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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 850 in a calendar <br />year. Coumnittees must keep detailed accounts and records of all receipts, but need only itemize those receipts over 850. In addition, the <br />occupation and employer must be reported for all persons who contribute 8200 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 />Nance and Residential Address <br />(alphabetical listing required) <br />Amount <br />Occupation & Employer <br />(for contributions of $200 or more) <br />9/30/2016 <br />Dean Carman <br />29 Kilsythe Road <br />Arlington, MA 02476 <br />200 <br />Accountant, Bertucci's Corp. <br />9/30/2016 <br />Sarah Dekin <br />27 Eliot Road <br />Lexington, MA 02421 <br />100 <br />9/30/2016 <br />Gregory Dennis <br />19 Wheaton Road <br />Arlington, MA 02474 <br />100 <br />9/30/2016 <br />DeAnne Dupont <br />32 Oldham Road <br />Arlington, MA 02474 <br />100 <br />9/30/2016 <br />Stephen Roche <br />325 Speen Street, Unit 1012 <br />Natick, MA 01760 <br />100 <br />Line 9: Total Receipts over $50 (or listed above) <br />600 <br />Line 10: Total Receipts $50 and under* (not listed above) <br />105 <br />Line 11: TOTAL RECEIPTS IN THE PERIOD <br />705 <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 />