HomeMy WebLinkAbout2013-02-25-McDonough-OCPFFile with:
City or Town Clerk or Election Commission
Please print or type all information, except signatures.
Fill in dates: Da:o Y ea M"A Due Y ear
Reporting Period Beginning . Ending 0
Type of report: (Check one)
08th day preceding preliminary ❑8th day preceding election 030 day after election ❑year -end report ❑dissolution
Name of Committee Treasurer
Committee Mailing Address
Tel. No. (optional)
SUMMARY BALANCE INFORMATION:
Line 1: Ending balance from previous report $ w ;
Line 2: Total receipts this period (page 2, line 11) $ f(1 t
Line 3 : Subtotal pine 1 plus line 2)
i
Line 4: Total expenditures this period (page 3, line 14) $�
mot,
h3„
Line 5: Ending balance pine 3 minus line 4) $ t
- -
Line 6: Total in -kind contributions this period (page 4) $� 1
Line 7: Total (all) outstanding liabilities (page 4) $ _
Line 8: Name of bank(s) used
Affidavit of coanv: ittee Treasurer.
1 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 omtributio s, loans, receipts, expenditures, disbursements, irAdnd contributions and liabilities for this reporting period and represents the
campaign finance activity of all persona acting under the authority or on behalf of this committee in accordance with the requirements of M.G.L. a SS.
Signed under the penalties of perjury:
Treasurees signature (in ink) Date
FOR CANDIDATE FILINGS ONLY: (CANDIDATE MUST SIGN BELO
Affidavit of C te: (check t bon only)
0 Candidate with Conma ttee and no activity independent of the committee
I certify that I have examined this repot including 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 persona acting under the authority or on behalf of this committee in accordance with the requirements of M.G.L a 33. I have not received any
contributions, incurred any liabititics nor made any expenditures on my behalf during this reporting period.
0 Candidate. without Committee OR 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 know ledge lief a true and complete statement of all campaign
finance activity, including contributions, loam, receipts, expendi rssmmts, in -kind contributi liabilities for this reporting period and represents the
campaign finance activity of all persona acting under the authori or on talfof this committee in with the requirements of M.G.L c. S5 .
r Sl un er the des of perjury:
)/
Date
A4, G.L. c. 55 requires that the name and residential address be reported, in alphabetical order, for all receipts
oiler $50, in a calendar year. Committees must keep detailed accounts and records of all receipts, but need only
it4qrtize those receipts over $50. In addition, the uccupatiors and employer must be reported for all persons who
e(yarlbute $200 or more in a calendar year.
1'1 page may be copied if additional pages are required to report all receipts. Please include your committee name and a page
.,t,,.r nn each naEe.
Date
lteceived
°-
Name and Residential Address
(alphabetical listing required)
Amount
Occupation & Employer
(for contributions of $200 or more)
Pa
(.n
,
Line 9: Total receipts in excess of $50 (or listed above)
f 0 0
a e
Enter on page 1, line 2
—1- Ehnen rPaintc not itP.Mi7
..t..,.AA : 1-4. r
Line 10: Total receipts $50 and under* (not listed above)
Line 11: TOTAL RECEIPTS IN THE PERIOD
.1_� e_ u__
n r
1n
* If you have itemized receipts or $50 and unaer tnctuue utcut to ,tltc 7. Alit". iv Jl1VULU a—A— —1- ....,.n, ....,...
above. Page 2
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