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i <br /> SCHEDULE A: RECEIPTS <br /> M..G.L. c. 55 requires that the name and residential address be reported, in alphabetical oder,for all receipts over$50 in a calendar <br /> year. Committees must keep detailed accounts and records of all receipts, bort need only itemize 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 /> report all receipts. Please include your committee name and a page number on each page.) <br /> Name and Residential Address Occupation&Employer <br /> Date Received (alphabetical listing required) Amount (for contributions of$200 or[Wore) . <br /> Line 9: Total Receipts over$50(or listed above) a <br /> Line 10: Total Receipts $50 and under* (not listed above) a <br /> Line 11: TOTAL RECEIPTS IN THE PERIOD OdF- Enter on page 1,line 2 <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 />