HomeMy WebLinkAbout2019-02-25-Cohen-OCPF � - -
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' '~~~^~~~^ur~~~ Form FFP 25 2M .
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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)
Dec 21, 2018 Bruce and Marian Cohen 2,000 Psychiatrist, McLean Hospital
8 Plymouth Road, Lexington, MA 02421 Professor, Framingham State University;
Dec 21, 2019 Juliana and Matthew Cohen 1,500 Professors, Merrimack College (both)
29 Tower Road, Lexington MA 02421
Dec 21,.7018 Laura Cohen 1,000 self-employed
F
)an 16, 2019 Lexington Firefighters Union (Local 1491) 200
Feb 3, 2019 Cynthia Cummings 50
27 Solomon Pierce Rd
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Line 9: Total Receipts over$50 (or listed above) 4,750
Line 10: Total Receipts$50 and under* (not listed above)
Line 11: TOTAL RECEIPTS IN THE PERIOD 4,750 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.
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SCHEDULE A: RECEIPTS (continued)
Name and Residential Address Occupation & Employer
Date Received (alphabetical listing required) Amount (for contributions of$200 or more)
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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 F- Enter on page 1,line 2
If you have itemized receipts of$50 and udder,include them in line 9. Lime 10 should include only those receipts not itemized above.
Page 3
SCHEDULE B: EXPENDITURES
M..G.L, a 55 requires committees to list, in alphabetical order, all expenditures over$50 in a reporting period. Committees mist keep
detailed accounts and records of all expenditures, but need only ilemize those over$50. E pendihrres$50 and under nray be added together,
from commillee 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
Dec 19, 2018 Connolly Printing 17B Gill St., Woburn, MA 01801 Lawn sign and bumper stickers 1,158,66
Feb 10, 2019 Connolly Printing 178 Gill St., Woburn, MA 01801 palm cards 511.06
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Line 12: Total Expenditures over$50 (or listed above) 1,669.72
Line 13: Total Expenditures$50 and under* (not listed above)
Enter on page 1, line 4 Line 14: TOTAL EXPENDITURES IN THE PERIOD 1,669.72
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
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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 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.
Date Received From Whom Received* Residential Address Description of Contribution Value
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Line 15: In-Kind Contributions over$50(or listed above)
Line lb: In-Kind Contributions $50 & under(not listed above)
Enter on page 1,line 6 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 connnittees 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
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Enter on page 1, line 7 Line 18: TOTAL OUTSTANDING LIABILITIES(ALL)
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