HomeMy WebLinkAbout2021 Bacci - Year End � Form CPF M 102: Campaign Finance Report �
Municipal Form r�=',�,,��` � �`t �' � /
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Offire nfCampaign and Poli�ical Finanm R -_ _'_ :�i r �f A
Cnmmonacalih
or�e�em�m„��i„ �012 FEB 14 ,{� Q 7
Pllcwi�k Cirvu�TmmC(di.'orY:le�iM1nCnmmission
Fill in Reponing Period dates: oeg�nnin;uaee: Ui/mzi ending�a�a iz/aUzoa
Type of Report: (Check one)
❑ 8th day preceding prcliminary ❑ 8[h day preceding eleclion � 30 day after eleelion �X ycar-end report � dissolution
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CandiOetc Full Name�(if/�aDPlic�ble) Commii¢c V amc
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O�¢tiought and Distnn Namc uf Commincc l rcuurer
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Nesiden[iel Addmss Commiuee Mailing Address
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SUMMARY BALANCE INFORMATION:
Line I: F.nding Balance from previous report �'] � �
Line 2: Total receipts this period(page3, line I I) ����
Line 3: Subtotal Qine I plus linc 2)
Lioe 4: �I'olel expendi[ures this period(page 5, line 14) �� ��
Line 5: Ending l3alance Qine 3 minus line 4) ���� J_ S�
Line 6: Total imkind conhibu[ions �his period (page 6)
Line 7: To[al(all)outstanding liabilities (pagc 7) �
Line S: Name of bank(s)used: �(i ' e< c�w �i�e w 4 �(
nmaa�a orcomm�u��r.�..�.:.:
1 wnily ihe�I have exeininN @is re0on incluAine euacLed schedulrs aid ii ic m�he besi of my knowledse and bclicf.e vuc nnd wmplem sa�emem oCall campaign financc
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FQR CANDIDATE FI W NGS ONLY: .uraa.n��rca�J�Ja�r:�rh�ck I bor onn��
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GndiJate x ithnm Cnmmiuee OR CxnJida�c wi�h inJepenJcm rctisitc IilinR��P��a�e repor�
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<empni�i linunce ettivip�ol oll prrsons acung unaa�hc amhurny ur un bchalf of ihis uomm¢�ec in ncwraancr w ith thc reqnimmcnte ofM.QL c.i�.
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Signcd mJer�he penal[ies ofperyury: � (CandiJa�e's signeW�cl DHIe:
SCHEDULE A: RECE[PTS
M.QL, c. 55 requires 1/m!Ihe nnnre and reeidenGal address he repor(ed, in alphabetical nrdu',Jor a(l receipta'over 550 in a calendar
year. Committees musi keep de(nlled accarmts'und recorrls oJal/rereipts, b�d nee<!nn/v iiemF_e[hose receiptr wer 550. !n adAition, the
ocnipatlon and empinyer mus(be repaiYed for nll personc wha conU'lbnle 5200 or'rxore iri a cnlendar Peur'.
(A "Sehedule A: Receipts" atlachmen�is available�o cumplete,prin�and attach tu thie reporl,if additional pages are required to
report all rwcipts. Ylease include your commi��ec name au� a page uumbcr on each page.)
Name and Residential Address Occupation & Employcr
Da[e Received (alphabe[ical listing requireJ) Amoun[ (for contributions of$200 or more)
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Line 9: Total Rueipts over$50(or listed above) �
Line 10:Total Rceeipts $50 and u�dcr* (not listed above) �
Lioe 1l: TOTAL RECEIPTS IN THE PERIOD � f F.nter on pagc I, line 2
* I(you have i[emized receip[s of$50 and under, include them in line 9. Line 10 should include only Ihosc receipts mt itemized above.
Pagc 2