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Home My WebLink About2014-02-24-Cohen-OCPFCommonwealth of Massachusetts Form CPF M 102: Campaign Finance Report Municipal Form Office of Campaign and Political Finance r •� _ rr -1 , :(O co File with: —'t 2/ +5/2014' City or Town Clerk or Election Commission 031• "O y .. Reporting Period - Beginning: 1/1/2014 Ending: 2/14/2014 N Type of report: Pre - election Norman P. Cohen Norman Cohen for Selectman Full Name of Candidate Committee Name Selectman Alice M. Pierce Office Sought/ District Name of Committee Treasurer 33 Forest St Apt 309 17 Volunteer Way'. Lexington, MA 02421 Lexington, MA 02420 Residential Address Committee Address SUbZ ARY BALANCE INFORMATION Ending Balance from previous report: Total receipts this period: Subtotal: Total expenditures this period: Ending Balance: Total inkind contributions this period: Total outstanding liabilities: Name of bank(s) used: TD Bank $574.48 $5,200.00 $5,774.48 $1,754.03 $4,020.45 $0.00 $0.00 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 :4.G.L. c. 55. Signed �� /�/ under the �p/egnaltieess of perjury: ( .0 CP Wu 1 LC Ce )- — 15-- 2-0 (`f Treasurer's signature (in ink) 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. 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 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: 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 2/8/2014 Barnett, Christopher 19 Eldred St Lexington, MA 02420 2/10/2014 Boodman, Helen 1010 Waltham St Apt 458 Lexington, MA 02421 1/23/2014 Burnell, George 4 Eaton Rd Lexington, MA 02420 1/23/2014 Burnell, Mary A 4 Eaton Rd Lexington, MA 02420 1/28/2014 Carroll, John P 31 Allen St Lexington, MA 02421 2/12/2014 Cohen, Helen L 32 Patterson Rd Lexington, MA 02421 2/11/2014 Dailey Jr, William J 114 Marrett Rd Lexington, MA 02421 1/25/2014 Diaz, Thomas 354 Waltham St Lexington, MA 02421 2/8/2014 Eagle, David F 138 Grove St Lexington, MA 02420 1/23/2014 Fallick, Gary J 4 Diehl Rd Lexington, MA 02420 Amount Occupation and Employer $100.00 $100.00 $100.00 $100.00 $100.00 $100.00 $100.00 $150.00 $150.00 $100.00 Teacher Boston -.. -71 : -n r `t C N N Teacher Boston Date Name and Residential Address Amount occupation and Employer 1/25/2014 Gamota, George $100.00 " 17 Solomon Pierce Rd Lexington, MA 02420 r r 't J, 2/10/2014 Hagedorn, Homer $100.00 17 Fiske Rd Lexington, MA 02420 2/10/2014 Katz, Jamie $100.00 7 tv N 18 Barberry Rd Lexington, MA 02421 1/23/2014 Koplow, Florence $150.00 9 Brent Rd Lexington, MA 02420 1/17/2014 Krieger, Jeanne K $250.00 Retired 44 Webster Rd Retired Lexington, MA 02173 1/23/2014 Leader, Judith C $250.00 At Home 17 Fairfield Dr At Home Lexington, MA 02420 2/8/2014 Lucente, Douglas $100.00 17 Vinebrook Rd Lexington, MA 02421 2/8/2014 Maloney, John W. $150.00 289 Bedford St Lexington, MA 02420 1/28/2014 McSweeney, Leo P $100.00 435 Lincoln St Lexington, MA 02421 2/12/2014 Munkres, Barbara J $75.00 40 Woodland Rd Lexington, MA 02420 2/12/2014 Nye, Mary Harding $75.00 1932 Massachusetts Ave Lexington, MA 02421 2/8/2014 Scott Morton, Michael S. $500.00 Retired 1010 Waltham St Apt 9 Retired Lexington, MA 02421 Date Name and Residential Address Amount occupation and Employer 1/28/2014 Smith, Jerome M $2.50.00 Retired 8 Ryder Ln Retired Lexington, MA 02421 1/30/2014 Trudeau, Jane A $150.00 7 Volunteer Way Lexington, MA 02420 Total Itemized Receipts $3,450.00 Total Unitemized Receipts $1,750.00 Total Receipts $5,200.00 0 tit rGi r �t r, } ur � Fe`t l�' N N 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 2/10/2014 Hussong, Laura 354 Waltham St Lexington, MA 02421 1/24/2014 Sterling Printing 214 Main St Stoneham, MA 02180 Total Itemized Expenditures Total Unitemized Expenditures Total Expenditures Amount Purpose $1,487.43 Reimbursement (See R1) $250.00 Lawn Signs $1,737.43 $16.60 $1,754.03 cO Gib N 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 0 f -r� � N N 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 d -<r• T" h? N Date 2/10/2014 Schedule R: Reimbursements Reimbursee Amount Hussong, Laura $1,4£37.43 r� ;c '2< CO S � N N V,F) 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 2/15/2014 Date of Reimbursement Signed under the penalties of perjury: Candidate's /Treasurer's signature (in ink) Date Date Vendor Name and Address Amount Purpose 1/10/2014 Weebly.Com $79.35 Web 564 Pacific Ave San Francisco, CA 941.33 2/4/2014 Sterling Printing 214 Main St Stoneham, MA 02180 1/31/2014 Connolly Printing 17b Gill St Woburn, MA 01801 2/6/2014 Lexington Graphics 76 Bedford St Lexington, MA 02420 $228.12 Lawn Signs $66.41 Wire Frames $1,113.55 Printing Hussong, Laura M-4 r�'i E x' Individual Being Reimbursed —� Norman Cohen for Selectman Committee Name �i ;;- 'O -° $1,487.43 Amount of Reimbursement 2/10/2014 N Date of Reimbursement Signed under the penalties of perjury: Candidate's /Treasurer's signature (in ink) Date Date Vendor Name and Address Amount Purpose 1/10/2014 Weebly.Com $79.35 Web 564 Pacific Ave San Francisco, CA 941.33 2/4/2014 Sterling Printing 214 Main St Stoneham, MA 02180 1/31/2014 Connolly Printing 17b Gill St Woburn, MA 01801 2/6/2014 Lexington Graphics 76 Bedford St Lexington, MA 02420 $228.12 Lawn Signs $66.41 Wire Frames $1,113.55 Printing