HomeMy WebLinkAbout2021 Gaffen - Year End � Form CPF M 102: Cam ai n Financef �f' r v E D
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Municipal Form � �- "'� � ' °
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O�ceofCamp�ignandPoliticalFinance ���2 �Ary z0 PM 2� 33
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RlewitM1: G� orTownClurkorElcctionCommiosiou
Fill in RepoRing Period dates: Beginning Da�e: i/i/zozi e�d����are: iz/3i/zozi
Type of Rcport (Check one)
❑ 8th dey precedivg peeliminary ❑ Sth day preceAing electiov ❑ 30 day after election Q yeae-end report ❑ dissolutiov
Enn Gaffen Committee to Elec[Erin gaffen
CandiJate Full Name Q[eppliceble) Commirttt Nvme
School Gommittee,Town of ReaCing Eric Gaffen
O[fcr Sought and Dislne� Nemc of Commincc Trcaxumv
15 Hembck Road, Reatling, MA 0186J 15 Hemlock Road, reatling, MA 0186�
Rwidmtlel Addasx Comminee Mailfng Addeus
F.-mail: eringaffen@gmaiLcom E-mail: eringaffenforsc@gmail.com
Phone a(o0�bna11: PM1one a[op�ionap-
SUM.MARY BALANCE INFORMATION:
Line l: Ending Balance fmm previous rcport 102.05
Line 2: To[al receipls this period(page 3,linc I I) �--1
Line 3: Subto[al(line 1 plus line 2) ioz.5
Liue 4: iotaL expenditures this period(page 5, line 14)
Lioe 5: Ending Balancc Qine 3 minus line 4) �— 102.5
Line fi: To[al in-kind conlnbu[ions this period(page 6) � �
Line 7: Tonl(alp ouhtanding liabilities(page 7) �
Line S: Name of bank(s)used: aeae�ng cooperat�ve eank
ema..trorco��aa'rreasu...:
I oetlify that I havc cxemined�his repon inclodin6 vVeeFe�scheAules and ii i�,m tFc best nfmy knowledge end AeGe[a Irve and comple¢s�a4men�of ell cainDai6^flneoec
acuvlty ' I d g 11 t'b i . I eipe p G't aa,tlisb kinJ t b ( s end liab I( �C Ih' poei g pe iod and repmsevu�M1e campai�m
Mencc '' 'ty f II pc . t g G �h re ih liy n bcM1el( (M1 - A/e//wl��M1c q � � fM.G L. .55.
SigoN under�hePeualhnof Pe�^�Y� �����`���� (Trcasurer. signaNre) Dale I —� y— � �
FORCANDIDATEFIWdGSSLNLY: Amm.ieotC�oalaem:(r.n�cklbmanlyl
c,�aiaaae a�m commircee
O1 c¢niTy tM1at I M1ave exemincd ihix repotl incluJioy avache4 schedules end II is,m�hc bcsi of my koow4d6c end belie[,a imc and comple�c s�s�emwi of all cempaiym fivauce
euivuy,otall persons ecung undonM1e auModry ov ou beM1alf uf tM1ls commmee m aow�danm whh�M1c reqmmman�s of M.G L,a SS. I have no�rccnlved eny wonibmions,
mcorzW any IlvbiGues mr maAu eny ecpenJiwrcs on nry beFalf during�M1is reponing puiod iM1ai are no�olAuwise disolo5ed iu�his repoa
cenaia.re.�mo�e comminee
I cetli[y tlia�I heve uamined�hls repotl inel¢ding a�wcM1�soM1eaoles enA L is,ro�M1e besi ofmy know�edgc nnd belleC a wvand wmplcle s4¢ment oCall campaigu
� finanee az�iviry,ineluJin@ mntnbutiov,lnans.reccipta,expendiwms disb�rsememx,in-kinJ cannibutions e�d livbilitiun for�his repanink period end mprvam�s iM1e
wmpeiym fuence acfivity otall persons actln6 wdenhe emho- on behul[o[this wndidaia iv ewordence witM1 thc requiremenis of M(i L.c.55.
si eau�aerme Irioat � /� / (Cavmdem'ssiymamre) Date: � � ZO-�Z-Z—
go Peuv Perlury:
SCHEDULE A: RECEIPTS
M.G.L a 55 rrquiru tha[!he rsame and resfdenlio!odrlress be reporled, in�(phabe(ital order,for a[7 receipts over$SO tn q calendor
year. Conimiltees reu�st keep Celailed accoun(r andrecords o/'a(1 recetp(s, bu(need onTy i[emize[hase receip(s over$50. In addi(Jo0. the
occupaiiort and entp(oyer'nmr!be reported for qll yersons who emivibure$200 or more in a calendar year.
(A"Schedule A:Receipts"a�[achment is available to comple[e,prin[and attaeh to thie report,if adtlitloual pages are required ro
report all receipts. Please include your commi[tee name antl a page numAer on each page.)
Name and Residential Address Occupation& Employer
Date Received (alphabeticallisNng reqaired) Amoun[ (Por contribudons of$200 or more)
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Line 9:Totat Receipts over$50(or listed above) �
Line 10: Tolal Receipts S50 and ondec�(no[tisted nbove) �
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Line I1:TOTAL RECEIPTS IN THE PERIOD � F Emeron pagc 1,line 2
" If yo�have itemized receipts of S50 and uvder,iuclude them in Iine 9. Line 10 shwld iuclude onty those�ecef0�s uot itemizeA above.
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SCHEDULE A: RECEIPTS(continued)
Name and Residential Addresa Oecupatiou&Employer
Date Received (alphabeHcal IisHog required) Amouo[ (for contribafions of$200 or more)
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Line 9:Total Receipts over$SO(or listcd above) �
Line I0:Total Receip[s S50 and under'(not lisled above) �
Line 11:TOTAL RECEIPTS IN Tf1E PERIOD � <- 5nter o�page 1,line 2
'If yw heve itemized�eceipts of$50 and uvde[,fnclude them iu line Y. Line 10 should include ovly[hose[eceipts mt itemized above.
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SCHEDULE B: EXPENDITURES
M.G.L.c 55 requires commiltees fo list,i�alphnbe(ica!order,a!/ezpendi�m�es over$50 ui n reporMg period. Committees musl keep
r/emileduccountsandrerordsofa�7erpenAi(ures, hulncedan[yi(emizelhnscwer$S0. Expendf(ures$SOandundermaybeaddvAmgether.
jrom rommi[(ee records,and reporred on line H.
(A"Schedole B: Expenditures"attachment ie arailable ro complete,priut and attach m this repory if addifional pages are required m
report all expenditures. Please inclode your committee name anA a page nomber on each page)
To Whom Paid
Date Paid (alphabe[ical listing) Address Porpose of Ex endimre Amount �
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Line 12:Tolal ExpendiN�es over$50(or lis[ed above) �
Line 13: Total 8xpenditures$50 and under*(not lis'ted above) �
Emec an page I,line4� Line 14: TOTAL EXPEND[TURES IN THE PERIOD �
• If yo�have icemized expenditures of$SU and undeq include them in line 12. Line 13 should include onty those expenditures not iremized
above.
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SCHEDULE B: EXPENDITURES (continued)
To Whom Paid
Date Paid (alphabetical listin� Addresa Purpose of Expenditure Amouu[
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Line 12: P,xpcndimres over$50(ar lis�od above) �
Line 13: Expcndimres$50 and under* (nol listed above) �
Enter on page 1,line 4+ Line 14: TOTAL EXPENDITURES IN THE PER10D �
^If you have itemfzed expe�drtures of S50 and undeq include them in liue 12. Line 73 should incluJc unly Nose expe�ditures mt itemized
above.
Page 5
SCHEDULE C: "IN-KIND" CONTRIBUTIONS
Pleace i[cmize con[ributors who havc made imkind contribulions of more than$50. Imkind wntobutions $50 and under may bc
added together 6om the commi[[ee's rerords and included in Iine 16 on page ].
Da[e Received From Whom Received` Residen[isl Address DescripHon of Con[ribuHon Value
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I,ine I5:in-Kind Contributions over$50(or listed abwe) �
Line 16: ImKind ConMbutions$50&undec(not lis[ed above)�
Fnter oo pegc I,line 6-� Liue 17:TOTAL IN-KIND CONTRIBUTIODIS �
• If an imkind conMbution is received fmm a person who contnbu[es morc than$50 in a calendar year,you must rcport the name and address
of[he cantnbator;in addfioq if Ihe wvtnbutio�is$200 or morq you must ulso�eport che covtributo�'s oce�pation and employc�. page 6
SCHEDULE D: LIABILITIES
MG.L. u 55 requires commi!(ees m report ALL liabilities which have been reported prwiouxlv and are sfill outstanding, as wel/
as those lia6i/ifies incurred during[his repor(ing period.
Da[e Incurred To Whom Due Address Purpose Amount
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Entu on page 1,live 7-� Line 18:TOTAL OUTSTANDING WABILITIES(ALL) �
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