HomeMy WebLinkAbout2022-12-23-LexingtonCitizensForChoice-YearEnd-OCPF-2 M Form CPF M 102: Campaign Finance Report
Municipal Form
office of Campaign and Political Finance
commonwealth
of Massachusetts File will]: C ur lbwlt "I rk or El ctiun Cun]mi5siuu
---- ' Ending Date'.Filln Reporting Period dates: Beginning Date: /
Type of Report: (Check one}
❑ 8th day preceding preliminary ❑ 8th day preceding election �3o day after election year-end report ❑X dissolution
Candidate Full Name(if appiicablc)
Committee Name
Office sought and District mac ol'Cammince Treasurer
Residential Address L{/ Cummitice-Mailing Address
E•mnil:rE-mail:
Phone M(optional]: Phunc J(optional):
SUMMARY BALANCE INFORMATION:
FLine : Ending Balance
-1 IT previous report
n.a
Line Z: Total receipts this period(page 3,line 1 1) //IN
a �4�
Line 3: Subtotal (kine 1 plus line 2)
Line 4: Total expenditures,this period(page 5, line 14) '3
1 K•-
Line 5: Ending Balance(line 3 minus line 4) z o'; �, _ .., Y M r
Line 6: Total in-kind contributions this period(page G) l O
c:
Line 7: Total (all)outstanding liabilities(page 7)
Line 8: Name of bank(s) used:
Affidavit of committee Treasurer:
I certify that I have examined this repur(incluling attached schedules and it is,Iv the hest vi'm, knuwledpc and bclief.:i true and cui»plvte statemcnl of all campaign firranc'c
activity,including all contributions,loans,receipts.expcnditures,disburseoieius.in-kind cuniributions and liabilities fur this mpurting period and reprvscnts the cumpuign
finance activity of all persons acting under the nuthuru rF ehalt'of is comma accordnnce with the requirements of M.G.L.c.55. �� a j z�
�r Datc:
(1?ensurers cignahirc)
Signed under the penalties of perjury:FOR ANDIDATE F1 a -�
N : Affidavit of Candidate.(check I box only)
Candidate with Committee
❑ I certify that 1 have examined this report including attaches!schcdules and it is,to the best of niv knowledge and belief,a true and complete,tatement of all campaign fmancc
activity,of all persons acting under the authority or on hchall'of this committee in accordance with the requirements of M.G.L.C.SS. I have not received any contributions,
incurred any liabilities nor made any expenditures on illy behalf during this reporting:per
iod that are nc>t uthenvisc disclnscd in this rcpurt.
Candidate without Commiltee p,ig
I certify that I have exaniinW this report including attached schcdules and it is,to the best UI my knowledge and belief,n true and camptctc sdac=nrnt of all cam u n
Ej1'ranee activity,including contributions,loans,receipts,cxpcnditures,disbursements,in-kind contributions and iiabilitius for this rcportin4 period and represents the
campaign finance activity of all persnns acting under tate authority or on behall'of this caadidate in accordance with the requirements of M.G.L,c.55.
Date:(f'andidute's signuturcl "--
signed under the penalties of perjury; --- ___
SCHEDULE A: RECEIPTS
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
year. Committees must keep detailed accounts and records of'all receipts, but need only itemize those receipts over 550. In addition, the
occupation and employer must be reported for all persons who contribute 5200 or more in a calendar year.
(A"Schedule A: Receipts" attachment is available to complete,print and attach to this report,if additional pages are required to
report all receipts. Please include your committee name and a page number on each page.)
Name and Residential Address Occupation & Employer
Date Received (alphabetical listing required} Amount (for contributions of$200 or more)
/D,y -e s e-.
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Line 9: Total Receipts over$50 (or listed above) " -
Line 10: Total Receipts $50 and under* (not listed above) EWC
Line 11: TOTAL RECEIPTS IN THE PERIOD l 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.
Page 2
SCHEDULE A: RECEIPTS
M.G.L. c. 55 requires that the name and residential address be reported, in alphabetical order,for all receipts 0+w$50 in a calendar
Year. Committees must keep detailed accounts and records of all receipts, but need only itemize those receipts over$50. In addition, the
occupation and employer must be reported for all persons who con tribare$200 or more in a calendar year.
(A."Schedule k Receipts" attachment is available to complete,print and attach to this report,if additional pages are required to
report all receipts. Please include your committee name and a page number on each page.)
Name and Residential Address Occupation & Employer
Date Received (alphabetical listing required) Amount (for contributions of$200 or more)
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Line 9: Total Receipts over$50 (or listed above) ,
Line 10: Total Receipts$50 and under* (not listed above)
Line 11: TOTAL RECEIPTS IN THE PERIOD f- Enter on page 1,line 2
* if you have itemized receipts of$50 and under, include then}in line 9. Line 10 should include only those receipts not itemized above.
Page 2
SCHEDULE B, EXPENDI'T'URES
M.G.L.c•.55 requires carnnrittees to 4.51. in alphabetical order,all c.�pcndiru,rs otirr 550 in a reporting period. Comntillees must keep
doaded accounts and records of all expenditures,bort need only demize Those o+'er S50. E.ependitures$30 acrd under nu{y be added rogerher,
,from commillee records,and reported or line/3.
(A"SChedulle B.Expenditures"attachment is available to complete,print and attach to this report,if additional pages are required to
report all expenditures. Please include vour committee name and a page number on each page.)
To Whom Paid
Date Paid (alphabetical listing) Address Purpose of Expenditure Amount
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Line E2:-roiai Gxpenditttres over$50(or listed above) 13 91 r
Line 13: Total I.xpcnditures 550 and under" (not listed above)
Enteron pate 1.lure 4 -+ Lint' 14: TOTAL EXPENDITURES In THE PERIOD
* lryou have itemized expenditures oi'S50 and under. include them fn line 13. line 13 should include oniv those expenditures not itemized
above. Page 4