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Home My WebLink About2022 Verrier - Year End � Form CPF M 102: Campaign Finance Report . � � �.; ` ;.—� -�b � � ' � L� RK Municipal Form -- , 1' ^y, OfficeafCampaignandPoli�icalFinance Commonwealih � °r"'�"�"�°"� fo23 Jl�n 26 PH 5� 20 Flc �i�k 'll or'i'ownGerk rElecl nCo mixsfo Fill in Reporting Period dates: seginning Da�e: � � Z0 y�j Ending Da�e: 3i I , 7'ype of Report: (Check one) ❑ 8lh day preceding preliminary � 8[h day preceding election � 30 day afler election �year-end re ort I p ❑ dissolmion � 'IY�Q�� C`!� I� �� CsndiJnteFUllName eppifable) Commf��eeNvne pw L,ax.�n, �r✓sf.e_e�t �� Oli , ughlanJUistrid Na ofCommitmeTrcasurer "—?K�UILtI��Q„r L.�_ W�� Resid/e�nlisi AOdress 'omminee Mniling AJdress E�mail: ��WIV'�� VQNNJ}rIV/�Q"17lll/ L+ I�-mvl/ Plro�p(opliunWl: Piwne p(opGonWl: SUMMARY BALANCE INFORMATION: Line l: f nding Balance from previous report � Line 2: "Ibtal mceipts this period(page 3, line I 1) O Line3: SubtotalQinelplusline2) � Line 4: Total expendi�ures[his period(page 5, line 14) Line 5: Ending Balance(Iine 3 minus line 4) Line 6: Toul in-kind con[ribu[ions[his period(page 6) Line 7: Tofal(ali)outstanding Iiabilities(page 7) O Line 8: Name of bank(s)used: A AlfMwi�nffommittee 1'rcuurer: I cenily tha�I have exvnincd this rcpon including a�tmhed scheAules end it is,m Ne hcs�ol my knowleJge enJ Mlief,a true and cumplctc summrnt of ell wmpaign fnance nctivi�y.intludin8 all pmvibutinns,luws.roai0��expendilures,disbursemrnts,in-kin0 convibu[iorts nnd liebilities fur Nis rcpuning periad end¢presen6 Uie cempaign f ancaanicinofallpevnux�ingunAertheauthonryoranbelulfofNis<ommiuminaccordenwwiNNe¢qui¢mentsofN.G1.c.55. tiigoepundu�hepcnnl�iesofperjury: ('frcavrclssl�ielure7 �7atC: iFORCANDIDAT FI IN ON V; pRQ�y��ofGnOid�(c(�httklboaunly) i . 4ndidac wi�h Commina � �� I ccnlfy Na�I M1ave eeemiroJ�his rery�n inGiding ana.�Md uhc0ules wd i�B,m ihe besl o(my knawleagc wJ hilef,e truc aM complece xinremen�ul'all csmpaign fnance� aclinty.of all pemms aming undenM:nuNuriry or on bchall'ol Nis cummitlee in r.canienee wi�h thneyuiremrnk of M(i L.c.55. I have noi receiveJ any mno-ibutinns. I incurrtd an��liabiliun ror made an��expenJi�wes on my behalf�unng Nu rery�ning ceri�N�hw w�m��xherwix Jiulouvl in Ni�rtpwt. anOlJat ilhom(, mmilt i 1 ccnih Nai 1 M1a ircJ N' repin izlud g a�xM1cd uhcdWc�mid i�is ��r�h bc-i ! �k IWgc and bclrcf.a tru aM �mpl tc su�cmcni of all canpaign . financeaY ly Mld g mrbrtio�,loans '�N.�,expeMi�ures,Jrsburumrn� - k- dcom -hm meMliehili�iesf tL'. m�pting�eiodendrepresentsNe � campaign fnence a.iiviry ol ell prnms acti�I5 de ihe aiMm1ity oron elf nf�h �� Jidam in eccmJunce wiN Ihe rey 'cmcn�s of MG.L.c.55. ISigncdunJer�hepenal�inofpeFjury:�[�J �J � /�'�/t/� /\ �Cendi�ale'ssignelme� nafe: q�3 � SCHEDULE A: RECEIPTS MG.L. c. 55 requires Ihat the name and resideMia[address be reporJer� in a[phabetica[ordeq jor a[l receipts over$50 in a calendar year. Committees mu.c(keep detai7ed uccoun(s and records of al[receip(s, bu!need only i(emize lhose receipts over$50. ln addiJion, !6e oceupa[lan and employer mvs!be reportedjnr a(7 persanv who contribrrte$200 or more rn a calendar year. (A "Schedole A: Receip[s" attachmen[is available to comple[e,prin�and at�ach to[hie report,if addiNoual pages are requireA[o report all receip[s. Please include your committee uame and a pagc number on each page.) Name and Residential Address Occupation& Employer Date Received (alphabeticallisNng reqaired) Amount (Tor coo[ribu[ions of$200 or more) � � � � II � �I I � � � � � I � � I � � I � i� � � �� .... �'� �.. � � � � � 'i Linc 9: Total Rueipts over$50(or listed above) � Line 10:�Co�l Receipts$50 and under`(not listed above) � Line ll: TOTAL RECEIPTS IN THF,PERIOD f Gmer on page I, line 2 " Ifyou have itemized receipts of$50 and under, include them in line 9. Line 10 should include only those receipts mt itemized above. Page 2 • SCHF.UULE A: RECEIPTS (continued) Name and Residen[ial Address Oceupa[ion & Employer . Da[e Received (alphabetical lis[ing required) Amount (for contributions of S200 or more) � � � I � � � � I � � � � � I � II � � � � � � � � � � � � I � � Line 9:Total Receipts over$50(or listed above) � Line 10: Total Receipts$50 and under* (nol lis[ed above) � �Lioe I l: TOTAL RECEIPTS IN THE PERIOD � �— Emer on page I,line 2 • If you have i[emized receip[s of$50 and under, include them in line 9. Line 10 should indude only Ihose receipts wt itemized above. Page 3 SCHEDULE B: EXPENDITURES M.G L. a 55 reqvires committees to list, in alphabe(ica]order, al7 expend]tvres over$50 in a reporting period Commlffees must keep defailed accounts and records of al1 upendifures, but need only itemize lhose over$50. Expendi(ures$50 and under mqy be added mge(He*, fram cammitfee records, and repnrted on line 13. (A "Schedule 6: Expenditures" attachment ie available[o comple[e, prinl aod a[[aeh b[his repor�,if additional pages are required to reporl all expenditures. Please include your committee name and a page number on each page.) To Whum Paid '�. DatePaid (alphabeticallis[ing) Address PurposeotExpenditure Amoun[ � � �i � � � � � � � � � � � �I � � � � � i i � � �i �II Line 12:Total Ezpendimres over$50(or listed above) � Line 13: Total Expenditures$50 and under'(no[lis[ed above) � Enter on page 1,line 4 -> Line 14: TOTAL EXPENDITURES IN THE PERIOD * If you have itemized expenditures of$50 and undeq include lhem in line 12. Line I3 should include oNy those expendimres no[itemized above. Page4 SCHEDULE B: EXPENDITURES (wntinaed) To Whom Paid ' � DatePaid (alphabeticallis[iug) Address PurposeofExpeuditure Amount II � i� �I III � � � � � � � � � � �� i _— � � ' �I! � ��' � I I � i� ' � Line 12: Expendi[ures over$50(or listed above) � Line 13: Expenditures$50 and under* (not lis[ed above) � En�er on page 1, line 4 � Line 14: TOTAL EXPENDITORES IN THE PERIOD � ' Ifyou have itemized expendi[ures of$50 and under,include them in line 12. Line 13 should include onty those expendimres not icemized above. Page 5 SCHEDULE C: "IN-HIND" CONTRB[7TIONS I Please itemize contribu[ors who have made in-kind con[ributions of more than$50. In-kind contributions$50 and under may be added [ogether from [hc committee's records and included in line 16 on page I. Date Received From Whom Received* Residential Address Description of Con[ribu[ion Value ��II� �'�.. I � I � � I � � � I � � � , � ' � � �Ii � � � I� II � � I � � � Line 15: In-Kind Contributions over$50(or listed above) �, Line 16: Io-Kind Contribu[ions$50& under(no[Iisted above)� Enter on page I, line 6 -� Lioe 17: TOTAL IN-KIND CONTRBUTIONS * If an imkind contribulion is received i'rom a person who conVibures more than$50 in a calendar year,you must report the name and address of[he cunlnbutor; in addition, if the contribution is$200 or more,you mus[also report[he contriburor's occupation and employer. Page 6 ' SCHEDULE D: LIABILITIES MQL. c JS requires committeex to report ALL liabi/itie.e which have been reporled previousdy and are still oulsmnding, as we![ as(hose liabi/ities inevrred durittg(his repor[ingperiod. I Date Incurred To Whom Due Address Purpose Amount �, I� �I � �I I� � � �� ' �I � � �I � ' � � ', �Ili � � � � � � i� � � ', �I Enter on page I,line 7 -� Line I8: TOTAL OUTSTANDING LIABILITIES(ALL) � i Page 7