HomeMy WebLinkAbout2019 Ream - 30 Day � Form CPF M 102: Campaign Finance Rep�ort
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"Cype of Report (Check one)
� 8[h day precrding pceliminary ❑ 8lh day pceceding elution �X 30 day alter election � year-end reporl ❑ dissolution
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SUMMARY BALANCE INFORMATION:
Line 1: Ending Balance from previous report G 3. 7z
Line 2: Total receip[s[his period(page 3, line I i)
Line3: Subtotal Qine 1 plus line2)
Line 4: Totel expenditures this period(page 5, line 14)
Line 5: Ending Balance(line 3 minus line 4)
Line 6: Totalimkind contribulionsthis period (page 6)
i.ine 7: To[al(all)outstanding liabilities(page 7)
Lioe S: Name of bank(s)used:
AROavil of Cummi.ta Trensurer:
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SCHEDULE A: RECEIPTS
MG.L. e 55 reguires lhot!he name and reridential address be reponed in alphabe(ical order,jor oll receipts over$50 in a calendm
yean Commit(ees must keep demiled amounts and records of all receipts, but need only ifernize lhose receipts over$50. In addrtion, !he
occupation med emplayer mvs(be repor(ed for all persons who contribvte$200 or more in a ca[endar yem.
(A "Schedule A: Receipls"a��achmen� is available to comple[e,prin[and attach to�his report,if addi[ional pages are required[o
report all receipts. Please include your commit[ee name and a page number on each page.)
Name and Residential Address Occupation & Employer
Da[e Received (alphabetical listing required) Amoun[ (for contribntions oP$200 or more)
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Line 9: Total Receipts over$50(or listed above) 3� ]
Line 10: Total Receip[s$50 and under* (not listed above) �
Line 11:TOTAL RF,CEIPTS IN THE PERIOD �j,3.7 Z F F,nrer on page I, line 2
• Ifyou have itemized receipts of$50 and under, include them in line 9. Line 10 should include only thuse receipts not itemized above.
Page 2
SCHEDULE A: RECEIPTS(continued)
Name and Residential Address Occupation &Employer
Date Received (alphabetical lis6ng required) Amoont (for cootributions of$200 or more)
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Line 9:Total Receipts over$50(or lis[ed above) �
Line 10: Total Receipts$50 and under* (no[ lis[ed above) �
Line 11:TOTAL RECEIPTS IN THE PERIOD � F Enter on page I,line 2
• Ifyou have i[emized receip[s of$50 and under,include them io line 9. Line 10 should include only�hose receipts not itemizeA above.
Page 3
SCHEDULE B: EXPENDITURES
M.QL. c 55 reguires wmmineu Io lis(, in a[phabetica(arder, a/1 expenditures over$50 in a reporling period. Committees must keep
detaile�accouttG and records ojall eependi[ures, bu!need on[v i(emize lhose over$50. Fapenditures$50 and under may be added(ogether,
fiom committee records, and reponed on line /3.
(A "Schedule B: Expendilures" atlachment is available to wmplele,print and attach b this report,if addi[ional pages are required to
report all expendihres. Please include your commi�tee name and a page number on each page.)
To W hom Paid
Da[e Paid (alphabetical listing) Address Purpose of Expenditure Amount
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Line 12:Total ExpendiNres over$50(or listed above) �
. Line 13: Total 8zpenditures$50 and under* (not listed above) �
En�er on page 1, line 4 -� Line 14: TOTAL EXPENDITURES IN THE PER[OD 3. 7 Z
" Ifyou have i[emized expendiNres of$50 and under,include them in line 12. Line 13 should incWde only those expendimres not ifemized
above. .. Page 4
SCHEDULE B: EXPENDITURES (continued)
To Whom Paid
Date Paid - (alphabetical listing) Address Purpose of Ezpenditure Amouot
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I,ine 12: 8xpenditures over$50(or lis[od ebove) �3. Z
Line 13: Expenditures $50 and under* (no[Iisted above) i-Ci�--�
Enter on page 1, line 4-� Line 14: TOTAL EXPENDITURF,S IN THE PERIOD �� 72
' Ifyou have i[emized expenditures of$50 and under,include�hem in line 12. Line 13 shuuld include only[hose expendi[ures not itemized
above.
Page 5
SCHEDULE C: "IN-KIND" CONTRIBUTIONS
Please i[emize contributors who have made in-kind contribu[ions of more[han$50. In-kind con[ribu[ions $50 and under may be
added together from the committee's records and inoluded in line 16 on page I.
Date Aeceive� From Whom Received* Resideutial Addresa Description of Coutribatioo Veloe
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Line I5: In-Kind Con[ribu[ions over$50(or listed above)
Line 16: In-Kind Contribu[ions$50 & under(no[listed above)
. Encer on page 1,line 6 -� Line 17:TOTAL IN-KIND CONTRIBUTIONS
' Ifan irvkind cantribution is received from a person who contribules more Ihan$50 in a calendar year,you must report the name and address
of[he contribu[or;in addition,if lhe contribution is$200 or moce,you must also report the contribumrs occupation and employec Page 6
SCHEDULE D: LIABILITIES
MG.L. c. 55 requires commi(tees to report ALL liabilities which hwe been reported previously and me still autstanding, as well
as those liabili�ies incurred during this reporting perrod
Date Incurred To Whom Due Address Purpose Amount
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F,nrer on pagc I, line 7 -� Line 18:TOTAL OUTSTANDING LIABILITIES(ALL)
Page 7
Delivery Products
Shipped to 972 Main St, Reading, 01867, MA, USA
Express: 2 business days - $19.99
Estimated delivery Mar. 15th
duantity Price
�������... Create Your Own 2 539.98
Yard Signs
24x18 in • Corrugated Plastic
Order Summary
Delivery Subtotal $39.98
Shipping $19 99
Estimated Tax $3.75
O�der Total $63.72
Billing Address
8en Ream
�972 Main SlReading, MA 01867
Pickup Person - Ben Ream
Payment Method