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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 />Mar 17, 2016 <br />Dailey, William and Maryelene <br />114 Marrett Road <br />02421 <br />100 <br />Retired <br />Feb 16, 2016 <br />Masson, Colin <br />12 Hayes Ave <br />02420 <br />2,000 <br />Retired <br />Feb 16, 2016 <br />Masson, Leslie <br />12 Hayes Ave <br />02420 <br />2,000 <br />Retired <br />Feb 16, 2016 <br />Sakhuja, Ravi <br />50 Turning Mill Rd <br />02420 <br />500 <br />Retired <br />Feb 18, 2016 <br />Wang, Hua <br />55 Merlam St <br />02420 <br />100 <br />Line 9: Total Receipts over $50 (or listed above) <br />2,700 <br />Line 10: Total Receipts $50 and under* (not listed above) <br />245 <br />Line 11: TOTAL RECEIPTS IN THE PERIOD <br />2,945 <br />F Enter on page 1, line 2 <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 />