HomeMy WebLinkAbout2021 McIsaac - Year End I � Form CPF M 102: Campaign Finance,�e��i�.'' C �
LERK
Municipal Form F, -: :=.L: "�- �, 1tidA.
Office ot Campaign xnd Political Financc Rti
�o�, �����,
2�12 JAN I 8 PH 12� ! I
ol Massnchmeus �
Filewnk Ci� o�lmmClevkovElm�ionComm�ssion
F'ill in Reporling Period dates: Beginning Date: 03/30/2021 Cnding Date: 12/31/2021
Type of Report: (Check one)
� 8th day p�eceding preliminary ❑ 81h day preceding election ❑ 30 day a%er election ❑X year-end report ❑ dissolution
�� � c.� N "s u -
Candidn�e Full Neme lifappllcable) Commince Nmne
� o.�.� - P�e�;�r �� �.�d�
Of ine SuugFt end�istnet Neme of Commluw Trceswce
q4 oa�. st� e� #� x� � y n'q �`bb"�
Resitlenuel Address Commi�mc Mailing Addmss
E-mail�. � �. _ � � F-mail�.
PFone%(opuonel)�. Phone k[opiionep_
SUMMARY BALANCE INFORMATION:
Line l: F.nding Balance fmm previous report � �
Line 2: Total reccipts this period(page 3, line I I) �� 8 �
Line 3: Subtotal Qine I plus line 2) � �
Line 4: Total expendiNres Ihis period (p&ge 5, line 14) � O
Liue 5: Ending Balance(line 3 minus line 4) �'�
Line 6: Total in-kind contribmions[his period (page 6) $�0
Line 7: Total (eli)outstanding Iiabililies(page 7) 9i �
Line 8: Name of bank(s)iised: N
nmm.o orcomm�n:.r.�..�«�:
1 eemy the�1 have examine�this report intluding aVacM1eJ mM1Nules and it is,m tM1c Ms�ot my knowledge end bclicf.a vme anJ mmplem sia¢ment of all campuign finunee
nclivtt},tneludin�all conlribulion.c loans,rceeiptq expendlwres,Aisbursemenlr.imkind mnVibulions and linbilitics for this aporting puind end repasen¢ihe campaign
6nanec activiN nf ull persons aating onAcr�M1c eW hooty ur on bcM1alfof ihis mmmluce In a¢ordancc xLh�M1c rcqmmmrntz nf M G L.c v.
Signe4under��eprntl�iesofperjun': ITrcesurchsignawre) D3t¢:
FOR CANDIU.4TE FII.INGS ONLY: arra,vi�ofc.�a�an�e:��n.<u i ne.�niy�
c.�a�a.�e.�m c�mm�a<:.�d��n�i��ur��a�n��a���or m��omm�a«
� Icei� tM1 �lh' � .� � 4�M1 p � Ia 'n'-M1d:�hill ' dl�: tiM1b � � � k Idy dbff, l ' J Olmcsa� [ l�II - p�y ( c
acu -olallperso�satngindcrlFenmF I}oro�biM1ulloliM1 c nite�ine oraanuvlAih� �quanenao�MGL. �.S__ Iheecmtrett� edayconl�butions,c
incurted uny Ilebiliucs nor ma�c�ny cxprndi W�m on im bchnlf durin�tM1ls reporh^81x^utl.
Candidn�e wi�houl Cammil�ee SLN fandiJa�e wi1M1 inJepmaml uli��ity f Ii�R uPvrv�e r�Porl
� IcertifyihnilM1evicexaminedthismportinduAinge��achedschedulcsendi�is.toihebcsofinyknoxleJpcendbclid;almeanticnmplcicse¢mcntofallwmpnign
finonce xtivity.Including w�nvibutionsJoanz recciOR�xpendiwres.tlisburscmena.io-kind convibminne nnd liebtllucs for[his repnr�ing perio�en�rcpresenls lFe
rempai6nfinancencuriryofallpeaonsec�ingwdenFcuuthonnuronbchalfof�Fivwmmi�n InaccordanmmiiM1tM1crcqmremenlsnlMG.Lc.v.
S� d��ao mc If.��f � s+'� 9�7�1�'a'�''G- [Candiee�es sisnawre) Da�e: �-1"i -2 L
g�. n<�, v..��..:
�
SCHEDULE A: RECEIPTS
bl G.l.. c 55 reyuires tha(!he nqme nnd residenliul pd�hess be reporled. in alphnbelical ordert jnr p0 rereipts over$.i0 in p ca(endar
year. C'mnroi![ecs rmesi kecp de[ailed acrounte nnd r'ecorAs ofa[l receipls, bm need nnly ilcmice ihose rereip(s orcr 5�0. /n���%l]�ian, [hc
necupa[inn ond eniplo��er mus(be reponedfor a/1 persons ivlm conlr'ibu[e 5700 or'more in a culendar pear.
(A "Schedule A: Receipts" attxchment is xvailable m romplete,prin[and ntlach tu[his report,if additionnl pages are rcquireJ m
repor[all receipte. Plcase include your commiltee uame and a page oumber on exch page.)
Name aud Residcotial AdUress Occupalioo & Employcr
Date Received (alphabeHcal lis[ing required) Amoan[ (for conMibufions of$200 or more)
� �
� �
� � �
� � _
� �
� �
� � � �
� �
� �
� �
�� �
� �
Line 9: Total Receipls over$50(or listed above) �o
Linc 10: Total 2eceipts$50 and under' (not listed above) � o
Line 11: TOTAL RECF,IPTS IN THE PERIOD � O �— F.nter on paae I,line Y
* Ifyou have i�emized receip�s of$50 and undeq include Ihem in line 9. Line 10 should include only those receipts no�itemized above.
Page 2
SCHEDULE A: RECEIPTS (continued)
Name and Residential Address Occupation& Employer
Date Received (alphabetical lis[ing required) Amount (for cootributions of$200 or more)
� � �
� �
� � �
� �
� �
� �
� �
� �
� �
� �
� � � �
� �
� �
Line 9: Toral Receipts over$50(or listed above) )1 0
Line 10: Total Receipts$50 and under* (not listed above) � �
Line 11: TOTAL RECF.IPTS IN THE PERIOD j1 � F Enter on page I,line 2
• Ifyou have ilemized receipts of$50 and undeq include them in line 9. Line 10 should include only those receipts not itemized above.
Page 3
i
SCHEDULE B: EXPENDITURES
Ad,QL c 55 requires enmmil(ees la[isL In alphabe(ienl nrden all erpendi[ures wer 350 in a r'epm[ing perlod Cammit(ees mvst keep
delailed acroimis andrerorAs ofal[eependihn'es. Aul need nnlv ilemire lhose orer$50. la�pertdihn'es$50 nnd under may Ae added loge[her.
frnm committee reca'ds.and reponed nn line 13
(A "Schedole R: Expenditores" attachment is available to complete,print and a[tach to Ihis report,it addi[iooal pages are required to
report all expenditums. Please include yuur commit[ee name and a page number on cach page.)
To Whom Paid
Date Paid (alphabetical lis[ing) Addrese Purpose of Expenditnre Amouut
� �
� �
� �� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
Line 12: Total Expenditures over$50(or listed above) � o
Line 13: Tolal Expenditures$50 and under' (nol lisred above) jF O
Enmr on page 1, line 4 -� Line 14: TOTAL F.XPF,NDITURES IN THE PERIOD � tr
' If}ou have iremized ezpenJitures of$50 and under,include thcm in line 12. Linc 13 should include only�hose expendiWres no�i�emized
above.
Pxge 4
SCHEDU4E B: EXPF.NDITURES (continued)
To Whom I'aid
Da[ePaid (alpM1abeticalliating) Address PurposeofExpeuditure Amoun[
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
Line 72: Expendim�es ovcr$50 (or lisred above) � a
Linc 13: Expenditures $50 and under' (not listed above) $ �
Enrer on page I,linc 4-> Line 14: TOTAL EXPENDITURES IN THE PERIOD .� `�
*Ifyou hevc itemized cxpenditures of$50 and u�der, includelhem i�line 12. Linc 13 should includeoNy[hoseexpcndiWres not i[emizcd
above.
Page 5
� SCHEDULE C: "IN-KIND" CONTRIBUTIONS
� Please itemize contributors who have made in-kind con[ribu�ions of more ihan$50. In-kind contributions$SO and undet may bc
addcd logethcr Gom thc committee's records and included in lice 16 on page I.
Da[e Received From Whom Received* Residen[ial Address Description of Contribufion Value
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
Linc 15: In-Kind Contributions over$50(or listed above) �
I.ine I6: In-Kind Con[ribulions$50 & under(not lisled above) �p
Entcr on page I, linc 6 -� Line 17: TOTAL IN-KIND CONTRBUTIONS �p
* If'a�io-kind con�ribotion is received fiom a person who wnhibu�es more[han$50 in a calendar yceq you must rcport�he nnme and address
of Ihe contributoq in addilioq ifthe contribu�ion is$200 0[more,you mus[also report the mnfributor's oceupa�ion end employc�.
Page 6
SCHEDULED: LIABIWTIES
MG.L. c. 55 requires rommi!lees m repnrt dLL(iabili(ies �rhich have heen repar(ed previoucly attd are sii[/mdstandittg, as well
as those liabilities incurred during(his repor�ing period-
Date Incurred To Whom Due Address Purpnsc Amoun[
� . �
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
Enlec on page I, line 7 -� Line 18: TOTAL OUTSTANDING LIABILITIF.S(ALL) � o
Page 7