HomeMy WebLinkAbout2022 Pacino - 30 Day �� Form CPF M 102: Campaign Fi�yl;c,���e�i��tK
Municipal Form `� -� `= � '� '' ''� `�'+��r�
Omce oCCampaigo aod Palitical Finao�e a
�mmaow��fi
zB�� NAY -2 AM 8� 01
ofMazsachusens
Filcwith: Ci or'1'ownClerkorElectionCommission
Fill in Reporting Pe[iod dates: Beginning Uate: 03/19/20z2 End��g�ate: oa/zs/zozz
1�pe of RepoR: (Check one)
❑ 8th day preceding pmliminary ❑ 8[h day preceding eleclion ❑X 30 day after elec[ion � yearcnd report ❑ dissolution
GL� ��
/� CandidazeFWlNam �fe�plireble) CommfueeNane
VC !� �,��o r � o� �!`AM �SSI��c��<
orru so�sm a�a n�:ma x�e orcomm�u<o r��w�.
,fw��k � �-� �s�� c Ra�Q,�, M�
� RcsidcntielAddrzss CommineeMailingAddress
�me,� �h ��4 �, �n�� ��Mp . � Pa— ��,,
rno�ea�om�o��r CI' -�i, � 3— 83 (� eno��wrov�m�ap.
SUMMARY BALANCE INFORMATION:
Liue l: Ending Balance from previous report --
� Line 2: Total ceceipts this pe�iod(page 3, li�e 11) 3`�/� , �
Line 3: Subtotal(li�e 1 plus line 2) �Yl�,�J y
Liue 4: Total expenditures this period(page 5, line 14) 3 L� ���
Line 5: 8nding Balance(line 3 minus]ine 4) _ �
Line 6: "Potal io-kind contributions[his period(page 6) `
Line 7: Total(all)outstanding liabilities(page 7) —
Liue 8: Namc of bank(s)used:
nma,.n o[cemm;u��r�.���a.:
I uti y Oiet I heve cxamined thfs rcpon iucludtng auachcd soheddw and it is,ro ihe best of my kvowledgc and belic[,a we vne mmplcro stetcmwt ofall campagn G�ncc
aztfvfry,fncludi�6 e0 wnnibunons,lowu,reccip�,expendioves,dfsbmewnentR�-kfnd wmnbutioeu end liebilitics for iha rcporttn6 penod md ropmsents the eampaign
fi�an¢mtivfry o[all perso�ecfing wda�he auNonty ov on bchelfoCihls wmmittw in accoNwcc wfth�hc mqutruvenis o!M C L.c 55_
Signedun0erlh<prnnllinofperjury: (Trerswefssi6naWre) Date:
FOR CANDIDATE FILMGS ONLY: Affiaavit o[Caoalas�e:(ohe<k 1 bor ooly)
CanJidate wi0 Commi���e aod oo aalivity iudepmJenl af�hc mmmitltt
❑ I certi[y�he�I Favc cemmined thfs apon imludfng auechc�sohedWu and it is,ro thc besc of my knowlrA6c and belief,e Vuc and wmplqe atazemm�o[sll cemPeign fi�ance
activfry,of all persorts echng under�e au�ho�ity oe on bchalf of Nfs mmmitlec in acwrdanee wftM1 We otyuirements of M.C.L.c SS I M1ave not remived any eontr@mions,
maered eny liabili[iw nor made wy cxpcndiNres on my bcM1elfdurin6lh�s rcporting penod.
Ontli0vl<withaut Commitme�Ca��idalc xith ivdepenC<nt vctivify fli�g acpnnle repurl
I certiCy ihal I Mavc a:emined this report includin6 a�mchW sdmdules and it is,to Uie bert oCmy knowlodgc and belfef,a we end wmplcro stamment o(all campuigu
� Financeacliviry,indudingronUibu�ions,loens,reveipu,cnpcndiwres,disburumenls,imkindconVibutionsandliabilitiesfonLisrcOoningperiodendrepresen�s�M1e
rampei6n financc aGivlry oCell perrons a4ing wace�hc�thovity or on bchalf oCih�s committx in eccordencc wiih iM1c rcqulmmcnB of M Gl. 55
I �
SigncGunamNePenalliaofperlury: � '�Ii (c,,,a;d,i�..,,;�„„i,,,�) Datc:�d��___
SCHEDULE A: R�CEIPTS '
MG L. e 55 requires/ha[the name artd residentig(address be reported, in a(phabetica!order,for oll receip(s over$50 in a calettdar
yvnc Commi(lees mus[keep de(ailed¢ccoun[s and records of a!1 rueipts, 6ut rteed only itemize lhose receip(s ovrs$50. In addi[ion, the
occupation and emp(oyer must be reportedjor oll pe�sons who conlrihute$200 or more in a calendar year.
(A"Schedule A:Reeeip�" attachment is available ro complete,print and attach to this report,iCatldi[ional pages are reqaired[o
report all receipts. Please iuclode your wmmi[[ee name and a page number on each paga)
Name aud Residevtial Address Occupation& Employer
Date Received (alphabe[ical Iisting regoireA) Amount (Cor contribu[ions ot$200 or more)
3��ala� ��w s� „f�`',`� 1� � � P�4
s� �,� �R;, �,��
31J , � �.P 4u�� � �� �
� �dJ. d�ll�Shin�-k�+ .�rJ �-�9,� 3Cf.(C
� � � �
�� �� �
�� �
� � �
�� � � �
� � ��
� �
�� �
� _ � _
�� �
Line 9: Total Receipts over$50(or listed above) �L/s�
Lir.c 10:Total ReceipG$50 anu under= (noi listod above) �
L�J
Line 11: TOTA�R�CFr�S TS.`THE PERQL� ��/���j=� e- L'nter onpage l,line 2
*Ifyou have itemized teceipGc of$50 and undeq include them i�live 9. Line 10 should include only�hose[eceipls not ilemiud above.
Page 2
' SCHEBULE B: EXPENDdTURES
MG L. c 55 reqvires commi(fees to lis( in a[pha6e(ica[order, all expendilures over$50 in a repor(ing pe�iod. Commitlees must keep
� demiled accounts and records ojal(exyendilures, birt need anly itemize lhose aver$50 G'penditures$50 and under may be added(ogether,
from rommi(tee records,and reported on line 13 �
(A"Schedule B:Ezpendi[ures"attackment is availabk to romplete.print a�d atfach to this report,if additional pages are required to
report all expenditures. Piease include your committee name and a page vumber on each page.)
To Whom Paid
Date Paid (alphabefical listing) Address Purpose of Expenditure Amouut
3/dd�1��- ;�-�'��Q����f ��Us ��gS����D�4,��(,(� Si�n l��S{"S c6g o�
31��"Jd ��nn.��� Iri�,� t� 3 � il Sf M5 ,(�,� �.�5� �4fQ3 3�.(c�,C(�
� 1��4�n r'1� �!`6�1 �- �f �s-�u c �
� �
� �
� �
� �
� �
� �
� --- �
� �
� �
� �
Line 12: Total Ezpendi[ures over$50(or lisled above) �
Line 13:Total ExpendiWres$50 and undec` (�ot listed above) �
F,nter on page 1, line 4-> Lioe :C: Tnr�,y,�}ng�ynrTpn�e �N rrgG uGp,jpp O,L��`�
•Ifyou have itemized expendiwres oC$50 and under,i�elude them in li�e 12. Line 73 should inolude oNy thoseexpendifures mt itemised
above. Page4
. SCIiEDULF. A: RFCEIPTS (contiuucd) �
Name and Resideutial Address Occupa[ion & Employer
Da[eReceivod (alphabeticallis[ingreguired) Amouu[ (Corcontributionsof$200ormore)
� �
� �
� �
� �
� � �
� �
� �
� �
� � �
� � ��
�� � � I
�� �
� � �
Line 9:Total Receipts over$50(oc listed above) �
Line 10:Total Receipts$50 and under* (not listed above) �
Liue 11: TOTAL RECEIPTS IN THE PERIOD � F Ente�on pugc 1,linc 2
• Ifyou have itemi>,ed reccipts of$50 and undeq include them in line 9. Line 10 should include only lhose receipls not i[emized above.
Page 3
I � SCHEDULC B: EXPENDITURF,S (continued)
To Whom Paid
Da[e Paid (alphabetical listingj Address Purpose of Eapeudi[ure Amount
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
Line 12: 8xpenditures over$50(or listed above) �
I,ine 13:Expenditures$50 and unde[' (mt listed above) �
Lnter o�pagc 1, linc 4-� Line 14: TOTAL EXI'ENDI'CURES IN THE PERIOD �
•Ifyou have itemized expevdi[ures of$50 and undcq i�cl�de Lhem in line l2. Line 13 should inciude ovly those expc�diN�es�ot i�cmized
abovc.
Page 5
SCHEDULE C: "IN-KIND" CONTRIBUTdONS •
Please itemize co�tributors who have made in-kind wntribu[ions of more than$54 In-kind contributions$50 and under may be
added[ogether from the committee's records and included in line 16 on page 1.
Da[eReceived FromWhomReeeived* ResideotialAddress DescriptionoCContributiou Value
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
Line 15:In-Kind Contributions over$50(or listcd above) �
Line 16:Io-Kind Con(ributions$50&undec(not listed above)�
Enter on page l,line 6-� Line 17: TOTAL IN-KIND CONTI21B0"fIONS �
' ICan in-kind con�ribution is received from a person who conhibu[es more than$50 in a calendar ycar,you must report Ihe name and address
ofthe contribumG in additioq iRhe contribuliun is$200 or more,you must also report thc mntribumr's occupalion and employer. P��,e 6
I
SCHEDULE D: LIABILITIES
MG.L. u 55 requires cammittees[o report ALL liabi[ities which have been reporled previously attd are sti(1 au[standing, os weld
as those liabilities incurred during this sepor(ing period.
Da[elncurted ToWhomDue Address Purpose Amount
� �
� �
� �
� . � . . � _ - : . �
� �
� �
� �
� �
� �
� �
� �
� �� �
� �
� �
enter o�page 1, line 7� Line 18: TOTAL OUTSTANDING LIARILITIES(ALL) �
Pagc 7
I
i
. . . .. ... . . . ._ . ._ .. . _. .. .. .