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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 ofall 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 />1/15/2017 <br />11/26/2017 <br />12/16/2017 <br />11/30/2017 <br />12/16/2017 <br />Vame and Residential Address Occupation & Employe <br />(alphabetical listing required) I Amount (for contributions of $200 or <br />wczyk,John <br />Outlook Drive <br />:inoton. MA 02421 <br />Piltch, Cynthia <br />18 Barberry Road <br />Lexinaton. MA 02421 <br />Silberstein, John <br />1199 Park Avenue <br />New York, NY 10128 <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 />itemized receipts <br />Health Educator <br />125 Boston University Center for Psychiatric <br />Rehabilitation <br />/ Investor <br />1,000 <br />2,430 CO <br />2,430 F Enter on page I, line 2 <br />9. Line 10 should include only those receipts not itemized above. <br />Page 2 <br />Jodi R. <br />psychologist <br />rGalin, <br />5 Fletcher Avenue <br />Leixngotn, MA 02420 <br />100 <br />Jodi R. Galin, Ph.D. <br />Gens, Marcia <br />Dane Road <br />50 <br />Lexington, MA 02421 <br />Le <br />Hai, Jill <br />ppst- <br />V\" <br />6 Highland Avenue <br />Lexington, MA 02421 <br />��11 <br />z,]ame <br />BarberRoad <br />MA 02421 <br />r <br />125ington, <br />General Counsel <br />Beth Israel Deaconess Hospital <br />wczyk,John <br />Outlook Drive <br />:inoton. MA 02421 <br />Piltch, Cynthia <br />18 Barberry Road <br />Lexinaton. MA 02421 <br />Silberstein, John <br />1199 Park Avenue <br />New York, NY 10128 <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 />itemized receipts <br />Health Educator <br />125 Boston University Center for Psychiatric <br />Rehabilitation <br />/ Investor <br />1,000 <br />2,430 CO <br />2,430 F Enter on page I, line 2 <br />9. Line 10 should include only those receipts not itemized above. <br />Page 2 <br />