HomeMy WebLinkAbout2021 Wise - Year End � Form CPF M 102: Campaign Financ�Re�p�,rt �
Municipal Form ��7,'��,t � �_��h
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Office of Campaign and Political Finance � �"F'�� � �� r. °� '�
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FllewitkGrvorTow�nClerkor[IeIGo Commission
Fill in Reporting Period dates: seginning�ate: i/i/mzi ending oare: iz/3i/zo2i
Type of Report: (Check one)
� 8th day preceding preliminary ❑ Slh day preceding eleclion � 30 day aker eleciion Q year-end report � dissolution
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SUMMARY BALANCF. INFORMATION:
Line L• Ending Balance from prcvious report ��p jp,N�
Line 2: To[al rcceipts this period(page 3, line 1 I)
Line 3: Subtotal Qine I plus linc 2) � OJA.�
Line 4: �I�otal cxpenditures �his period (page 5, linc 14) �Z(�o0
Line 5: Ending Balance(linc 3 minus line 4) �� g'j�,�
Line 6: Total in-kind contributions this period (page 6) �—�
Line 7: Total(all)outstanding liabili[ics(page 7) I$15,5�
Line 8: Name of bank(s) used: (��di �ao �.�i vf� �jcw�k„
AtTtlavil nf Commit�ce frtasurer:
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eaivlty.including ell mnvibuGonsJoans r.ecip�s,cxpendlwrvs,tlisbuaonena,in-Aintl contnRuuons and liabifi�ies(uriM1u reponing peviod and reprcxents ihe wm0aign
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CanJidale wi�h fmmminm rnJ no ectiviry inJepcndenl of the<nmmi�rer
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mcuned wp�liubifitics nov medc an��c.v0���dimres on my b<hnll 0uring�hls mponing period.
GnJidn�c wi�hou�Commimr OR CandiJate with inJeV<n�ent aetiviry�fling seperatc rcport
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Slgne�undcrlhepenaltiesoYperjury: �Mn� � �� ICaididnic'ssi@nnlurc) Date:
SCHEDULE A: RECEIPTS (coutinued)
Name and Residen[ial Address Occupalion &Employer
Da[e Received (alphabetical listlng required) Amount (for contribufions of$200 or more)
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Line 9: Tohel Receipts over$50(or listed above) �
Linc 10: To[al Receip[s $50 and undcr* (not listed above) �
Line 1 l: TOTAL RECEIPTS IN THE PERIOD F Hnrer on pege I,line 2
' Ifyou have itemi�ed receipis of350 and under,include them in line 9. Line 10 should includc only IhoscreceipLs nol ilemized above.
Pagc 7
� SCHEDULE B: EXPENUITURES (continued)
To Whom Paid
DatePaid (alphabe[icallistinpJ Address PurposeofEzpeudi[um Amaun[
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Line 12: Expendimres over$50 (or listed above) �
Linc 13: F.xpenditures$50 a�d under* (not listed abovc) �
F.ntcr on page I, line 4 —� Line 14: TOTAL EXPENDITURES IN THE PERIOD �
'' If you have itemized expendimres of$50 and undtt, include the�n in line 12. Line 13 shoiJd include oNy[hose expendi[ures noi itemized
above.
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SCHEDULE D: LIAB[LITIES
MG.L. c �J requires commiuees!a repor[ALL liabi/ities which have been reparied previous7v and are slill aulsfm�ding, as well
as ihose/iabilities incurred during this repw4ing periad.
Date Inwrred To Whom Due Address Purposc Amount
z�19�l�t �a,.��-s W�52, �$1 �,+� �. ��nS /�/30. 39
zI�-�°I1� �ww.r,S W'��c� I�il Sc��IM � 17nnks ���wev:�- `d5 IZ
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Enter on page I,line 7 � Line 18: TOTAL OUTSTANDING LIABILITIF.S(ALL) /$�5, h�
Page 7
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