HomeMy WebLinkAbout2022 Snow Dockser - Dissolution � 'r�u
�
Form CPF M 102: Campaign Finance Rcyt+n�;j �C R K
Municipal Form R k ' '•"°,.
OtRce of Campd�and Potldal Ftinaom [C��; Ji:, , ,.� �'
..,�. �� �t� B� � �
C��.u�n�
o[en.=e�.»�
FVewilh: ' mTowaClvkorEl¢Ywf.o�eeiw
Fill in Re�orting Period da[es: Heginning uete: �'�mg�: Z � Z
Type of Report: (Check one)
❑ BN daY Preceding preliminnry ❑ 8W day preced'wg elec[ion ❑30 day aRer eiec[ion ❑year-end repoR diawhrtiw
� D��Y- C�, � �',��- 1.r� �,� D� r�"
�i ��,aw ,
Cmdid¢�eFWINwe(ifqqli le) � tlaNgmc � �
�/ �U �
Of5c Saugh[mdDiebiR NmoeafCwomittxT
'P..Y' � d. � ��
RaidcutiilAdAeae CmomitlttMVlwgAddrtss �p)
EmvL �v����q,���✓yli�.l� ��y1) &meic �1�5/ll;.hi, �)GFi�P� RlNLIC.YiC�
emo�s(we�t �� en�n(weoo.9: 75�1 —�lD —���oS
SIJhU7ARY BAI.ANCE INFORMATION:
Line 1: Ending Balance from previous report p�1 r 3
Line 2: Tofal receip[s[his period(page 3,line 1 l)
Line 3: Subtoial(line 1 plus liue 2) � $
I.ine 4: Tofal ezpendiNees[his period(page S,line 14) . " � �j
Line 5: Ending Balance Qine 3 minus line 4) �
I.ine 6: Total in-kind contributlons this period(page 6)
Lioe 7: ToffiI(all)outsta�ding liabilities(page 7)
Line B: Narne oFbank(s)used: �
ARW�Nt at Cammidn T�<u��er.
IcatitYWellheveeumi 1du�nlivcludio6alYchcdatMLlouMit�4blhMHofmYbwlWgemdbcli[(.aMrmdm�leYelYmatMallr�pai�fixwe
ectivaY.iwcluding ell mnlnEWim4lome.rtceR�.^qw�n:n�Aebmeemen�s.io-tiod mvuibuuom and IiabJitin fm tltis�No�eo6Omod evd�N��m the�mP��
Cmaoreactivityofallpns�emg�mdeWeaiVhailym/wbehel ofNuco � ecqwNm��ce�wilAtlwrequiremabofMGLc55.
s�a..a�.m.aormare=lur: �imOlA��fllclJ�'/ (Tre��rem�+m�) Date: � 2(J ' �3
FOR CANDmATE FD.INGS ONLY: nma..uatC�.Naa�e:(aw t i M.a.ry)
oWa.uwuecommume
1 cvafY Wetl have e�aniod tlrie�N�uc�WmBaWrLed xLCAilo md it 4 b IhebutMmT koowlaig nd belief.a uoe md oimPke ma�m oFdl cm��G�.e
ecliW�y,ofall paeouv u:�g uMer We mNwriry m oo behelfoLMie commitla w a�mrdm¢viTh We���irevren6 of M G L.e 55. 1 have vol rsrivM ury wwhibu4oe 5
iav Nuryliabili4es1wrnudemyaP�m4vuovmYMlWldurioBWie�eW�BPa�Oatueootahawixdisclosetlm0isrepon.
GMitlafe wNhw I Caoeilfee
� 1 mtify that i heve um�ircLNu�ryort incluA�elbched xM1edWo aM i��s,b�bceta(my kiwwlWge mMbclief.e huc mtl canipkic nuuncvlofall�pi�
fi�unce ectivib.ivclWivBmntributions.loays,receipn,expmJiaues,disbiussmeik io-tivdwutributims md IiabJitin fart6is�R^�b^6 F^oded�ry�eme�he
mmpi�fi�ce ecliviry afall pe�m�o�s ac/�mJg wtla We wlqairy mw behs/lf�of Wis emdidem a acmrdmee wM 0e m�wr�mta ofM.G.L.c.55. � (� '7
8k���eEertleP�NPe1�Y ��L�2 �� W/��� (Oodide¢'asi�emm) Dett: I (1� !�
I
SCHEDULE A: RECEIPTS
M.G.L c.55 requires that the wme ard ruidenaa!addrrss be reparteQ in dphobeHcal order,for a(!rseipts aver S50 in a caleridor
yee. Committeee muet keep de(ailed accountr a�d rerords oJ'a11 rereiytr,hut need only ifem¢e lhose raeipts over$50. In addi(ion,the
occvpmian m�d onployer�ws!be reporledjor o11 persone wM conMbule 5200 os more in a caleidaryrm.
(A"Schedule A:Receipb"atlaehmeot is availeble to romplete,priot and etlach to this reporf.if addidonal pages are required to
report ell receipb. Plwe indude your eommfttre oame and a page number av ach p�ge.)
Name and Resideofid Addr¢as Occupation&Employer
Date Received (alphabeticd tis�g reqaired) Amount (for cootdbations of 52011 or more)
' V _— �
� �
� �
� �
� �
� __—' �
� �
� �
� �
� �
� �
Line 9:Tofal Receipts over$50(or lis[ed above) �
Line 10:Tofal Receipts$50 and under'(no[listed above) �
Line 11:TOTAI.RECEIPTS IN T9E PERIOD � F ��on page I,line 2
'Ifyou have itemiaed receipts ofS50 md under,include Nem in line 9. Live 10 should include oWy thase receipa vot itemiaeA above.
Psge 2
SCAEDULE B: EXPENDITURES
M.G.L.c.55 reqv'ves committeee ro 1'vt,in alphabeficd ordn.dl eWeidiMva ova S50 in a rcpor�i�periad Coimnitters�ma*f7sep
defml�acmeG,tmdretordaofallHpendiMza.b�rcrreedonJyitem'¢elhoseoverS50. fixpeldrtwe.tf50md�mdermaybeaddedtagether.
from canmittee recorda,md reportedon lire/3.
(A"Sehedde B:Erymditvrn"o/behmeet is�vdMble b complete,PriM ud aHach to Ws repert,itadditbeal p�gea ve reqoired to
report YI ezpeudihirn. Pleaae iveiude yoor mmmiHce oame�nd a p�ge aomher on aeh page.)
To Whom Pvd
DahPaid (WphabeticallisHog) Addreas PurposeofEipeodiNre Amount
i 5�� � ,��p Dr��w�� ���A� �1(, 't3
� �
� �
� �
� �
� �
� �
� �
� �
� �
� �
� _ �
Line 12:Total&cprndiMes over$50(or listed above) �
Line 13:'Iotal Expendinues$50 and wder•(not listed above) �
Enta w page],line 4-� Lin¢14:TOTAI.EXPENDI'1'ORES IN't'FIE PERIOD �
"Ifyou have i�emisd expendi0uea of S50 and nvder,ivclode Nem iu line 12. Line 13 shoWd ivclude ovly Nose ecpe�Milwes nat itemized
above. Page 4
k�f
. .F..^��- .:__ _. , I
I
Thank yau tor your Aonation 121�01��.9'��4 AM
- ti��;.�:�„� LIGH7 JdnGnassrowoaf�.�m
oai
•:° ._ . � THENIGHT °"d�58��
Thank You For Your ponation
Your Gift Will Help Save Lives
T�ank you for making a tliHermca in 0e liqbt agalnsl blood cancers Yow peneraslty will0�irg wwldGass
research,etlucation antl supOOM�antl advocacy�o more patienls antl�heir families.
Vourtlonalion M1as been charged antl e copy oi your receipt is beinq emailetl to you.
Bdow is your aoneHon receipl
Your Information Donation Information
Name Contirmation Number ma9so5J�
Lintla Snow Docksei campaign tlonatron DonmeE fo
Rmeintle! The Lfukemia&Lymplloma SOCiety
P�one pet�942��586 Fatlerel Tea 1013-5644918
E-mellltlockser@venzon.net AmouniS11A31$1143taxtletluctible
Atltlress 110 Beaver Rodtl, Oete 12I102022 Ok23 AM EST
Reetling.,MA 01861
uniteaStates rypeOneTime
Payment Information
Payment Met�otl PayPal
No[e:All amounls are shyown in UgS Dollars.This
�i0fltaC� �IlfOflllB�lOf1 '�LEUKBLVMPHOMNSOQETV�888-55]]jj�as
TM1e L2uk¢mia&Lymp�oma Society NV"
31Mema�ional Drive,Suila 200
Rye Brook,NY�OS]3
�nps/Iwww.lis.org
One Gift. Double Your ponation.
You may be a01e�o make yvw JonaGon go Iwice as
�ar wi�M1 a malcM1i�g gifl.
NeNHeIv�CanlaCuzW¢�L'.4� ^.,..y4Fn-.�:.; .-
ile LCFarNB Ly�ry1iOMSP'iery�¢a��cM�)apY�4T.9M91m'May Ouatrn�53R lart�letluttble lo Ine Iulksl BrtNl
auc�envuvm.,ive �n�.anvo-+ra�ao.m�aw,'�abe.�..�s�_
pmymert "�' �' ���.��,�v,.
M1ttps://tlona�e.Ils.orglHnlcompleteLLSPayPalTransaction?�oken=EC-t%L468515fi308235A&Payerl�=J5fiY%YEBpYTZO Page1 oti