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HomeMy WebLinkAbout2021 Gaffen - Year End � Form CPF M 102: Cam ai n Financef �f' r v E D p g �� � LERK Municipal Form � �- "'� � ' ° '� _;. t�„A. RK O�ceofCamp�ignandPoliticalFinance ���2 �Ary z0 PM 2� 33 �o��a�w<a��, ofMacwc�uset6 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) �� � �� � � � � � �� � � � � � �� � � � � � � � �� � � Line 9:Totat Receipts over$50(or listed above) � Line 10: Tolal Receipts S50 and ondec�(no[tisted nbove) � L��J 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. Page 2 SCHEDULE A: RECEIPTS(continued) Name and Residential Addresa Oecupatiou&Employer Date Received (alphabeHcal IisHog required) Amouo[ (for contribafions of$200 or more) � � � � � � � � �� �� � �� � � � � � � � � � � � � � �� � � � � � Line 9:Total Receipts over$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. Page 3 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 � � � � � � � � � � � � � � � � � � � � � � � � � 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. PaRe 4 SCHEDULE B: EXPENDITURES (continued) To Whom Paid Date Paid (alphabetical listin� Addresa Purpose of Expenditure Amouu[ � � � � ' � � � � � � � � � � � � � � � � � � � � � � 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 � �� � � �� � � � � � �� � � �� � � � � � �� � � � � � � � � � � � � � � �� � 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 � � � � � � � � � � � � � � � � � � I � � � � � � � � � � Entu on page 1,live 7-� Line 18:TOTAL OUTSTANDING WABILITIES(ALL) � Page 7