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HomeMy WebLinkAbout2021 Stempeck - Year End � � Form CPF M 102: Campaign Finan��f;e�pq�� E R K Municipal Form ��� �°��+ �> "AA. Office of C.ampaign and Polifical Financc 2u�2 J�SH —3 aH 10� 59 ��m�n�,�„����n „rmaan�n�.�u. ra�«�n � cu on'o.��ciod:o.n«r��c � Fillin Reporting Period datCs: Beginning Date: 04/2]/2021 Ending Dace: iz/3i/zozi Type of Rcport: (Check one) � Sih day preceding prelimi�ary ❑ 8th day precoding elec[ion ❑ 30 day afte�clmtion ❑�( year-end ceport ❑ dissolution .1rJ NN �7E�'YiYIfC� Candi�am Pull Namc(i appllcuble) Commiucc Namc QM L f� C��ifl� an� om«so��ani,�a o�n��oi rv��n�oreom�n�u��rre���.e� /�S� �v,�Lan /��/�D —� s��m<�,uai ndd.�� co�nme�«me�r�s naa.�.� i�:�n�a�. �lollN . S72✓I10��° 9/YJ/J��, tar� c-",^��: rno��a(orro�oU. rno��w mpdo�aq�. SUMMARY BALANCE INFORMATION: Line l: F.nding Balance kom previous report � 2 2 �, y d Line 2: Total receipts this period (page 3. line i I) Lioe 3: Subrotal Qine 1 plus line 2) — ZZ,'� , �(� Line 4: Tolal expcnditures this period (page 5, linc 14) Liue 5: G'nding t3alance Qine 3 �ninus Iinc 4) ^ 2 Z, � , �� Line 6: Total in-kind contribu[ions this period(page 6) Lfne 7: "foial(all) outstanding liabilities(page7) � Line 8: Name of bank(s) used: nrrud.�i orcomm�a::i�n,:�.:.: I¢nily ihai I heve creinined�M1is apon including a��ached s'Fedules unJ ii is,m iM1c Msi ofm}knmNcdgc and Fdle(a�me and mmplele sWte�nenl olall cmnryaign�inance azxiviip,indudingull mnvibwions,louns,rtecipa,cxprndilums,disM1urvenania,in-kind ronm�ulions and liabililics lor Ihis repotling pcnod nnd repasenb ihe cempaign fnianccattiviryolallperomnciingunderiM1euwM1orityoon�eM1Slfotthismmmiuccinv�mNenu.wiih�Fercyui menuofMGJ..eS3. 6igneaunaeriM1ene^��tlesofperJan: f�«osumr'ssi5�o�ure) Date: FORCANDIDATEFILINGSONLi': nffd..i��fCa�dlanie�cM1eaklbowonty) c��e�ai<w�m eomm�v.:.�a na ac�i.iry�indepenJmt of�be commitma � IwntiM1 �ll � .� iW�M1saPotl�sldg i"M14: F � 1 dl� � �hbc� f 'l idb � dbll � t A Plt�siu�c itll 0 liu ace� � iullpi.nonsvctn�ii4cr�licawhiprunb�M1ulfofiM1�. nl¢cn wdaum�ihihioy � amso�ML1. S . IM1vr.noi �v.denymnmbCi mcurred anv Ilnbiliiles nnr madv uny c�pcn�mucs on my bchulf dunnp iM1iy rro���ng prnod. CandidnlawilM1nulCommiitnORCvntlitlat<xitM1inJep mnnirip'flingttpxra4rtport �q'Iecny �htlh � .- d�A�.- pi� Id' 'u I -M1 I dt�:.i �F b t f :k 9d6 ` dAfL� � ea�dconpleLLzlvre 1 f�ll - p��gn �%lnon i �ry � I 4' g � �A i - I ae pi p i t r d�burs crt A d i b t dl� bltcsfa �M1 pori igperotl i4rcprescnsMc aampagn�nmc�ecib�trolellpersoisac�b@undui �ewM1 �p� r nbch � f�hsii lLLi � iw d' '�F�Mereq � ��o1MCLe55. s�•�.a��a.�m. ie�.ar �c��a�eni�ss� ei�,�� oare: ( 2 -26 ' ZuZ/ �, pena perjurp L�� � SCHEDULE A: RECEIPTS � ' AL GJ. c. �5 reqnires(ha(!he name pnd resldenGal addr es 5e repn led, in ulphabe(��ul order',for q(l receip(a'orer'350 in a a�dendar' year. C nmrriineev aras!keep demileAacmunis nnd r'erords �falf recel�ro, bul need onh'ilemee those recc�p[s oi•er 5�0. In oddi(ion, the accnpation pnd emplocer nmst be repnrlcd,fr�r all pn'snn.v vhn oontrib�ile 5100 or more in a cnlendm penr'. (A"Schedule A: Receipts" at[achment is availablc to comple[e,print and attach to�his reporl,iCaJditional pages nre required to repor[all receipts. Plexse include your eommit[ee name and a page number on rach page.) Name and Residential Address Oreupa[ion& Employer Uate Received (alphabe�ical listing reqoired) Amouol (Por eontributioos of$200 or more) � � � � � � � � _--" � � � � � � � � � � � � � � � � � � � � Line 9: Total Receipts ovcr$50(o� lisied above) Line 10: 'Potai Receipts$50 and under* (no� lisled above) Line Il: TOTAL RECEIPTS IN THF. PF.RIOD <— F,nceron page I,line 2 * Ifyou have i�emized reecipts of$50 and undec include�hem in line 9. I.ine 10 should include only those�eceip[s mt itemized above. Page 2 SCHF.DULE A: RECEIPTS(confinued) Name and Residen[ial Address Occupation & Empluyer Date Received (alphabe[ical lis[ing rcquired) Amoun[ (for coolributions of5200 or morc) � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � Line 9: 'lotal ftcceipts ovcr$50(or lisred above) � Linc 10: Total Rcccipts$50 and undcr* (not listed above) � Line 11: TOTAL RECEIPTS IN THE PERIOD F Fnter on page I,line 2 * Ifyou have itemized receipis of$50 and undcq include them in line 9. Line 10 should i�cludc only ihose receipts not itemized abovc. Page} SCHEDULE B: EXPENDITURES ' hf G_L c J)reyair'es cammi([ees(n l(sl. ur nlpdabe(icnl oider. ad espendlhves over S�0 in n rzpw�ting per'iod Commilleee mus[keep delnlled acroainis and records ujall expendilures, bu!need unh�ilemive[ho.se nver'550_ FxpendJures 5.i0 and under nraN be added tugelher, jrom mrmuillee records, anrl reporled on line !3. (A "Schedule B: Ezpenditures"aftachment is available to complete,print nnd atlach�o fhis report,if addi[ional pages are requireA�o reportallexpendiWres. Pleaseincludeyourcommitteenameandapagenumberunenchpage.) To Whom Paid Uate Paid (alphabetical listing) Address Purpose of Expendi[ure Amuun[ � � � � � � � — —__ � � � � � � � � � � � � � � � � � I.inc 12: Total 8xpendilures over$50(or listed above) I,ine 13: Totel Expenditures $50 and under* (not listed abovc) Emer on pa�c I, line 3—� Line 14: '1'O'PAL F.XNF.NDITURF.S IN THE PERIOD * Ifyo�have iremized espendilures o($50 and onder,include�hem in line 13_ I.ine I}should include only[hose expe�diwres no�i�emized abme. ra��a SCHEDULE B: EXPENDITURES(continued) To Whom Paid Date Paid (alphabe[ical lis[ing) Address Nurpose of Expendi[are Amoun[ � � � � � � � � � . � � � � � � � � � � � � � � � � � Line 12: Cxpenditures ovcr$50(or IistcA abovc) � Line 13: 6spenditures$50 and under' (not lis[ed above) � Cntcr on pege I,line A -� Linc 14: TOTAL EXPENDITURES IN THE PERIOD ` If you have iremized cspcndi�ures o($50 and under, include[hem in line 12. Linc I3 should includc only[hose expendimres no itemized above. Yage 5 SCHEDULE C: "IN-KIND" CONTRIBUTIONS � Plcasc ilemize contriburors who have madc in-kind conlributions of more than$J0. In-kind contributions$50 and under may bc added rogcthcr from the committee's records and indudcd in line 16 on page I. Uate Rueived From Whom Rceeived* Residential Address Descrip[ion of Contribution Value � � � � � � � � � � � � � � � � � � � � � � � � Line I5: In-Kind Contributions over$50(or listed above) I.ine 16: In-Kind Comributions$50 & undcr(not lis(cd abovc) Fnceron page I,Iine 6-� Line 17: TOTAL IN-KIND CONTRIBUTIONS * If en in-kind conl[ibulion is received ftom a person who w�h'ibWes more[han$50 in a calendar yeflr,you mus'[report�he name end address of the contribu[or;in addition,ifthe contribWion is$200 0�morc,you must elso repon the comribumr's occupetion end employcr. ppge b SCHEDULE D: LIABILITIES M.G.L. c. JJ reyuires rommitfeee'(o r'epor'i ALL lia6ililies�rhir/�hu��e heen repnr/ed pre��iouslV and qre.s[ill oufstanding, as �nell as(hose lia6ili/ies incu»�ed d¢�ring Jtis reporling pn�iod Da[e Incurred To Whom Due Address Parpose Amount � � � � � � � � � � � � � � � � � � � � � � � � � � Ii � � F.nteron page I, line 7 � Line 18: TOTAL OUTSTANDING LIABILITIES(ALL) Page 7