HomeMy WebLinkAbout2021 Grimes - Year End � Form CPF M 102: Campaign F�{pi�;�c�;�t�port
Municipal For '"' �'
C . . i, CLERK
��, _ � : r� �,. ?k�A
OfficeofCampaign and Poli[ical�inance � �/
���,�,��,.����, t�21 DEC 23 PH 2� 31 �
of Massachmclb
Pllcwi�h: Cn�orlb�mClerkurLJcaionCummi.ision
Pill in Reporting Period dates: Beginning Datc z/ib/zozl Gnding Dare: 1z/31/zozl
Tvpe oCReport: (Check one)
� Sth day preceding preliminary ❑ 8th day preceding election ❑ 30 day afier election X❑ year-end report ❑ dissolution
�. ��p G�I�H f j
Condi�etc Full Namc(i(appli<able) Commilttt Nemc
L, ti, �,.y Tr� tlr�
o�r,ee soupm ane Dhvlcl Neme oreommf�ree Tauu�e�
l03 C�4k 5+ �?zNJ-,t�''�A Gt�c�
Hcsid.n�ialAdd�ess � Commll¢cMeilineAddnss
li-meil�. Qv�'��_5 � VaN �,un .ne.l- R.-mail'.
Phonc N(up�ionnp- PM1nna S[npiionel)�.
SUMMARY BALANCF. INFORMATION:
Line l: F.nding Balance from previous rcport �
Line 2: 'Potal reccipts this period (page 3, line 1 I) �
Line 3: Subtotal Qine I plus line 2) p
Line 4: Total espenditures Ihis period(page 5,line 14) �
Line 5: Gnding Balance(line 3 ininus line 4) �j
Line 6: To[al in-kind conhibutions[his period (page 6) �
Line 7: 'I'otal (all)outstanding liebilities(page 7) 0
Line S: Name of bank(s) used:
11TJxvil ofCummitleelreasurer:
I cenlfy ihet I hace ecumined iM1is ropnn Includ'mg aueched schedules and➢ix.m ihe besi ofmp knmvledF�end Molicl:e�me enA wniple�esiammrnt ol all campnign linanw
ecuvl�p,indndin5 all wm bmiuns.loens.vwcipa.cxpcndimres.disbuncm.nts,in-AinJ wnuibmions anA IieRilpicc for iliir«oninp period ond mprescnis�M1c am0aign
lnence ac(e�i I II p . :' i 4 Ihi author� r n bchell i 1 iiuc�,in ' raencv e'ith�h q i� I MS.I..c.95.
00
tilgnctivnacrthcpcnallicsufp 1 rv. � � (I asmrssEn.LLn) D2@: �
FOR CANDIDATE FILINGS_QNLY: .�niax.it nrc.naia.m:�chr<k I box onl.��
CxnJida�c x ith Commi�tee anJ nn ec�iriry inJcpcnJcm of�hc cummi�tee
Icenif� tl tll .- � diM1�� pn� Id u hd_�I J I �� � t�� i ih Mi I �A �I �g � Jb.f fav entl ompletesiaienen�ofallcampaenM1iasc
� eaivity fllpvnons:ein in�uthiautlor'ryoronbchalfof� imuu-i oNamiwlhthi quhmin�ofMAl . �_ +. Ihavino�ecec'vcdan}mnh'bul'ons
imurtcd ary IlaFilliics normadc any cr0�^diwea nn my bchalf during�his aponiug period.
Canditlale tiilhoul Cummil�cc ON CanJitlflle xilh intlepenJenl a[tivity filing f<pflrnle r[purl
r�J.ccrtity�h �lh � . 'ndtl � p i-nid gatwcM1d_ hdl d'i�:.i tl b t f yk �Id � JbI� C t � d � pli :ia�cncmotallrsmpeien
U�financcecm�ry.'mWd'n� nvbi(onsJiis iuipitupcid'� d_bursimin �nkndionvbut n eidlatil�tiesC ttisrcportinSVe+odendrep�cttn�sthc
cempaign finencc acOvi9�ofall penuns aain6 undcr thc aullionry oron bchalf oflhix cummllluc In ecwrdance�vilh Ihc Ryiummcnls of M G.L.a S3
Si eJunJertM1e Iricsof � . � � � CnnAiJem'sxi� mm) �a1e' i2'�Z/���
gn pena perjurp ( �na
SCHEDULE A: RECEIPTS
�LI G.L. c. SS reqnires�hat the nnnre nnd resldentinl address be reparted, in cdphabeGca(order,for n/!recelpev over S50 in a calendar
reac Cnmminees nmst keep detai(ed ocoounts nnd reroriG�o,jal/receip/s. bnt need ma/y�itemiee those receipis over SJO. [n additinn. the
nccupnlion and ernpinper nni�t he reported jor al]persans u�ho curtlrihe��e S]00 nr ntore in n calendar oenr.
(A "Sehedule A: Reecipts" attachmwt is available to complete, prinl and ettaeh to this report,if addi[ional pages are required[o
repor�all receip�s. Plcase inelude your commi��ee name anJ a page nnmber on each page.)
Namr• and Residen[ial AdJress Occupa[ion & Employcr
Da[e ReceivcJ (alphabctical lis[ing requireU) Amoan[ (for con[ribu[ions of$200 or more)
� �
� �
� � � �
� �
� �
� �
� �
� �
� _� � �
� �
� �
� � �
I,ine 9: 7'olal Receipts over$50(or listed above) �
Line 10: Totel Reecipts $50 and under` (nol listcd above) �
Lioe 11: TOTAL RECE[PTS IN THE PERIOD � F H'nter on pa�e I, Iine 2
* Ifyou huvc itemized receipts of$50 and undcr, include them in linc 9. I.ine 10 should include only [hose receipts no� i�emized above.
PaRe 2