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Home My WebLink About2017-12-31-CAAL-Political Action-OCPFForm CPF M 102: Campaign Finance Report Municipal Form i Office of Campaign and Political Finance JJ 111 C. t': D `r1 Commonwealth _e. ------- I ..— ::-._: n:...... r....... PI -1, . Flentinn Commission Fill in Reporting Period dates: Beginning Date: Mar za, 2017 Ending Dht@ ; „ oge 3L _ zO1Z Type of Report: (Check one) ❑,8th day preceding preliminary E]8th day preceding election E]30 day after election ❑X year-end report E] dissolution CAAL Political Action Committee Committee Name Candidate Full Name (if applicable) Lily Yan Name of Committee Treasurer Office Sought and District 5 Militia Dr., Lexington, MA 02420 Committee Mailing Address Telephone Number (optional): (617) 678-6208 Residential Address Telephone Number (optional): SUMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous report z, 624.9 Line 2: Total receipts this period (page 3, line 11) �— 191.95 Line 3: Subtotal (line 1 plus line 2)-- 3,016.85 Line 4: Total expenditures this period (page 5, line 14) 9.56 Line 5: Ending Balance (line 3 minus line 4) 3,007.29 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: Santander 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, di lursements, in-kind contributions and liabilities for this reporting period and represents the campaign finance activity of all persons acting under the authority or on h\h of thig co ittee in accordance with the requirements of M.G.L. c. 55. Signed under the penalties of perjury: ` !7x (Treasurers signature) Date: Tan 19, 2018 FOR CANDIDATE FILINGS ONLY: Affidavit of Candi ate: (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 (me and complete statement oral 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. 1 have not received any contributions, incurred any liabilities nor made any expenditures on my behalf during this reporting period. Candidate without Committee On Candidate with Independent activity filing separate report ❑I certify that 1 have examined this report including attached schedules and it is, to the best of my knowledge and belief, a true and complete statement ofall 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 N.G.L. c. 55 requires that the 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 to this report, if additional pages are required to uumher nn each Daae.) report all receipts. please incline your con wilt, -o .•,.•••� .•••� _ r_e_ Name and Residential Address ------___ _ Amount - _ Occupation &Employer (for contributions of $200 or more) Date Received (alphabetical listing required) Mar 31, 2017 UuUnnn hhUu 51712 Lexington Ridge Drive Lexington, MA 02420 40 Mar 31, 2017 Xie, Hong 10 Farmcrest Ave 100 Lexington, MA 02421 Apr 9, 2017 Xing, Xiaorui 24 Hathaway Rd 50 Lexington, MA 02420 EII F -- Ell F7 -=l Line 9: Total Receipts over $50 (or listed above) 190 Enteron page 1, line 2 Line 10: Total Receipts $50 and under* (not listed above) 1.95 Line 11: TOTAL RECEIPTS IN THE PERIOD 191.95E * 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 & P;mployer For contributions of $200 or more) Line 9: Total Receipts over $50 (or listed above) F Enteron page 1, line 2 Line 10: Total Receipts $50 and under* (not listed above) Line 11: TOTAL RECEIPTS IN THE PERIOD * If you have itemized receipts of $50 and under, include them in line 9. Line 10 should include only those receipts not nemtzeeu auuvc. 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. Committees 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. to "Schedule a: Expenditures" attachment is available to complete, print and attach ;ohh^agreeport, if additional pages are required to report all expenditures. Date Paid Please include your committee To Whom Paid (alphabetical listing) Wales copy Center F-6......_..___ Address 1810 Massachusetts Avenue Lexington, MA 02420 Purpose of Expenditure Printing financial reports for May 30 EC meeting Amount 9.56 May 30, 2017 Line 12: Total Expenditures over $50 (or listed above) 9.56 Line 13: Total Expenditures $50 and under* (not listed above) PERIOD 9.56 Fnter on nage 1. line 4 —> Line 14: TOTAL EXPENDITURES IN THE * if you have itemized expenditures of $50 and under, include the in line 12. Line 13 should include only those expenditures not ite zed Page 4 above. SCHEDULE B: EXPENDITURES (continued) To Whom Paid I Address I Purpose of Expenditure Amount Date Paid (alphabetical listing) �--_— Line 12: Expenditures over $50 (or listed above) Line 13: Expenditures $50 and under* (not listed above) Enter on page 1, line 4 � I Line 14: TOTAL EXPENDITURES IN THE PERIOD * 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. Received) Prom Whom Received* I Residential Address (Description of Contributions � e Line 15: In -Kind Contributions over $50 (or listed above) Line 16: In -Kind Contributions $50 & under (not listed above) Enter on page 1, line 6 + ( Line 17: TOTAL IN -HIND CONTRIBUTIONS I " 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 contributor's 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 this renortin2 period.