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Home My WebLink About2011-04-07-Hornig-OCPF� Commonwealth of Massachusetts Form CPF M 102: Campaign Finance Municipal Form Office of Campaign and Political Finance Report File with: City or Town Clerk or Election Commission Reporting Period - Beginning: 2/12/2011 Ending: 4/7/2011 N r- "' -� 41112011 N Type of report: 30 day after election Charles Hornig Full Name of Candidate Planning Board /Lexington Office Sought/ District 75 Reed St Lexington, MA 02421 Residential Address i i Charles Hornig for Planning Board Committee Name Thomas Griffiths Name of Committee Treasurer 7 Volunteer Way Lexington, MA 02420 Committee Address SUM bIARY BALANCE INFORMATION Ending Balance from previous report: $1,000.00 Total receipts this period: $879.00 Subtotal: $1,879.00 Total expenditures this period: $1,550.02 Ending Balance: $328.98 Total inkind contributions this period: $0.00 Total outstanding liabilities: $0.00 Name of bank(s) used: TD 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 of all campaign finance activity including all contributions, loans, receipts, expenditures, disbursements, inkind 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: l Treasurer's signature (in ink) A2 /1 Date Affidavit of Candidate (check 1 box only) Candidate with Committee and no activity independent of the committee I certify that I have examined this report, and attached schedules and it is, to the best of my knowledge and belief, a true 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 filing separate report. I certify that I have examined this report and 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, inkind 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: 6 Kl � J f 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. Date Name and Residential Address 3/4/2011 DCA Printing, Inc. 18 Alpha Rd Chelmsford, MA 01824 Amount Occupation and Employer $80.00 Return of Postage 2/26/2011 Diaz, Thomas 354 Waltham St Lexington, MA 02421 2/16/2011 Garberg, Mollie 16 Cary Ave Lexington, MA 02421 2/25/2011 Melinda, Walker 14 Larchmont Lane Lexington, MA 02420 2/15/2011 Trudeau, Jane 7 Volunteer Way Lexington, MA 02420 Total Itemized Receipts Total Unitemized Receipts Total Receipts 15 •• 11 $100.00 $100.00 $250.00 Attorney Trudeau & McAvoy $729.00 $150.00 $879.00 N Hornia. Charles A -1 4 v p , co Hornia. Charles A -1 Schedule B: Expenditures M.G.L. c. 55 requires committees to list, in alphabetical order, all expenditures over $50 in a reporting period. Committees must keep detailed accounts and records of all expenditures, but need only itemize those over $50. Expenditures over $50 and under may be added together from committee records, and reported on line 13. Date Name and Address 2/21/2011 Connoly Printing 178 Gill St Woburn, MA 01801 Amount Purpose $338.94 Yard Signs 3/1/2011 DSA Printing 18 Alpha Rd Chelmsford, MA 01824 3/26/2011 Ingrid Klimoff 75 Reed St Lexington, MA 02421 Total Itemized Expenditures Total Unitemized Expenditures Total Expenditures $1,131.89 Printing /mailing Flyer $79.19 Reimbursement (See R1) $1,550.02 $0.00 $1,550.02 0 X } i -M ry CO Hornia. Charles B -1 Schedule C: "Inkind" Contributions Please itemize contributors who have made inkind 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. An exception to this is that all contributions (under or over $50) given by persons who have contributed more than $50 in the calendar year must be itemized. Please report the names and addresses of contributors. Also give the occupation and employer of any contributor who has given an aggregate amount of $200 or more in the calendar year. Date Name and Residential Address Total Itemized Inkind Contributions Total Unitemized Inkind Contributions Total Inkind Contributions Value Description Occupation /Employer $0.00 $0.00 $0.00 rya 0 ryi Co Hornia, Charles C -1 Schedule D: Liabilities M.G.L. c. 55 requires committees to report ALL liabilities which have been reported previously and are still outstanding, as well as the liabilities incurred during this reporting period. Date To Whom Due Total Outstanding Liabilities e V�t�m °Ti Amount Purpose $0.00 .r•`V N co Hornia. Charles D -1 Schedule R: Reimbursements Date Reimbursee 3/26/2011 Ingrid Klimoff Amount $79.19 Hornia, Charles R -1 r--�3 Co Hornia, Charles R -1 3 f It �y11 Form CPF Rl: Itemization of Reimbursements Commonwealth Municipal Form of Massachusetts Office of Campaign and Political Finance File with: 4/7/2011 City or Town Clerk or Election Commission Ingrid Klimoff Individual Being Reimbursed Charles Hornig for Planning Board Committee Name ca $79.19 Amount of Reimbursement XIS 3/26/2011 Date of Reimbursement Mr E �'7 Signed under the penalties of perjury:% CJJ tV co Candidate's /Treasurer's signature (in ink) Date Vendor Name and Address 2/21/2011 Peet's 1749 Mass Ave Lexington, MA 02420 2/24/2011 Staples 297 Great Rd Bedford, MA 01730 2/26/2011 Starbucks 60 Bedford St Lexington, MA 02421 2/19/2011 Starbucks 60 Bedford St Lexington, MA 02421 Date Amount Purpose $7.59 Meet Candidate $30.97 Produce Handouts $3.37 Meet Candidate $6.96 Meet Candidate 3/7/2011 Stop & Shop $30.30 Food For Post - Election Great Rd Party Bedford, MA 01730