HomeMy WebLinkAbout2022 Wise - 8 Day � Form CPF M 102: Campaign Finance;�a}�,` �
Municipal Form r��"'?'* C i_ E R K
Officc of Campaiym ved PoGtipl Fiunu � � ' � � � � �'�A.
Cm�vanwdA
2fi72 Mtir; 2� c,N B,Rh—
ofMu huscru
F�cmiW: Gi�wTwo(lokorFJatimCommi.¢iu�
Fill in Reporting Period daces: segi�ming�a�e: i/i2ozz Ending Dffic: 3/18/2W2 I
Type of Report: (Check one)
❑X 81h day preceding prefimmary [X�$d�dny preceding eYecum �3b day afier elecuon � year-end report Q dis'solu[ion
Thomas 1Yrse CIE Tam Wise
('anGdatc FWI I:nmc I��+WIic�M1icl ("nmm�ur Nm
School Commallce 11ade Wise
ORccSuu��:mdDi�vicl Aaneof(;ommi�ceTreaswn
18 Soutfi St, Reading, MA 0186] 181 Sovth St,ReaGing, MA 0286J
R�ziJmtial A�LLccs 4xnmil�ee Mailing A�Li�na
E-��: wlrefomeading@gmall.com F.-maii: wisePorteading@gmaiLcom
en�o�x�w��r r�..K a i.,iv�f
SUMMARY BALANCE INFORMATION:
Line 1: Ending Bxlance Gum previous report 820.
Line 2: Total receipLc d�is period(page 3, line I 1� �50.00
Line 3: S�btotal(G�e 1 plus linc 2) ia�o.o
Line 4: Total expcndiNres Ihis period Ipage 5.liue 14) 50.0
Line 5: F.nding Ralance Qine 3 minus line 4) t52o.0
Line 6: Tofal imkind contributions this period(page 6) � i5o.0a
Line 7: Total (aID outsranding lfabilincs(page 71 � taessi
l.ine%: Name nf bank(s)nsed: ReaGinq[oorperadve Bank
AIfiA�N�o(fouoitt«Trevorm:
1 certih�a�1 have uaminvl iAi�repnn including ai�uM1e�<cheJuln and i�ie m Jie Icss ofmY��^wlWge md heliet:a we and ivnplcie uawn.�u[of all umpaign tinan�e
aztivit3,�ncloding dl cminbwions.Iwne.rcccipt..n�wnY�wrm,disdusrnirnu,imkiM conmhtiaa and IiMliun fm iM1ic rcpwting�viod vM repr�enu Je ramptign
finaneeam�i�'utallpcmuuacti�urdrx�Aeau�hmry mhLalfofMiso�mm�ma�medanawiWWercq�mnnrnanfM�L.c.55,
signeav�ao-m..�..inn�ra.j�.r� ����R� lit�1 �_ �rti..��.r.u��wre) llatc: 3�27��
FO _CANDIDATE FILINGS ONLY: nmdavi�ufC.ndievm�check 1 bo.oNy�
Cmdidae with Lommi(I�e
OI cercih�M1ai 1 M1avic examinal iAia�yyxt inclWin�anaeMN slicdul¢aml ii iz w Uie hvv[uf my 4mwledge a�M belicf,a we vd wm0leh slalmien[ofall rampaign fnanee
.cuv�iy,ol ill q+,on,acting wda ihs mniiai�y w on behalf ot iAis canmiu�c rn acmNa�e wM�M1e rcquimncnis afM.Gl c 5�. 1 M1nvc ma r�esirxd am�comribmiovs,
�����rrw,�ra���.�.�r w.9a�no.s�mrxw�ru���m��.m+Nen,;ww�.rc��ae.,w�a�m�m��.
c.�a�mrc.mnum cummiare
� 1 tt'titY�a�I havc aaminN�hia repm izl�Wng amcM1d schedWo and i�ix iu�hc hest of m)knowledge and beliet.a vue and ewn0lae swaucm ofall wnpaign
fieunce aeuviry.incl�ding con6iM1iNo�u.loa�S ma�KK.enpenJimrcv'.di�M1u�semrnk.in-ItiM conttiWtiovs aml liabili�ia fw ihis rtpomng penM mW npiesrnts Ne
campaign lnan¢ncnKry ut all puso�u acling ye�'ihe autlmnry qr on beM1al(of�M1u ondiAam in au�nrJa�wiJi iAe¢yuircmenk ol M.G 1..e 55.
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SiRoadu�dmrhepe�alrievofperjory: Y I D �ea��n��rs:�n�� ��: 3 -Y3-1atL
SCHEDULE A: RECEIPTS
M(iL.t 55 rey¢irec Iha[!he mme mid residrnliu!addre.re he repnrteJ, irt nlpHahetic¢[urder,for afl receipls ave�S50 in a�alendar
)�ear. Cammi!(eev must keeA demi/eG verourtis arid recarAs oJnll receip[s, bul need on(y ftemize lhase mceipls over 350. !n uddifioq (fie
necupa�'on arui emp/ayer miu'(be repnrledJ'nr all persmas mhn confi'ibu(e 5200 nr mnre in a ca[endar year_
(A`BeM1edule A:Receipts"attachmen[is availahle tn cnmple[e,print md attach to[hia report,if addilional pagn art required m
repart all receiptc Pleaxe ivclude your commil[ee mme and a paKe numM1er un each page.)
Name and Residential Address Oceapation&Employer
Date Received (ylp6ybetical lisdng required) .lmount (tor eon[ributions uf 52UU or more)
3/1/2022 8 Mount Vemon Sp ReaOing, MA 01867 100.0
3/5/2022 H F anklo 5[,�Read ng,MA 0166J 50.00
3/5/2022 25 Shawberry Hill Lane, Readfng, MA 01867 500.0 �hamologisq Lahey Hospital
3/1/2022 30]We 5[, ReaAing, MA 0186] � �
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Line 9: Total ReceipLc over S50(or listed abnve) �50.0
Lme l0:-Coral Rece�prs 350 anA unUer' (not iisted above) �
Line ll:TOTAL RECEIPTS IN THE PERIOD �So.o t- Emer on page 1,linc 2
'If you havc i[emized receiptc nf$50 and undcr,include[hem in line 9. Line 10 should include only ihose�eceipts mt i[emizeA above.
Page 2
SCHEDULE A: RECEIPTS(cunlinued)
Name and Residential Address Occupation& Employer
Uate Rtteived (alphabetical lis6ng reqoired) Amoant (for contributlons of 5200 or more)
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Linc 9: Toial Rccciprs over S50(oc fistcd abovc) �
Line 10:Total Receipfs S50 and under'(mt Ifs[cd above) �
Line 1 L•TOTAL RECEIPTS IN THE PF.RIOD � f Entcr on page I,line 2
•if yuu heve i[eimmd receip6 of 550 nnd mder,includc them in Ifne 9. lane 10 should includc unly Ihose receip�s nu�rtemized'ebuve.
Pege 3
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SCHEDULE B: EXPENDITURES
MG.I..c 55 i�equires cmronittees b lisl, in a(phabelica/mder.al[expendiWres nver$JO fn a repnriing pcviod. CnmmU[ees must keep
delailed accounte and recor'de nfal[upenditurev, bu1 need onlp LLem¢e(ho.ee nvn$50_ Eqxndimres,�50 and under'may he added mge(her, �
,(ram commrt(ee reunds,and reAw'ted an line 13.
(A"SehedWe B:Expcndilures" a[[achment is available la eomple[c,prin[and atlach ro 16is reporl,if additional psges are required lo
report ali e:penditures. Please inclode yuur cnmmittee name and a page uumber on each page.)
'Io Whom Paid
DatePaid (alphabeticallisbng) Address WrposeofExpenditurc Amount
omas Wise 181 Soulfi 5[ree[,Reading, MA epayment of outs[anding �
3/6/2022 186] �abiliry 50.00
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Line 12: Total Expendi[ures mer S50(or listed abovc) 50.00
Line 13:Toral Eapcndimrcs$SU and undcr'(not listcd abovc) �
Enter on page 1,Gne 4-� Line 14:TOTAL EXPENDITURES IN THE PERIOD So.oa
'If you hvvc itemizcd cxpcudiN�cs of S50 end under,include tl¢m iu live 12. Liuc 13 should irtelude onfy Ihose ezpendimms�iat itemizcd
above. Page4
SCHEDULE B: EXPENDITURES(continued)
To Whom Paid
DatePaid (alphabe[icallistlng) Address PorposeofExpendiNre Amount
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Linc 12: Ezpendimres over$50(or listed abovc) �
Line 13: Expenditures S50 and undcr*(not listed above) �
Enn.T un page I,linc 4 -� Li�e 14:TOTAL EXPENDITORES IN THE PERiOD �
• Ifyou have itemiud ezpendiNres ofS50 and undeC fnclude thein in line 12. Line 13 should Indude only[hos'e expendiNres m�itanizcd
above.
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SCHEDULE C: "IN-KIND" CONTRIBUTIONS
Please itemizc wnvibu[n�who have made in-kind wnVibu[ions of more[han 550. In-kind cnnvibutions S50 and u�der may be �
added togethcr from ihe committee's records and included in line I fi on page I.
Date Received From Whom Received' Residenuai Address Description of Cootributioo Value
ichelle Greenwah 6 Sbawberry Hill Lane ood Por even[
�6�2z atling,NA OI86J 160.00
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Line I5: In-Kind Contributions over 550(or listed afwve) 160.00
Liw l6: In-Kind Con�nbutimu 550&unler(no[Hslai above)�o
Entv un pagc 1,fine 6-� Linc 17:T(Yl'.4L IN-KIND CONTRIBU770NS 160.00
'If an in-kind cuntributiun is n:n:�v xl tnm�a persun who contributcs more�h,'m SSO in a calrndar year,yuu must n,yo�l tAe name anJ address
of�he conlnbu[or,in addilion,if Ihc conlnbution ic 52(10 or more,you musl aL�o mport lhe contribu[ors occupation and employer. Page b
SCHF,DULE D: LIABILITIES �
M.G./.. c. 55 requires committees to repor!AL7.liobilirtes rvhich hwe beert repnrted previously and are still oufstanding, 2e wel/
ns those liabililies incmred dunng this repmving period.
Date locorred To Whom Due Address Purpose Amoun[
2/19/19 �mas Wise 1815ouH�St igns 7q;039
/26/19 omas Wise 181 Sou[h St 'nl¢for event
5.12
�b�zZ omasWise 1815outh5t epaymeirt
50.00
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Enter on page I,linc 7-� �oe I8:TOT.4L OUTSTANDII�G LIABILITIES(AI.1.) 14655t
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