HomeMy WebLinkAbout2023 Terry - Dissolution � Form CPF M t02: Campaign Finance Report
� Municipal Form
,,.'r,
_� O[fce ofCampaign and Political Finance � . �;�,
[ in.uJm �-�I
o1M¢achiuGb �- "c '1 �'i I1� I��
Flle N C rTow CI k Elec[ionCammiseion
Fill in RepoRinp POriod dates: Beginning Date: ^�2^�2023 Ending Date: siaorzo2a
Type of Repoit (Check one)
❑ 8th dny preceding preliminary ❑ 8th day preceding election ❑ 30 day aRer election ❑ year-end report ❑X dissolution
Michael Trask Terry Committee to Elect Michael Terry
Candidate Pull Neme(if epPlicable) Cammivee Neme
Board af Library Trustees Marcel A. Dubois
Olice Sought and DlsVicl Ne�nc of Cnmminm'I rcasurcr
46 Sherwood Road, Reatling, MA 01867 48 Sherwootl Road, Reatling, MA 01867
Hesidentlel Addmu Ccrmmiuw Mailing Atldress
e-maiL michaeltrask[erry@gmail.com �-maiP. michaeltrask[erry@gmaiLmm
Phoneq�opfiunap_ ]B1-43�9768 Phoncu(opOnnap�. 761-439-9768
SUMMARY BALANCE INFORMATION:
Line l: Ending Balance from previous report Sso 00
Line 2: Total receipts this period(page 3, line I I) $�
Liue 3: Subtotal Qine I plus line 2) S9o-oo
Line 4: Total cxpenditures this period(page 5, line 14) Seo.00
LineS: Ending Balance Qine 3 minus line4) $�
Line 6: Total in-kind conhibutions this period (page 6) $�
� Line7: 'fotal (all)outstanding liabilities(page 7) 30
Line 8: Name of bank(s)used: eading Coopeative sank
'iAffiJaviloff.ommilhe 1'reesurer:
I ceniy Naz i heve exemined this�eport inoluding anached sc dules end i�is,m Ue best of my knowledge anJ belrcf,a[rue end wmple�e smremen[ofall oampaign finance I
�aaivity,incAudinga0convibutions,loens,�weipts,e dit es,dlshursementsimkindwntribmioosandliabilitiuforthisaportingperiodand�epresenttM1ersmpaign
'�.IinamcxUivilyoFellpusonsnctingundert Ifu�f��/hJ� mmilueinnccuNanwwflhlM1ereyuiremen�sofM.G.I,.c.55. L �n)
Signeeuneerinepenalliesorperj ��/ `� (Trcavurcresignamrc) Uate: J/� Wi3
FOR CANDIDATE FILINCS O Y: m avir ufcandidarc:��he�k I bux uniy�
Caudida�e with Cumminec
�� I cenlfy IYiat I have examined ihls reDon Ineludfng anached seMedules antl i�is.w ihe bcs�nfmy knowledge onQ bclicf,a lme en0 eom0lece s�atemw�of all campvgn foence
X acGvf�y,of all persore acGng under Ihe autlwritY or on behalfofthis commincc in eccordanec with @c rcquircmrnts ofMG.L.a 55. I have not received any wntribu[io�,
�. incumcdanylipbfllticsnorma4cany�pcndWresonmyM1chaltduring�M1isrcpotlingperiod�ivtvrcmto�hcnviscdlsclosrqin�hlsrc�rotl. I
CantliJahwilhou�Cnmmiltu
1 cenify Nat I have exemined Nis mpon inchid'mg ennched schednles and i�is,m the bes�of my knowledge and beiief.a we and wmplae xteminent of a0 rempeign
� finawcec�iviry,includingwm�ibu[ions.loans,receipts,expenJlmres,disburse nts,io-kinJcontributioosandliabilitiesPorMisreportingperioaendapresenuthe
campxignfinan«<ivityofsllpersons tingunderthenmhorityo�onbehal fthiscandidaminaccordancewi�hthemquiremw[sofM.CLc5p5
IlSignedunder�hepenslfiuofperjury: ��7� ICandida�esslBnazure) D3[C: J 3(J
SCHEDULE A: RECEIPTS
MQL.c. JS requires!ha!the name attd residen(ial addreve�be repar(ed, in alpha6etica!mder,jor a(l receipfs over$50 in o calendar
year. Cnmmitteee mvst keep defailed accovnts and rerords oJal(receipts, but need on/y itemize lhose rereipts over$50. /n addition, !he
occupalion a+d emplayer mvs(be reporfed far pf!persons wha contribule$200 or more ln a calettdar year.
(A "Sehedule A: Receipls"attachmeo[ie available to complete,prin[and attach[o this report,iCadditional pages are required 10
repor[all rueipts. Please include yoor committee name aod a page number on each page)
Name aod Residential Address Oceupation & Employer
Date Received (alphabetieal lis[ing required) Amouot ([or con[ributions of$200 or more)
� � �
� �
I� �
� �
� �
� �
I� �
� �
� �
� �
� �
� �
Line 9: To[al Reecip[s over$50(or listed above) �
Line 10: To[al Receip[s $50 and under• (no[ lis[ed above) �
Line 11: TOTAL RECEIPTS IN THE PERIOD $� <— F,nter on page I,line 2
* If you have i�emized receip[s of$50 and under, include them in line 9. Line 10 should include only those receipts no[itemized above.
Page I
' SCHEDULE A: I2ECEIPTS(cootioued) I
Name and Kesiden[ial Address Occupa[ion & Employer '
Date Received (alphabetical listing required) Amomt (for wotribu[ions o[$200 or more)
� � �
� �
� � ��I
� �
� �
� �
� �
� �
� �
� �
� �
� � '
II� �
Line 9: 'folal Receip[s over$50(or listed above) �
Line 10: Total Receipis$50 and under' (not listed above) �
Line 1 L TOTAL IiECEIYTS IN THE PERIOD So f En�er on pagc I, line 2
* Ifyou have itemized receipts of$50 and undeq include Ihem in line 9. Line 10 should include oniy those receip[s mt itemized above.
Page 3
- SCHEDULE B: EXPENDITURES
MQ L. c. 55 requires cammiltees!o lis(, in alphabeJical order, al1 expendi(ures over$50 in a reporting period. Commi!lees mus(keep
detalled acmvnls and recoidv o(all expendi(uru, bv[need only i(emi�e lhose over$50. Expenditures$50 and under may be added mge(hvi,
fiom commit(ee records, and reporled an Gne l3.
(A "Schedule B: Expendituru" attachment is available to comple[e, print and allach m lhis report,if additional pages are required to
reportaliexpendihrea. Plcaecineladcyourcommi[teenameandapagenumberoneachpaga)
Tu W hom Paid '.
DatePaid (alphabeticallia[ing) Addreas PurposeofExpendi[ure Amouot
I 5I30/2023 Reatling Footl Pantry 6 Salem SVeet Purging resitlual funtls Io Gose $90.00 �
Reading,MA 0186] account.
� �
� �
� �II
� �'.
� �I
� �
� �I
� �
� �
� �
� �
Line 12: Total ExpcndiNres over$50(or lis[ed above) Sso 00 ��
Linc 13: Total Expendi[ures $50 and under• (not lis[ed above) �
Enter on page I, line 4—� Line 14: TOTAL EXPENDITURES IN THE PERIOD S9o.00
• Ifyou have icemized expendi[ures of$50 and under, include them in line 12. Line 13 should include oNy[hose expendiwres not itemized
above. Page 4
� ' SCHEDULE B: EXPF,NDITURES (continued)
To Whom Paid '
Date Paid (alphabe[ical listing) Address Purpose of Ezpenditure Amount
� �
� �
� �
I� �
i� �
� �
II� �
� �
� �
� �
� �
� �
� �
Line 12: Expendimres over$50(or listed above) �
Line 13: Expendimres$50 and under* (not listed above) �
Gnter on page I, line 4-� Liuc 14: TOTAL EXPENDI'1'IJRCS IN THE PERIOD �
" Ifyou have itemizeA expenditwes of'$50 and under, include them in line 12. Line 13 should include only those expenditures not icemized
nbove.
Page 5
SCHEDULE C: "IN-KIND" CONTRIBUTIONS
Please itemize contributors who have made imkind contribu[ions of more than $50. In-kind contribu[ions$50 and under may be
added[ogether from Ihe committee's records and included in line 16 on pagc I.
DateReceived FromWhomReceived* Residen[ialAddress DescriptionofContributiou Value
� �
� �
� �
� �
� �
I� �
� �
� �
� �
� �
� �
� �
Line I5: In-Kind Contribu[ions over$50(or listed abovc) �
Line 16: In-Kind Contributions $50&under(no[ lis[ed above)�
Enter on page I, line 6 � Line 17: TOTAL IN-KIND CONTRIBUTIONS $0 ,
* If an imkind contribution is received from a person who contributes more[han$50 in a calendar year,you must report�he name and address
of the contributor; in addi[ioq ifthe contribution is$200 or more,you mus[also report the contributors occupation and employer. page 6
� SCHEDULE D: LIABILITIES
MG.I.. c. .i�requires commii(ees to repor[ALL liabilrties which have been reported previously and are still ovts(andittg, as we!/
a.e those liabi[ities irscurred during this reporting period.
Date Iucurred To Whom Uue Address Purpose Amoun[
� �
� �
� �
� �
� ��
� �
� �
� �
� �
� �
� �
� �
� �
� �
enter on page I, line 7 � Line 18: TOTAL OUTSTANDING LIABILITIES(ALL) S�
I Page 7