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SCHEDULE A: RECEIPTS <br />M.G.L. c. 55 requires that the name and residential address be reported in alphabetical order, for all receipts over $50 in a calendar <br />year. Committees must keep detailed accounts and records of all receipts, but need only itemize those receipts over $50. In addition, the <br />occupation and employer must be reported for all persons who contribute $200 or more in a calendar year. <br />(A "Schedule A: Receipts" attachment is available to complete, print and attach to this report, if additional pages are required to <br />report all receipts. Please include your committee name and a page number on each page.) <br />Date Received <br />Name and Residential Address <br />(alphabetical listing required) <br />Amount <br />Occupation & Employer <br />(for contributions of $200 or more) <br />Jan 13, 2016 <br />Berger, Lucia <br />50 Forest St <br />02420 <br />100 <br />Feb 9, 2016 <br />Cui, Lijon <br />9 South Rindge Ave <br />02420 <br />100 <br />Jan 25, 2016 <br />Lau, Suzanne <br />18 Phinney Road <br />02421 <br />100 <br />Feb 4, 2016 <br />Li, Edward <br />7 Deering Ave. <br />02421 <br />100 <br />Feb 2, 2016 <br />Li, Pan <br />3 Malt Lane <br />02421 <br />100 <br />Feb 1, 2016 <br />Lin, Melanie <br />120 Kendall Road <br />02421 <br />100 <br />-= <br />Jan 14, 2016 <br />Richard and Jane Pagett <br />10 Oakmount Circle <br />02420 <br />250 <br />retired <br />Feb 6, 2016 <br />Qin, Wenying <br />11 Minuteman Lane <br />02421 <br />100 <br />Feb 6, 2016 <br />Rowley, Michael <br />90 North Street <br />02420 <br />100 <br />Feb 9, 2016 <br />Ruxin, Robert <br />12 Nickerson Rd <br />02421 <br />100 <br />Jan 25, 2016 <br />Seasholes, Ernest <br />1505 Mass Ave., Unit 17 <br />02420 <br />100 <br />Jan 19, 2016 <br />Slmkovits, Harvy <br />74 Angier Road <br />02420 <br />500 <br />Consultant, self - employed <br />Line 9: Total Rece pts over $50 (or listed above) <br />e- Enter on page 1, line 2 <br />Line 10: Total Receipts $50 and under* (not listed above) <br />Line 11: TOTAL RECEIPTS IN THE PERIOD <br />* If you have itemized receipts of $50 and under, include them in line 9. Line 10 should include only those receipts not itemized above. <br />Page 2 <br />