HomeMy WebLinkAbout2022 Pacino - 8 Day � � Form CPF M 102: Campaign Finans�B��n�t�;
Municipal Form ;7�;, '�. r�-EH�K
OfficcnfCampaignandPoliticalFinance ����
Coinmonureal�F
iGi� NAR 28 AH 8: r g
of Massechuscus
Filewfth�. Cll oeTownClakorLleuionCommission
Pill in RepoRing Period dates: 13eginning Datc: 1/1/20zz Ending Dare: 03/18/2022
Type of Report: (Cheek one)
❑ Sth day preceding prcliminary ❑X 8lh day preceding election ❑ 30 day a[ier election ❑ yea�-end mpon � dissolution
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Can/did�alcl'ullNome(ilayp liceb�le CommiPccNeme
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ORce S i 6M1t end Dislnct Name of Cnmmii�eu Troaswev
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^� � ^�< idcntialAdJ�e/ss /�MD Commi�mcMuilingAddress
Email�. /� /� In��47 C01�! '/ . /i"� L.mail�.
eno�ea�o�eo�p` �,I'J — `7�-� — R 3l'—f i�na�,ewrorm��p�.
SUMMARY BALANCE INFORMATION:
Line 1: Ending f3alance from previous reporl —�
Line 2: 'fotal�eceip[s Ihis period(pege 3,line I I) �y��, Af�
Linc 3: Subto�al (line 1 plus linc 2) �f� 9f
Line 4: Tolal expendilures this period (page 5, line 14) ��/, 9.1�
Linc 5: 8nding Balance(line 7 minus line 4) --
Line 6: Total in-kind contributions this period(page 6� ����
Liue 7: Total (aID outstanding liabililics(page 71 ^
LioeR: Nameofbank(s)used:
AffiOari�olCommitme Treasureo:
1 ocnity Ihat 1 have�amineA thi�repovi Ineludin6 a1lucM1ed seM1nlules und il is,to�c Aed oCmy knowlcdge und belie(u we und wmplete s�elcment ofall cumpaion fmunce
ac�ivity,ineluding ell contributtoas,loens,rcccipq expendimms.disM1uacmcros,in-kind wno-ibwiorw and liebiliiies for this m�wning puind end represen�s�hc campaign
finuncenctivityofallperonsactingonder�huewM1orip�oonbehalfoliAiswmmi�mcinxmnrdani�wiihiM1crcqui mrn¢oCM.GI_cv.
SigneOundo�M1epenalif<so[perjury: _ (Tm+mrcvssignaw�c) UafC:
FOR C_A_NDI_DqTF FILINGS ONLV: nrraa���orcaoam,m:��n�.�k�uo,o�ny�
fa�aiJvte wilM1 Cammitle<and�a a<iiviy intlependenl of tM1<commi�he
� IwhfythaUk e. ' dtti p I iA� g tl hd M1dl :' A�t ,i tM1 b t f yk Itly .Abl� f, 1 d pletestalenrntofvllrnmpeb ( en
achvty,ofallpesonsa (ngunder�hcautho�q�oronbehalfofth�umm�uce�n mrdaciv�M1iF� iqJremen¢o1M(.L. .SS. Ihxvenolmrevedenyamvbw�ons��
meurrea eny liabiliues nor mnde nny expenai Wrcv'on my bchalftluring IFiis mporting period
Candidate wi�Aom f.ammil�tt�CznJideie wiiM1 inG<prndent nvii�iry fling erpanie r<pur�
IcchfjtM1'tlk .� � dM prt� 1 �� 6'�� � d I dl �l` t �I b 1 C yA wld6 " �bl� l tueendeompletcsUt 1 f'll " pign
� fire i �p ' Id� b ' �tit I ' ' �Pt' �+ �t d �M1 .- ni k' 0 tbt dl'til�t �f �M1� P �� &Vrdodepr�s.nis�M1c
cemp �g f�rvnecaelbi� f�llp�rsonsactg dev�huauO�oYry ro�biFnlfoCih: muce��ac� d u�nihiAeriqurementeofMG.L. >5
signeau�eorm�p����a�:arv��i�c (en�eiaA�c'ssia�A����c) Date: ��y�_�
SCHEDULE A: RECF,IPTS � _
MQ L c 55 reouir�es lhat Ihe name and rva�identiu7 nd�Ir'ezr be r'enor[ed, fn alnhabetica]arder,for al7 reccintv m•cr 350 in a calendar
yeac Commi(lees mus!keep delafled ocrounts pnd reror'da ofo(l receip(s, bu[need on(y i[emise(hose recefpls over$S0. [n addi[ion, !he
occa�pa[ion arrd enep(oyer'musl be repmYed jor all per.rons x�ho rnn(ribu[e$200 or ninre in a calendqr year'.
(n "Jeneuuic n:IZeccipis"attachment is availabie ro wmpiece,print anti attaG� lo lhis report�ii edd�ioual pageS are r¢quircU�o
report all receipfs. Plcase include your commiftce name nnd a page number on each page.)
Name nnd Rcaiden[ial Address Occupa[ioo & Employer
DateReceived (alphabe�icallisNngrcquired) Amount (forcootribufionsof$200ormore)
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0 _ _ 0 ��
0 0 _ -
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0 : u �
Line 9:Total Receipts over$50 (or listcd abovc) (��� p,�
Line 10: "1'oPal Receipts$50 and under* (nol listed above) �
Lioc IL• TOTAL RECF.IPTS IN THE PF.RIOD � � .�J F enter on pege I, line2
' ICyou have itcmized receipts of$50 and undeq indudethem in line9. Line 10 should includeonly�hose receipts m�itemizcd above_
Page 2
• ' SCHCDULF A: RECEIPTS (continued)
Name aod Resideotial Address Occupa[ion & Employer
Date Received (alphabc�ical liating requircd) Amount (for contributions of$200 nr nmre)
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Lice 9:Total Receipts ovcr$50(or listed above) �
Line 10:Tolal ReceipLs$�0 and undcr* (not lis�ed above) �
Line 11: TOTAL RECEIP7'S IN THE PERIOD � F Enter on pugc 1, line 2
' If you have itemized reecipts of 550 and under, inelude them in line 9. I.ine 10 should inclode only(hosc receip�s not itemized above.
Pngc 3
SCHEDULE B: EXPENDITURES
,NG_L c 55 reqa�Irca�commi![eu to lis(. in a[phabeticql nrder. a/(expendiMres over'S50 in a r'epor[ing period. Conimti[ees nnrsl keep
deloi/ed acmunls and reror'etv oJa//expendilures. 5nt need only itemize[hase over 350. Frpendilures 550 nnd emder may be added mge[her',
f'oni romnti!(ee record; andrepor(ed on finc l3
(A "Schetlule U: M:xpendiW res" attachme�[is available to comple[e,prinl and a[tach[u this repart,if addilional pages are required m
reporlallcxpenAiWres. Pleascincludeyourwmmittcenameandapagenumbcroneachpage)
To Whum Paid
DatePaid (alphabe[icallisting) Address PurposeofExpendi[ure Amounl
p 1� � G� II��
�����b�� �o/�nol� U �n�,� loe�in Cl� ol�� � ��j�s � S��o9r � f oa
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Line 12:Total Cxpendi�uees over$50(or lisled above) � ,�
Line 13: 'Polal [?xpendi�ures $50 and undcr* (not listed above) �
Ente�on page I,line 4 �+ Lioe 14: "fOTAL F,XPENDTTIIRES IN THE PF,RIOD � � O�J
• ICyou have ilemizcd expendiWres'of$50 and undeq includc tliem in line 12. Linc 13 should i�clude oNy Ihose expendiW�es not itemizcd
above.
Page 4
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, � SCHEDULE B: EXPENDITURES (wntinucd)
'Po Whom Paid
Date Paid (alphabetical listiog) Address Purpose of Expenditure Amount
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Line 12: Expendi[ures over$50(or lis�ed above) �
Line 13: ExpendiWres' $50 and under* (not listed above) �
F.nteron page I,line 4-� Line 14: TOTAL EXPENDITURN:S IIV THE PERIOD �
" Ifyou have itemized expendiNres of$50 and undeG includc Ihcm in linc 12. Li�c O should include only Ihose ezpendimres�o[itemized
above.
Page 5
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SCHEDULE C: "IN-KIND" CONTRIBUTIONS
Pleasc i[emize con[�ibutors who have made in-kind conl�ibutions of morc lhan $SQ lo-kind conUibulions$50 and under mav bc
addcd together Gom the commillee's rewrds and included in line 76 on pagc I.
Date Received From Whom Rereived* Reaidenfial Address Descrip[ion ofContribution Value
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Line I5: In-Kind Contribulions over$50(or lis[ed above) �
Line 16: In-Kind Contribulions' $50& under(mt lismd above)�
Enteron page I, linc 6 -� Linc 17: TOTAL IN-KIND CONTRIBUTIONS �
* Ifan in-kind wmrihu[ion is received Gom a persun who cun��ibmes more Ihan 3S0 in a wlendar yceq you must repotl[he�ame and address
oC[he contributor, in addi�ion,if We co�tribu[ion is$200 or more,you mus[elso report Hie conlribulor's occupation end cmployer. pnge 6
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• - SCHEDULE D: LIABILITICS
MG.L.a S.i reguires cornmittees[o reparf ALl linbilities n•lrich have been reparted pr'eviausly and are slill ouis[anding, as�ve((
as lhose liabi(i(ies incurred dui�ing this reporling per(nd
Datc Incurred To Whom Due AdUress Purpose Amouut
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Enleron pagc I,linc 7 � Line 18: TOTAL OUTS7'ANDING LIABILITIF,S(ALLj �
Pagc 7