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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 />Line 9: Total Receipts over $50 (or listed above) <br />Line 10: Total Receipts $50 and under* (not listed above) <br />Line 11: TOTAL RECEIPTS IN THE PERIOD <br /><— Enter on page 1, line 2 <br />* If you have itemized receipts of $50 and under, include them in line 9. Line 10 should include only those receipts not itemized above. <br />Page 2 <br />lire (S,-A . <br />065 <br />IA Pam V-- \-" (,ems > dints <br />0`1 <br />skLs <br />hike Sc(rico\ <br />$S0-0 <br />SIL, <br />t ,,a \o.,Jw, <br />LV.) P«uv sly,,^,' , <br />1 to <br />Line 9: Total Receipts over $50 (or listed above) <br />Line 10: Total Receipts $50 and under* (not listed above) <br />Line 11: TOTAL RECEIPTS IN THE PERIOD <br /><— 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 />