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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 itendze 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 />.,".•t "n ,•reeints. Please include vour committee name and a page number on each page.) <br />tDate Received <br />Name and Residential Address <br />t (alphabetical listing required) <br />Amount <br />Occupation & Employer <br />(for contributions of $200 or more) <br />F71 <br />• <br />a,y <br />F�l <br />F <br />Line 9: Total Receipts <br />over $50 (or listed above) <br />F <br />Enter on page 1, line 2 <br />Line 10: Total Receipts <br />$50 and under* (not listed above) <br />W- t <br />Line 11: TOTAL <br />RECEIPTS IN THE PERIOD <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 />