2022-02-24-QuietCleanLexington-8Day-OCPF

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_ .._ Committee Name: Quiet Clean Lexington Page: 2 SCHEDULE A: RECEIPTS M.G.L. c. SS requires that the natne and residential address be reported, in alphabetical order,for all receipts over$50 in a calendar year. Committees must keep detailed accounts and records ofall receipts, but need only itemize those receipts over$50. In addition, the occupation and employer must be reported for all persons who contribute,$200 or more in a calendar year: Name and Residential Address Occupation s& Employer Date Received (alphabetical listing required) Amount (for contributions of$200 or more) 2/2-2/17/2022 Bleiberg, Sallye $75.00 960 Waltham St., Apt. 170, Lexington [Bornhofft missed, see end] 1/14/2022 Cohen, Norman $75.00 33 Forest St., #309, Lexington 2/2/2022 Dickenson,Tad $250.00 Engineer/Retired 48 Hancock St. Lexington 1/17-1/2812022 Fortin, Mark6 Hancock Ave., Lexington $100.00 1/14/2022 Galaitsis,Tony $100.00 7 Burroughs Rd, Lexington Haskell, Mary 1/2/2022 6 Trotting Horsy Drive, Lexington $200.00 Retired/Retired r-• +v �� Heinrich, Steven k $100.00 1/18/2022 11 Potter Pond, Lexington Jackson Phil - - 1/11/2022 50 Shade Street, Lexington $100.00 > .. C:7 1/9-2/11/2022 Johnstone, Anne $104.00 3 Potter Pond, Lexington 1/8-2/16/2022 Kahan, Eileen $150,00 44 Hancock St. Lexington 2/14/2022 Kanter, David $250.00 Retired 48 Fifer Lane, Lexington 2/14/2022 Karnofsky, Ken $100.00 78 Bertwell Rd. Lexington Line 9; Total Receipts over$50(or listed above) $3,967.40 Line 10; Total Receipts$50 and under* (not listed above) $2,285.00 Line 11:TOTAL RECEIPTS IN THE PERIOD $6,252.00 <-- Enter on page 1,line 2 *If you have itemized receipts of$50 and under,include them in line 9. Line 10 should include only those receipts not itemized above.