HomeMy WebLinkAbout2013-12-31-Ahluwalia-OCPFForm CPF M 102: Campaign Finance Report
Municipal Form
Office of Campaign and Political Finance
Commonwealth
of Massachusetts
Filewith: City or Town Clerkor Election Commission
Fill in Reporting Period dates: Beginning Date: Z h / i `� Ending Date: I I Z ' l
Type of Report: (Check one)
❑ 8th day preceding preliminary ❑ 8th day preceding election ❑ 30 day after election ❑ year -end report ❑ dissolution
Candidate Full Name (if applicable)
Office Sought and District
Residential Address
Telephone Number (optional):
SUMMARY
Committee Name
Name of Committee Treasurer
Committee Mailing Address
Telephone Number (optional):
Line 1: Ending Balance from previous report
Line 2: Total receipts this period (page 3, line 11)
Line 3: Subtotal (line 1 plus line 2)
Line 4: Total expenditures this period (page 5, line 14)
Line 5: Ending Balance (line 3 minus line 4)
Line 6: Total in -kind contributions this period (page 6)
Line 7: Total (all) outstanding liabilities (page 7)
Line 8: Name of bank(s) used:
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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 ofall campaign finance
n tivity, including all contributions, loans, receipts, expenditures, disburlemen , m- ind contributions and liabilities for this reporting period and represents the campaign
Finance activity of all persons acting under the authority or on behalf of isicd ?nnritto in accordandp with the requirements of M.G.L. a 55. ('
Signed under the penalties of perjury: r` -'` �`�. % u _ (Treasurces signature) Date: rR 17 4
FOR CANDIDATE FILINGS ONLY: Affidavit of Candidate: (check I box only)
Candidate with Committee and no activity independent of the committee
1 certify that I have examined this report including attached schedules and it is, to the best of my knowledge and belief, a trite mrd complete statement of all campaign finance
activity, of all persons acting tinder the authority or on behalf of this committee in accordance with the requirements of M.G.L. c. 55. 1 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 1 have examined this report including attached schedules and it is, to the best of my knowledge and belief, a two 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 authori r behalfofthi committee in accordance with the requirements of M.G.L. c. 55.
ed under the penalties ofperJury: (Candidates signature) Date: FT71-STI-111-1
SCHEDULE A: RECEIPTS
M. G. L. c. 55 requires that the name and residential address be reported in alphabetical order, for all receipts over S50 in a calendar
year. Committees must keep detailed accomtts and records ofall receipts, but need only itemize those receipts over $50. In addition, the
occupation and employer nmst be reported for all persons )rho contribute $200 ot• 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.)
Date Received
Name and Residential Address
(alphabetical listing required)
Amount
Occupation & Employer
(for contributions of $200 or more
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I IF
Line 9: Total Receipts over $50 (or listed above)
F Enter on page 1, line 2
Line 10: Total Receipts $50 and under* (not listed above)
Line 11: TOTAL RECEIPTS IN THE PERIOD
* 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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