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Home My WebLink About2022 Wise - 30 Day � Form CPF M 102: Campaign Finanec,&e Qtt Municipal Form T�'�� "' C�ERK . . ' . :' I.e:� . Office of Campaign and Poh[�cal Finance F� �o��ma�„��a��n ��22 nav i i �n s� su of Massechumn.a FilcwilM1_ Cit orTownClcdorFAwlionCommission Fill in Reporting Period da[es: Beginning Dace: o3/i9/2ozz ending oate: oa/u/zozz Type of Report: (Check one) ❑ 8th day preceding preliminary � Sth day preceding elec�ion 0 30 day after election � year-end report � dissolmion �I�'1cw.a,S l.�)ISC. L-(� 1 m 1�sSC Candida¢I'ull Name(if epplicablc) Commitrec Namc SC�00� Lu✓hW1��Q�1. �� 1 � � om«so�Eni n�a o�so-�ci vam�orcomm�u�rre�re� l�1 Sa��h 5A-. R.�d:�a M+� o\gt�4 l`�\ S��t� �a . 2x�c�:.w Mn olxG� ResidentiulAdd Commi�meMailing dress Ema�� W�se_�ii�rrv.d:nc�F;RmaiLcp�+-� emai1 i.i��rwt4�(. c�.n Phoncp(opuanelp � PM1onek(op�ianal)�. SUMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous report �— �S� o0 Line 2: Total receipts this period(page 3, line 11) Line3: Subtotal (line 1 plus line2) ��.r2� 00 Line 4: Total expendiWres ihis peciod(page 5, linc 14) Line 5: Ending Balance(line 3 minus line 4) SZp c� Line 6: Total iTMkind contributions this period(page 6) � Linc 7: Total (all)outstanding liabilities(page 7) �y,�,� 5� Line S: Name of benk(s)used: �u�1:, �a a,.��; nrrm.�n ar comm�u«T��,.�.�.: I ecnify�Fat I Fuve exnmined Ihis apor�ineludinS e��ehed roM1edWes nnd fl is,to ihe besl ofmy knowledge enJ belfef,a tme and complcro staiement of all campai6��ence ac�iviry,induding all wntnbmions,loans,�cecipis,upendimrcs,disbursements,io-kind convibouons vntl liabfltties for ihis aponing perioA end reprcsems the campeign tinanceanivlryol'ellOmsovw:iin6undertM1eauthoriq Mhel�f(p�I�'Fiseomm\neeln� �� d� a¢htM1emqui mrnisofMG.Lc55. SlgneJuntlerihepenallinofperjury: �ililJ(� �� (Trcamar signawre) Det¢: ��jV�11lLZ FORCAq'DIDATF. FILINCSONLY: ar�da.�to[Ce�aiaarc:(eM1e�klbo.only) Canalaa�e xim(bmminee ana no.ativiry'ineeP<na<m or me rommfan ..�.X�niCy�Fet I have examined Ihis mpm�ineludin5 ai�eeM1e�scM1edWrs and��is,lo�he best of my knowlcdge end beliet,a We and comple�e stercment ofall campai6��e �� rviry,o[allpersonseotm6unacrlM1camM1oviiyoronbeFelfof�Fiswm�nineeinacmrdanecwi�M1�he�equimmenlsofM.GLe.55. IM1avenntreuivedenywnmibuuons, incurred eny liabilitirs mr me0e any upendiwres on my beFnitduring�his rcpotling penaA_ GUJidat<xilRoul Commi�lee 41S Gntli�ah x'i�M1 inJepend<nt anivity fli�g uPrnk rePort � I certi y vhat 1 heve examinca�his rcpon incluAing ouacM1ed scM1edules und it fs,m vhe bes�ofmy kmuicd6o anA FeGef a we and complcro s�eiement of all campaign �nan t ly � I A� t b ( : I � : - k p diWres dsburscmcn�s k� d t b ( � d I� blt� 1 tti p i Epe � d' d epresems�M1c cemp �gnC C't f Ilp �oiew.fng du heau�hoiporonbcM1 loltM1�. omm�tleeinmxod 'Ihth mq � enko�MGL _05. SgneUunderthepen.leeao(pequry (Cand'detessignewre) Date' � � �Z SCHEDULE A: RECEIPTS M G.l.. a 55 reguires that the name and resiAeniial addres.v he reporled, !n alphabe[ical order,fm alI recelpts over$50 irc a ca7endar yem. Commi[tees must keep detqiled acroimts arcd recor'ds of a(l receip(s, but need only i(emize ihose rereip(s over$50. ln adtff[ion, the occupation and employcr'musP 6e reported for'all persons ioho contribule$200 m�more in a calemdar year. (A "Schedule A: Rereipts" attachmem is available[o complete,print and atlach to this report,if additional pages are required to report all receipts. Please include your committee name and a page number on each page.) Name and Residen[ial Address Occupation & Employer . Date Received (alphabe[ical lie[ing required) Amouut (for eontributious of$200 or more) � � �� Line 9:Total Receipts over$50(or lis[eA above) � Line 10: Tutal Receipts$50 and under* (not listed above) � Line 11: TOTAL RECEIPTS IN THE PERIOD � F Encer on page 1,line 2 * Ifyou have i[emized receiph of$50 and undcr,include Ihem in line 9. I.ine 10 should include only�hose receip[s not ilemized above. Page 2 l SCHEDULE A: RECEIPTS(contioued) Name and ResidenHal Addrus Occupafioo & F.mployer Date Received (alphabefical listing required) Amount (for con[ribu[ious of 5200 or more) � � � � � � � � � � � � � � � � � �� Line 9: Total Receipts over$50(or lis[cd above) � Line 10: Total Receipts$50 and undcr* (not listcd above) � Line 11: TOTAL RF.CEIPTS IN THE PERIOD � f Gntc�on page 1,line 2 k Ifyou heve ilemized receip[s of$50 and undeq include�hem in line 9. Line 10 should include only those receip[s m�itemizeA above. Page 3 SCHEDULE B: EXPENDITURES ' 'I MQL. c. JJ reyuires rommi(tees m/ist, in a/pHUbetical or'der, n/!upendi(ives over'850 in a reporling period Commi(fees mvsl keep delalled acrovnts and recm'ds of al[expendilures. bu!need only ilemi:e lhose over 3i0. 6rpend7tures$.i0 orcd urcder may be added mgether. jrom commitlee i'ecw'ds, and repor'led an fine /3_ (A "Sehedule B: Expendimres" nttachmen[is availabie to eomplete,prin[and a[tach ro this repon,itadditional pages are required to reportaliexpenditures. PleaseiucWdeyourcommitteenameandapagenumberoueachpage.) To Whom Paid Date Paid (alphabe[ical lie[ingJ Addresa Purpose of Expenditare Amouot � � � � � � � -- � � � � � � � � � � � � � � � � � Line 12: Tohal ExpendiWres over$50 (o�lisled above) � Line 13: Tolal Expenditures$50 and under* (not listed above) � Emer on page I, line 4—� Line 14: TOTAL EXPENDITURES IN THE PERIOD � * If you have itemized expendiNres of$50 and under, include�hem in line 12. Line 13 should include only�hose expenditures ml ilemized above. Page4 SCHEDULE B: EXPENDITURES (can[inued) To Whom Paid DatePaid (alphabeficallie[ing) Address ParposeofExpenditure Amount � � � � � � � � � � � � � � � � � � � � � � � � � � Line 12: 8xpenditures over$50(or listed above) � Line 13: Expenditures$50 and under* (not listed above) � Enter on page I,line 4—� Line 14: TOTAL EXPENDITURF.S IN THE PERIOD � ' Ifyou have i�emized expendimres of$50 and undeq include them in line 12. Line 13 should include only those expendimres not itemized above. Page 5 SCHEDULE C: "IN-KIND" CONTRIBUTIONS Plcase itemize contribu[ors who have madc in-kind contributions of more than $50. In-kind contributions$50 and undcr may be added toge[her from the committec's records and included in line ib on page I. Date Received From Whom Received* Residen[ial Address Descripfion of Contribution Value � � � � � � � � � � � � � � � � � � � � � � � � Line I5: In-Kind Conteibutions over$50(or lis[ed above) � Line 16: ImKind Contribu[ions$50 & under(not listed above)� Enter on page I,line 6—� Line 17: TOTAL IN-KIND CONTRIBUTIONS � * If an in-kind conlribulion is received&om a person who contributes more than$50 in a calendar year,you mus�report[he name and address ofthe contributoq i�addilioq if[he comribu[ion is$7A0 or more.you must also repon the wntribulor's occupa[ion and employe�. page 6 SCHEDULE D: LIABILITIES MG-L.c 55 requires cammittee.s m reporl ALL liabi[ilies whicl�have heen repor[ed previously and are still ouls[attding, qr w¢ll as(hose liabilities ineurred during this reporting period. Da[e Inwrred To Whom Due Address Purpose Amount 2�I4� 19 �oma5 W"�'�. �`bl �uYv�� i�s �'130.39 2'y(.ali� ��ow�c�S lJJ�7C. �� "k�^ r� � �f�inKs �' -e,iu.� (c55� IZ 3�l��zz 'Maw�S �,S�a�. 1�1 �o.,�� . P�p�;,� -5o.a' �� Enter on page 1,line 7� Line 18: TOTAL OUTSTANDING LIABILITIES(ALL) e.{�,�. $� Page 7