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Home My WebLink About2018-04-05-Hai-OCPFForm CPF M 102: Campaign Finance Report Municipal Form uV Office of Campaign and Political Finance Commonwealth of Massachusetts File with: City or Town Clerk or Election Commission Fill in Reptifting Period' dabs:' `i Beginning Date: 02/20/2018 Ending Date: 03/25/2018 Type of Repofit. (Check one) ❑ 8th day preceding preliminary ❑ 8th day preceding election 30 day after election ❑ year-end report ❑ dissolution Jill I. Hai Candidate Full Name (if applicable) Selectman Office Sought and District 6 Highland Avenue, Lexington, MA 02421 Residential Address Telephone Number (optional): (781) 862-3776 Lill Hai for Selectman Committee Name Jodi R. Galin Name of Committee Treasurer P.O. Box 248, Lexington, MA 02420 Committee Mailing Address Telephone Number (optional): (781) 910-4681 SUMMARY BALANCE INFORMATION: Line l: Ending Balance from previous report Line 2: Total receipts this period (page 3, line 11) Line 3: Subtotal (line 1 plus line 2) Line 4: Total expenditures this period (page 5, line 14) �— 1,8s8.2s VI 1,888.28 1,022.44 Line 5: Ending Balance (line 3 minus line 4) ` 865.841 Line 6: Total in-kind contributions this period (page 6) 1 Line 7: Total (all) outstanding liabilities (page 7) 0 Line 8: Name of bank(s) used: citizens Bank certify that I have examined this report including attached schedules and it is, to the best of my knowledge and belief, a tine and complete statement of all campaign finance ctivity, including all 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 f thi coin ittee in accordance with the requirements of M.G.L. c. 55. ligned under the penalties of perjury:-�w�'VV r i� (Treasurer's signature) Date:--F-—w of Candidate: (check I 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 tine and complete statement of all 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. I have not received any contributions, incurred any liabilities nor made any expenditures on my behalf during this reporting period. Candidate without Committee OR Candidate with independent activity riling separate report I certify that I have examined this report including attached schedules and it is, to the best of my knowledge and belief, a tine mrd complete statement of all 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 ogling under the authority or on behalf of this committee in accordance with the requirements of M.G.L. c. 55. under the penalties of perjury: signature) Date:16.1 19 S 2 SCHEDULE A: RECEIPTS M.G.L. c. 55 requires that the name and residential address be reporter,, 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 report all receipts. Please include your committee name and a page number on each page.) Date Received Name and Residential Address (alphabetical listing required) Amount Occupation & Employer (for contributions of $200 or more) L� F --- _771 F-1 F Line 9: Total Receipts over $50 (or listed above) F Enter on page I, line 2 Line 10: Total Receipts $50 and under* (not listed above) Line 11: TOTAL RECEIPTS 1N THE PERIOD * 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 & Employer (for contributions of $200 or more) O -771 Line 9: Total Receipts over $50 (or listed above) E Enter on 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 itemized above. Page 3 SCHEDULE B: EXPENDITURES MG.L. c. 55 requires committees to list, in alphabetical order, all expenditures over $50 in a reportingperiod Committees must keep detailed accounts and records ofall expenditures, but need only itemize those over $50. Expenditures $50 and under may be added together, from committee records, and reported on line 13. (A "Schedule B: Expenditures" attachment is available to complete, print and attach to this report, if additional pages are required to renort all expenditures. Please include your committee name and a page number on each page.) * 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 4 To Whom Paid Date Paid (alphabetical listing) Address Purpose of Expenditure Amount 03/21/2018 Chinese American Lexington (CAAL) Association of P.O. Box 453 Lexington, MA 02420 Advertisement 288 03/05/2018 Colonial Times Magazine 805 Massachusetts Avenue Lexington, MA 02420 Advertisement 525 02/22/2018 Lexington Graphics, Inc. 76 Bedford Street Lexington, MA 02420 Signs 77.56 02/26/2018 Lexington Graphics, Inc. 76 Bedford Street Lexington, MA 02420 Signs 31.88 03/01/2018 Dawn McKenna 9 Hancock Street Lexington, MA 02420 Town Election Watch Event 100 F7= Line 12: Total Expenditures over $50 (or listed above) 1,ozz.44 Line 13: Total Expenditures $50 and under* (not listed above) Line 14: TOTAL EXPENDITURES IN THE PERIOD 1,022.44 Enter on page 1, line 4 > * 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 4 SCHEDULE B: EXPENDITURES (continued) Date Paid To Whom Paid (alphabetical listing) Address Purpose of Expenditure Amount -- — — F71 F I [ --E Enter on page 1, line 4 Line 12: Expenditures over $50 (or listed above) Line 13: Expenditures $50 and under* (not listed above) 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 I From Whom Received* I Residential Address of Contribution Value __:1 F 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 � I Line 17: TOTAL IN-KIND CONTRIBUTIONS * 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 SCHEDULED: LIABILITIES M.G.L. c. 55 requires committees to report ALL liabilities which have been reported previously and are still outstanding, as well as those liabilities incurred during this reportingperiod. Date Incurred To Whom Due Address Purpose Amount E7 1 F- IF 71= Enter on page 1, line 7 Line 18: TOTAL OUTSTANDING LIABILITIES (ALL) f o = Page 7