The URL can be used to link to this page

Home My WebLink About2018-12-31-Colburn-OCPF r COMMITTEE TO ELECT KATHRYN R. COLBURN SCHOOL COMMITTEE c/o Cerise Jalelian,Treasurer 7 Lois Lane i. Lexington, MA 02420 January 15, 2019 BY HAND DELIVERY 781-862-0500 x84553 Gina Carme, Municipal Assistant Office of the Town Clerk 1625 Massachusetts Avenue Lexington, MA 02420 Re: Campaign Finance Report FYE 12.31.18 Dear Gina: Enclosed is the original Form CPF M 102: Campaign Finance Report/Municipal Form for the fiscal year ending on December 31, 2018 for the above committee. If you have any questions, comments or concerns, then please do not hesitate to let me know. - Best r ards, 4 Cerise Jalelian r--a tea, Form CPF M 102: Campaign Finance Report' Municipal Form Office of Campaign and Political Finance k Commonwealth Ee of Massachusetts File with: Ci or Townelerk or Eteaion Commission Fill in Reporting Period dates: Beginning Date: January 1, 2018 Ending Date: December 31, 2018 Type of Report: (Check one) ❑ 8th day preceding preliminary ❑ 8th day preceding election ❑ 30 day after electionx❑ year-end report ❑ dissolution KATHRYN R, COLBURN OMMiTT77 - 4 . _4p e"C (moij- Candidate Full Name(if applicable) Committee Name SCHOOL COMMITTEE CERISE JALELIAN Office Sought and District I Name of Committee Treasurer 49 Forest Street, Lexington, MA 02421 7 Lols Lane, Lexington, MA 02420 Residential Address Committee Mailing Address Telephone Number(optional): (617) 872-9428 Telephone Number(optional): (617) 733-6278 SUMMARY BALANCE INFORMATION: Line l.: Ending Balance from previous report 2,562.54 Line 2: Total receipts this period(page 3, line 11) 0 Line 3: Subtotal (line 1 plus line 2) 2,562.54 Line 4: Total expenditures this period(page 5, line 14) 0 Line 5: Ending Balance(line 3 minus line 4) 2,562.54 Line b: Total in-kind contributions this period(page 6) 55.8 Line 7: Total(all) outstanding liabilities (page 7) 0 Line 8: Name of bank(s)used: BROOKLINE BANK 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 o€all campaign finance activity,including all contributions,loans,receipt expenditures,dis u ements,in-kind contributions and liabilities for this reporting period and represents the campaign finance activity of all persons acting under the horny or qn behalf f lhi.comntittec in accordance with the requirements of M.G.L.c.55. Signed under the penalties of perjury: (Treasurer's signature) Date: 01/15/2019 FOR CANDIDATE FILINGS ONLY: Affidavit f ndidate:(check 1 box only) Candidate with Committee and no activity independent of the committee >< I ceiaify 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 ofall 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 R Candidate with independent activity filing 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 true and 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 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: 01/15/2019 SCHEDULE A: RECEIPTS 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 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.) Name and Residential Address Occupation &Employer Date Received (alphabetical listing required) Amount (for contributions of$200 or more) None. r— �- rrf- c Line 9: Total Receipts over$50(or listed above) Line 10: Total Receipts $50 and under* (not listed above) o Line 11: TOTAL RECEIPTS IN THE PERIOD 0F Enter on page 1,line 2 * 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 r SCHEDULE A: RECEIPTS (continued) Name and Residential Address Occupation&Employer Date Received (alphabetical listing required) Amount (for contributions of$200 or more) i r X Line 9: Total Receipts over$50(or listed above) Line 10: Total Receipts$50 and under* (not listed above) Line 11: TOTAL RECEIPTS IN THE PERIOD E- Enter on page 1, line 2 * 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 r SCHEDULE B: EXPENDITURES M.G.L. c. 55 requires committees to list, in alphabetical order, all expenditures over$50 in a reporting period. Conunittees must keep detailed accounts and records of all expenditures, but need only itemize those over$50. Expenditures$50 and under may be added together, fr-o;n 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 report all expenditures. Please include your committee name and a page number on each page.) To Whom Paid Date Paid (alphabetical listing) Address Purpose of Expenditure Amount XC Line 12: Total Expenditures over$50 (or listed above) a Line 13: Total Expenditures $50 and under* (not listed above) a Enter on page 1,line 4 i Line 14: TOTAL EXPENDITURES IN THE PERIOD o *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) To Whom Paid Date Paid (alphabetical listing) Address Purpose of Expenditure Amount r Line 12: Expenditures over$50 (or listed above) Line 13: Expenditures$50 and under* (not listed above) Enter on page 1, line 4 Line 14: TOTAL EXPENDITURES IN THE PERIOD * If you have iternized 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-•HIND" 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. Date Received From Whom Received* Residential Address Description of Contribution Value 12/03/2018 Kathryn R. Colburn 49 Forest Street, Lexington, MA Expenses for Domain Names 55.8 M-: r Line 15: In-Kind Contributions over$50(or listed above) 55.8 Line 16: In-Kind Contributions$50&under(not Iisted above) Enter on page 1,line 6 -> Line 17: TOTAL IN-KIND CONTRIBUTIONS 55 8 * 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. SS requires committees to report ALL liabilities which have been reported previously and are still outstanding, as well as those liabilities incurred during this reporting period. Date Incurred To Whom Due Address Purpose Amount r i Enter on page I,line 7 Line 18: TOTAL OUTSTANDING LIABILITIES (ALL) 10 ...-j Page 7