fltiog eepanle reporl I ceniy Nei I M1eve uami�etl this repon including attacM1ed schedula and it is,w Me best of my knowledge vW bclief,a rcue and wmplete emmmrntofeli cempeigi fnanaactiviry,'mcludingco�triWeio�s,loa�s,receips,exqc d�t�ures,Eiebursemrnts,inkindcontnWtionsvMliebilitiesfmNis,eponi�gpenodvWreqexntaNc campai�fnance ac[ivity of eil penons ectlng onder Ne e�ry or on behalfofNis commitree in accorCence wiN the requwne�u ofM.G.L.a 55. BiQoWuoeerNepeoalt'w�o[pequry: � ��-. . (Ce�dideuSsigiunue) D8[e: SCHEDULE A: RECEIPTS MG.L. a 55 requires that Ifie nnme ond residen(io!oddress be reporleA,in alphqbelica/order,jar a((receipts over$SO irt a col¢ndar yeac Comminees must keep detailed acrounts and rerordr ofal!rereip(s, bul need ortly iremiee(hose receipts over$S0. !n addi(ion, Ihe xcupotion and employer must be reported far al1 persans wha contribute$200 or mare in a calendtv yeor (A"Schedule A:Receipb"attachment is evailable to completq print and attach to[his report,if additional pages are requir<d to report all receipts. Pleese include your wmmittee uame aud a page number oo each page.) Name and Residential Address Occupation&Employer Date Received (alphabe[ica!listing required) Amouut (for mntributions ot$200 or more) � � � � � � � � � � � � � � � � � � � � � � � � Line 9: I'otal Receip[s over$50(or lis[ed above) � .. � Line 10:Total Receip[s$50 and under' (not listed above) � Line 1 L• TOTAL RECEIPTS IN THE PERIOD � �— gnter on page l,line 2 *If you have itemized receipts of$50 and under,include them in line 9. Line 10 should include only those receiph not itemiud above. Page 2 SCHEDULE A: RECEIPTS(contiuued) Name and Resideotial Address Occupation&Employer Date Received (elphabetical listing required) Amount (for contributions otS200 or more) � � � � �� Line 9:Total Receipts over$50(or listed above) � Line 10:Total Receipts$50 and under' (not listed above) � Line 11:TOTAL RECEIP'CS IM THE PERIOD F e�te�ou page l,line 2 'If you have itemized receipts of E50 and under,include lhem in Iine 9. Li e 10 should include onty those receipts not itemized abo�r / Page3 l� SCHEDULE B: EXPENDITURES MG.L. a 55 requires commiftees to list, in alphabe(ica/order,o(/expendiJures aver$50 in a reporting periad CammiRees mvs(keep Aemiled accounts and records of a(1 expendi(ures, 6ut tteed on(y ifemize Ihase over$50 Expenditures$50 and under may be added(oge(heq fram cammittee rerords,andreported ott line/3. (A"Schedule B:Expeodihres"aMachment is aveilable to complete,priol aod apach to this repart,it additiooal pages ere required to report all expendlhrex Please include yaur committce name and a page number on each page.) � To Whom Paid Date Paid (alpAabe[ical listiug) Address Purpose af Expenditure Amount zl�2vzl �r:tu�e - co � r�a�,��ns `K17. 1 � �� a�� .�m � y��c s� s3�.�s 0 [� 0 0 0 0 0 0 0 0 0 0 0 � 0 0 0 0 0 0 Line 12: Total Expenditures wer$50(or lis[ed above) � Line 13:Total ExpenditurPs$50 and undec* (not listed above) � Enrer an page 1,line 4+ Line 14: TOTAL EXPENDITORES IN THE PERIOD 3 � � •If you have i[emized expendimres of$50 and wder,include them in line 12. Line l3 should include only those expendiNres not itemized above. Page 4 3CHEDULE B: EXPENDITiJRES(continued) To Whom Paid Da[ePaid (alphabeticallistiog) Address PurposeofExpendi[ure Amount � � � � � � � � � � � � � � � � � � � � � � � � � � Line 12:ExpendiNres over$50(or lis[ed above) � Line 13:Expenditures$50 and under•(mt listed above) � Enter an page 1,line 4-� Line 14: TOTAL EXPENDITURES IN THE PERIOD � •If you have itemized expendiWres of$50 and undey include them in Iine 12. Line 13 shauld include onty ihose expendiNres not itemized above. Pege S SCHEDULE C: "IN-KIND" CONTRIBUTIONS Please itemiu conMbutors who have made in-kind conVibutions of more than$50. In-kind conVibutions$50 and under may be added together from Ihe committee's records and included in line 16 on page 1. Da[e Received From Whom Received* Residential Address Description of Contribution Value � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � Line 15: In-Kind Contributions wer$50(or listed above) � Line 16:In-Kind Contribu[ions$50&under(not listed above)� Enter on page i,line 6-� Line 17:TOTAL IN-KIND CONTRIBUTIONS 'If an io-kind conVibmion is received from a person who contributes more than$50 in a calendar year,you must report the name d address of[he conMburor,in additioq if the contribution is$200 or more,you must also report the contributofs occupation and employer. page 6 SCHEDULE D: LIABILITIES MC.L. c. 55 reguires cammittees to reportALL liabilities which have been reparted previously and me still outstanding, at well ar thase liabiGtres ineuned during this reporting period Datelncurred To WAom Due Address Purpose Amount � � � � � � � � � � � � � � � � � � � � � � � � � � � � Enter on page �,line 7-� Line 18:TOTAL OUTSTANDINC LIAB[LITIES(ALL) Page 7