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HomeMy WebLinkAbout2016-11-14-Minuteman-DissolutionCommonwealth of Massachusetts Form CPF M 102: Campaign Finance Report Municipal Form Office of Campaign and Political Finance Fr, >. 19111 i'[;,1 I !t HI `"2: % J Fill in Reporting Period date.: n I j ;6 i Qpgiip lug Date: October 13, 2016 File with: City or Town Clerk or Election Commission Ending Date: November 14, 2016 Type of Report: (Check one) ❑ 8th day preceding preliminary ❑ 8th day preceding election ❑ 30 day after election ❑ year -end report 12 dissolution Candidate Full Name (if applicable) Office Sought and District Telephone Number (optional): Residential Address f Campaign for Minuteman's Future Committee Name David C. Horton Name of Committee Treasurer [68 Paul Revere Road, Lexington, MA 02421 Committee Mailing Address Telephone Number (optional): I 78 1 ^ 8,672. saga SUMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous report Line 2: Total receipts this period (page 3, line 11) Line 3: Subtotal (line 1 plus line 2) Line 4: Total expenditures this period (page 5, line 14) Line 5: Ending Balance (line 3 minus line 4) 42.36 Line 6: Total in -kind contributions this period (page 6) Line 7: Total (all) outstanding liabilities (page 7) Line 8: Name of bank(s) used: 0 42.36 42.36 0 0 0 Citizens Bank Affidavit of Committee Treasurer: I certify that I have examined this report including attached schedules and it is, to the best of my knowledge and belief, a true and complete statement of all campaign finance activity, including all contributions, loans, receipts, expenditures, disbursements, in -kind contributions and liabilities for this repotting period and represents the campaign finance activity of all persons acting under the autho or on bepal f conunilt— accord .. ce with the requirements of M.G.L. c.55. Signed under the penalties of perjury: �� 1 �Lt .r /L (Treasurer's signature) Date: FOR CANDIDATE FILINGS ONLY: Affidavit of Candidate: (check 1 box only) Candidate with Committee and no activity independent of the committee I certify that I have examined this report including attached schedules and it is, to the best of my knowledge and belief, a true and complete statement of all campaign finance ❑ activity, of all persons acting under the authority or on behalf of this committee in accordance with the requirements of M.G.L. c. 55. I have not received any contributions, incurred any liabilities nor made any expenditures on nay behalf during this reporting period. Candidate without Committee SLR Candidate with independent activity filing separate report ❑I certify that I have examined this report including attached schedules and it is, to the best of my knowledge and belief, a true and complete statement of all campaign finance activity, including contributions, loans, receipts, expenditures, disbursements, in -kind contributions and liabilities for this reporting period and represents the campaign finance activity of all persons acting under the authority or on behalf of this committee in accordance with the requirements of M.G.L. c. 55. Signed under the penalties of perjury: (Candidate's signature) Date: SCHEDULE A: RECEIPTS M.G.L. c. 55 requires that tire 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 $50. In addition, the occupation and employer must be reported for all persons who contribute $200 or more in a calendar year. (A "Schedule A: Receipts" attachment is available to complete, print and attach o this report, if additional pages are required to report all receipts. Please include your committee name and a page number on each page.) Date Received Name and Residential Address (alphabetical listing required) Amount Occupation & Employer (for contributions of $200 or rnore) NONE 0 Line 9: Total Receipts over $50 (or listed above) 0 Line 10: Total Receipts $50 and under' (not listed above) 0 e- Enter on page 1, line 2 Line 11: TOTAL RECEIPTS IN THE PERIOD 0 * 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 (continued) Date Received Name and Residential Address (alphabetical listing required) Amount Occupation & Employer (for contributions of $200 or store) NONE 0 Line 9: Total Receipts over $50 (or listed above) 0 Line 10: Total Receipts $50 and under* (not listed above) 0 F Enter on page 1, line 2 Line 11: TOTAL RECEIPTS IN THE PERIOD 0 * 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 3 SCHEDULE B: EXPENDITURES M.G.L. c. 55 requires committees to list, in alphabetical order, all expenditures over $50 in a reporting period. Connnittees must keep detailed accounts and records of all expenditures, but need only itemize those over $50. Expenditures $50 and under may be added together, from committee records, and reported on line 13. (A "Schedule B Expenditures" attachment is available to complete, print and attach to this report, if additional pages are required to report all expenditures. Please include your committee name and a page number on each page.) Date Paid To Whom Paid (alphabetical listing) Address Purpose of Expenditure Amount 11/02/2016 Minuteman Futures Foundation, Inc. 9 Charnstaff Lane Billerica, MA 01821 residual funds from campaign 42.36 Enter on page 1, line 4 -r Line 12: Total Expenditures over $50 (or listed above) 42.36 Line 13: Total Expenditures $50 and under* (not listed above) 0 Line 14: TOTAL EXPENDITURES IN THE PERIOD 42.36 * If you have itemized expenditures of $50 and under include them in line 12. Line 13 should include only those expenditure not itemized above. Page 4 SCHEDULE B: EXPENDITURES (continued) Date Paid To Whom Paid (alphabetical listing) Address Purpose of Expenditure Amount NONE 0 Enter on page I, line 4 -, Line 12: Expenditures over $50 (or listed above) 0 Line 13: Expenditures $50 and under* (not listed above) 0 Line 14: TOTAL EXPENDITURES IN THE PERIOD 0 * If you have itemized expenditures of $50 and under include them in line 12. Line 13 should include only those expenditures not itemized above. Page 5 SCHEDULE C: "IN- KIND" CONTRIBUTIONS Please itemize contributors who have made in -kind contributions of more than $50. In -kind contributions $50 and under may be added together from the committee's records and included in line 16 on page 1. Date Received From Whom Received* Residential Address Description of Contribution Value NONE 0 Enter on page 1, line 6 -> Line 15: In -Kind Contributions over $50 (or listed above) 0 Line 16: In -Kind Contributions $50 & under (not listed above) 0 Line 17: TOTAL IN -KIND CONTRIBUTIONS 0 * If an in -kind contribution is received from a person who contributes more than $50 in a calendar year, you must report the name and address of the contributor; in addition, if the contribution is $200 or more, you must also report the contributors occupation and employer. page 6 SCHEDULE D: LIABILITIES M.G.L. c. 55 requires committees to report ALL liabilities which have been reported previously and are still outstanding, as well as those liabilities incurred during this reporting period. Date Incurred To Whom Due Address Purpose Amount NONE 0 Enter on page I, line 7 --) Line 18: TOTAL OUTSTANDING LIABILITIES (ALL) 0 Page 7