HomeMy WebLinkAbout2012-12-31-Steigerwald-OCPFForm CPF M 102: Campaign Finance Report
Commonwealth Municipal Form to
of Massachusetts
Office of Campaign and Political Finan fig!
H III QCJ
File with:
` � ')A 1/4/2013
City or Town Clerk or Election Commission
Reporting Period - Beginning: 4/27/2012 Ending: 1/4/2013
Type of report: Year -end
Jessie Steigerwald
Full Name of Candidate
School Commitee
Office Sought/ District
143 Cedar Street
Lexington, ma 02421
Residential Address
Jessie Steigerwald for School Committee
Committee Name
Sandra Kahn
Name of Committee Treasurer
81 Wood Street
Lexington, MA 02421
Committee Address
SUMMARY BALANCE INFORMATION
Ending Balance from previous report: $845.74
Total receipts this period: $0.00
Subtotal: $845.74
Total expenditures this period: $289.62
Ending Balance: $556.12
Total in -kind contributions this period: $0.00
Total outstanding liabilities: $0.00
Name of bank(s) used: Eastern
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, 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: /
Treasurer's signature (in ink) Date
Affidavit of Candidate (check 1 box only) :
U a 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.
1 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, 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:
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 Amount Occupation and Employer
Total Itemized Receipts $0.00
Total Unitemized Receipts $0.00
Total Receipts $0.00
Steigerwald, Jessie A -1 99999
Schedule E: 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 Amount Purpose
11/29/2012 Benghiat, Gilbert $209.03 Reimbursement (See R1)
5 Sunny Knoll
Lexington, MA 02421
11/29/2012 Steigerwald, Jessie $80.59 Reimbursement (See R1)
143 Cedar Street
Lexington, MA 02421
Total Itemized Expenditures $289.62
Total Unitemized Expenditures $0.00
Total Expenditures $289.62
Steigerwald, Jessie B -1 99999
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. 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 In -kind Contributions
Total Unitemized In -kind Contributions
Total In -kind Contributions
Value Description
Occupation /Employer
$0.00
$0.00
$0.00
Steigerwald, Jessie C -1 99999
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 Amount Purpose
Total Outstanding Liabilities
$0.00
Steigerwald, Jessie D -1 99999
Schedule R: Reimbursements
Date Reimbursee Amount
11/29/2012 Benghiat, Gilbert $209.03
11/29/2012 Steigerwald, Jessie $80.59
Steigerwald, Jessie R -1 99999
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.`� Form CPF Rl: Itemization of Reimbursements
Commonwealth Municipal Form
of Massachusetts
Office of Campaign and Political Finance
File with:
City or Town Clerk or Election Commission
1/4/2013
Benghiat, Gilbert
Individual Being Reimbursed
Jessie Steigerwald for School Committee
Committee Name
$209.03
Amount of Reimbursement
11/29/2012
Date of Reimbursement
Signed under the penalties of perjury:
Y —,.
Candidate's /Treasurer's signature (in ink)
Date Vendor Name and Address
11/25/2012 Go Daddy
14455 N. Hayden Rd., Ste. 226
Scottsdale, AZ 85260
Date
Amount Purpose
$209.03 Website Expenses
o G :4 t
Form CPF R1: Itemization of Reimbursements
Commonwealth Municipal. Form
of Massachusetts
Office of Campaign and Political Finance
File with:
City or Town Clerk or Election Commission
Amount Purpose
Steigerwald, Jessie
Individual Being Reimbursed
Jessie Steigerwald for School Committee
Committee Name
$80.59
Amount of Reimbursement
11/29/2012
Date of Reimbursement
Signed under the penalties of perjury:
Candidates /Treasurer's signature (in ink)
Date Vendor Name and Address
3/5/2012 Staples
297 Great Road
Bedford, MA 01730
1/4/2013
Date
$80.59 Paper and Supplies