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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 ntust 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 />2/13/2017 <br />A. 1. Bertelli <br />4 Payson Street <br />Lexington, MA 02421 <br />$300.00 <br />retired <br />2/15/2017 <br />Charles Campion <br />284 Dean Road <br />Brookline, MA 02445 <br />$200.00 <br />Chairman & Co- Founder <br />Dewey Square Group <br />2/13/2017 <br />Jane Pagett <br />10 Oakmount Circle <br />Lexington, MA 02420 <br />$100.00 <br />Line 9: Total Receipts over $50 (or listed above) <br />$600.00 <br />Line 10: Total Receipts $50 and under* (not listed above) <br />$200.00 <br />F Enter on page 1, line 2 <br />Line 11: TOTAL RECEIPTS IN THE PERIOD <br />$800.00 <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 />