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Home My WebLink About2021 Herrick - Year End � ' Form CPF M 102: Campaign Financ�;�epq�jtr � MunicipalForm :� ``��`�, �!- FRK r' - ' � t:iA.. Office ofCampaign and Political Finance � �omm��„Wo„„ fG22 JdH 20 PM I� 09 nf Mnssachusc�¢ - Filc wltk Cit�orto.m Clcrk or Llwoon Commission Fill in Reporting Period dates: Beg�nning�ace: Ui/zou ending Date: iz/si/mu Type of Report: (Check one) ❑ Sth day preceding preliminery ❑ 8lh day preceding election � 30 dey after election ❑X year-end report ❑ dissolution �1�CL,fAJ ;�arer„� I�t��22icK l,-.ww" l"r-_ �= � E�FcJ I�R�..,t-�✓HF�I'lcK CandfdeteFWlName(ifapD�icablel Commfn �Namc (� �O� ac, yf�rc< 3 ,. �v !L(� Sl� P �. �a.,4 1-� F!'G.3ic � O�cc tiought and Discric� Neme of Commfltre ircamrcr �'1 r7i✓. oF-.r.�� .Cv ��-�ao.N G— 4 1�ivO �u�' J'.n Resfdential Addrcsa Commincc Mailln_Address c-ma�c �t,AP,6ullF�uL�ce ��' u��Zo .v .v � ��-��au�.ST�P�1FN. f'�cr�rcKC' b�fFi?a.v.n.- �l rno�ca(o�ro�aq�. Pno��a�ooro�sp- SUMMARY BALANCE INFORMATION: Linc 1: Ending Balance Gom previous rcport � � g7, � a Linc 2: Total reccipts this period (page 3, line I I) � � � � Line 3: Subtotal Qine I plus line 2) � � 3�� Line 4: Total cxpenditures[his period(page 5, line 14) —� � — Lice 5: Gnding Balanw Qine 3 minus line 4) �� 3 Z Liuc 6: Total in-kind contribu[ions this period (page 6) ��s-T,� a Line 7: To[al(all)ouistanding liabilities(page 7) (OOG.�_ �� Line S: Name of bank(s)used: �,�T��-V �b�'� � Afftlavit orCommi�rcc'1'rcasurer. I ccnify�hni 1 havc cxnmined�his re0on indudin@ auachcd schcdules nnd it Ic m ihe besi ol my Anowle�c and M1clicf.e we end wmplc¢s�aicmem o�all compeign tinance uctivlly_incl d' g�ll �on¢ibmi � I � ceip�s .p olmres.disb � mr�_imkind�onubmbnsaidl�bliGcsfrthis�cportingpttiodanarcpnsci�sih.cam0eign t acii�ly fallp - - �tingundcrihcai�hori�lo��bch 1 'i 's ommiuuina�c rdencewi�hih qu' ntsufM.G.I..c.35. Slgoedundr@epenaltiuufperyurr �- ff c2ssignaWrc) Datel L ',jOe�� FORCANUIDATEFILINGSQNLY: nmaw�irufcanJ�anm:lcn.��kinn.nmy� CanJiJau wi�h Commiuee and nn a<ti��ity indepenJcnt of�ne enmmiuee I cenlfy iM1e�i have examinN tM1is repon induding euached sd�edulev end it Is,w Ne bevi o(nry knoxicdge end belieC a�ma end compleie stxtGnent of ell cnmpalgn�nenee activiiy,ol all pcosons eaing unacr�hc amhonp�or on behelf ofthis commineu in aemraan<e wi�h�Fc requlr mcnts uLVi.G I_c.59. 1 hare no�reccived eny coninbuGons. mwrted enllieblli�ies nor medc en1'czpcndiW�a on my behnlfJurin3 Jiis reporling pcnad. CandiOete nithum Commi¢ec nR CanJiOete xi�h inJepenJent nctivit�flinR saparatc repm� Icenil � ilh �a d�l'- prt� Id' �e �hd. hdl � d�t�. i J b i I �k 9d JMff. i � d � m0�<t'st � � f'll - Oaign � financc < < - I A� q � b t ns 1 i �pt- �xpcid� d�b . � A A � b � ntl I oF'I'i . f th�� Oort ng p d d reprcsnu�M1c umpe�n fnaiu e tiviry nf ell penons e ting Ihc awhoriry uron buhall of0 m�vc�'n ai ortlanu w'IL�hc requ mmrn�s ofML I.u». Date' `�� SiKned nnder IM1e pcoal�ie�o[perf uq: (Candide�c's slgnemm) SCHEDULE A: RECE[PTS � • M.QL. c. 55 reqi�ires thal the mm�e andreridett�inl address be repoi9ed, in alphabetical order,for nl!receipfs over 3i0 in a rn(endm� yeart Cammitteev mnst keep detailed accounts and recmds ofal(rereipts, bu[need onlp rtemi_e those rerelpts over 550. In uddition, tlre occt�patian nnd ernp[nper nm.e!be repar[ed for nll persons whu conn'ibnle 5200 nr utore iir a cnlendnr yepr'. (A "Schedule A: Heccip[s"attachment is availaAle[o complete, print and a�tach �o this repory if additional pages are required to reportallreceipts. Pleaseincludeyourcummitleenameandapagenumberoneachpage.) Name and Residen[ial Address Occupation & Employer Date Received (alphabetical lis[iug required) Amoun[ (for contribu[ions of$200 or more) � � � � � � � � � � � � � � � � � � � � — � � � � � � � � Line 9: Total Receipts over$50(or listed above) � Line 10: Total Receipis $50 and under* (not listed ebove) � Line ll: TOTAL RECEIPTS IN TRE PF.RIOD � F qnter on page 1, lice 2 " ff you have itemized receipts of$50 and under, include thc�n in Iine 9. I,ine 10 shoWd include oNy thos'e receipts not itcinized above. Page 2 � SCHF.DULE A: RECEIPTS (continued) Name aod Neaideutial Address Occupatioo & Employer Date Received (alphabctical listing required) Amount (for contributions of$200 or more) � � � � � � � � � � � � � � � � � � � � � � � � � � � �� Line 9: Total Reccipts over$SU(or listed ebove) � Line 10: Total Receipts$50 and under• (not lis[ed abovc) � Line 11: TOTAL RECEIPTS IN THE PERIOD � <— Enter on page I, line 2 ' If you have itemized receipts of$50 and unda, include them in line 9. Line 10 should incl�de only thosc receip�s not itemized above. Pagc 3 SCHEDULE B: EXPENDITURES • - MG.L. c. JS reqtiims camrnittees/a/is[, in nlphahelical order, a//e.��pettdlmrer over 350 in a repor](ng period ComiM[[ees nms!keep de(ailed ncconn(s and records afol7 erpendilm�es, bu!rreed onle ilernice[hose over,450. Expendilvrec S50 anvl imder may be avlded roge(her, fi'om ron�mittee rerords, nnd repnreed on line 13. (A "Schedule B: Expenditures" attaehmen� is available to complete,prin�aod attech ro�his repor[,iPadditionai pages are required �o repor[all expendihres. Please include your commi��ee name anJ a page number on each pagc.) 'Po Whom PaiU Da[ePaid (alphabe[icallisting) Address PurposeofExpendihre Amouot � � � � � � � � � � � � � � � � � � � _' _— � � � � � Line 12: Total Expenditures over$50 (or listed above) � Line 13: To[al Expendi[ures $50 and under* (no[ listed above) � Enrer on page I, line 0.� Line 14: TOTAL F.XPF.NDITURES IN THE PERIOD iC� " If you have itemized expenditures'of$50 and under, indudc them in line I2. I.ine 13 should include only those expcndiNres not iremized above. Pagc J � SCHEDULE B: EXPEND[TURES (emtinued) To Whom Paid Da[e Paid (alphabetical listing) Address Purpose of Expendi[ure Amount � � � � � � � � � � � � � � � � � � � � � � � � � � I.ine 12: Expendiwres over$�0 (or listed above) � Line 13: E�penditures $50 and under* (not listcd above) � Cn�er on pave I, line 4 -� Line 14: TOTAL EXPENDITORF.S IN THE PERIOD _� ' I(you have itemized expendiwres of$50 and under, include them in line 12. Line 13 should include only those expendimres not itemized above. Page 5 SCHEDULE C: "IN-KIND" CONTRIBUTIONS • Pleese itcmize con[ributors who have madc in-kind con[ributions oC more than $50. In-kind contribu[ions$50 and under may be added [ogcther Gom [he comminee's ruords and included in linc 16 on page I. Date Received From Whom Received' Reeidential Address Description of Contribu[ion Value � � � � � � � � � � � � � � � � � � � � � � � � Li�e 15: Io-Kind Contribu[ions over$50(or listed above) � Line 16: In-Kind Conhibu[ions $50 &under(not listed above)� Enter on page I, line 6 � Linc 17: TOTAL IN-KIND CONTRBUTIONS _� * If an imkind conhibution is reccived 6om a person who con[ributes more than$50 in a calendar year,you must report the name and address oFthe connibulor; in edditioq If�he wntribution is$200 or�nore,you inus�also report the connibutor's oceupation and employee. page 6 SCHEDULE D: LIAB[LITIES ' ' MG.L. c. JJ reyuires camninees tn report ALL (iabili(ies which hnve been reported preriously w�d are r(il(outslanding, as we// as Ihose linbili[ies ineurred during this reporling perind. Date Incurred To Whom Due Address Purpose Amount �C y��F✓ � ST£P N�•v 9 �u � AfZ-�Z�- K-O Lm /i,.� 9U {. (�� `�� /-�(zR-2(c/G Y' / onc� RFaoitiL. �--h N�r,.e,-� car.�. PA�s,b� � � � � � � � � � � � � � � � � � � � � � � � � � � En�er on page I, line 7 � Line 18:TOTAL OUTSTANDING LIABILITIES(ALL) � v d p I Page 7