HomeMy WebLinkAbout2014-04-03-Cohen-OCPFa
Commonwealth
of Massachusetts
Form CPF M 102: Campaign Finance Report
Municipal Form
Office of Campaign and Political Finance
File with:
City or Town Clerk or Election Commission
Reporting Period - Beginning: 2/15/2014
',. Type of report:
30 day after election
Norman P. Cohen
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Ending: 3/24/2014
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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
SUMMARY BALANCE INFORMATION
Ending Balance from previous report: $3,974.37
Total receipts this period: $2,265.00
Subtotal: $6,239.37
Total expenditures this period: $4,656.41
Ending Balance: $1,582.96
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:
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Treasurer's signature (in ink) Date
Affidavit of Candidate (check 1 box only)
❑ Candidate with Committee and no activity independent of the committee
j 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:
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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
2/24/2014 Chait, Jon
54 Baskin Rd
Lexington, MA 02421
2/20/2014 Dratch, Morris
28 Philip Rd
Lexington, MA 02421
2/24/2014 Grey, George
11 Bowker St
Lexington, MA 02421
2/23/2014 Groisser, Lilah
1010 Waltham St Apt 219
Lexington, MA 02421
2/19/2014 Parker, Faith
186 Spring St
Lexington, MA 02421
2/16/2014 Provost, Cynthia I
229 Worthen Rd E
Lexington, MA
2/17/2014 Tedesco, Judith
13 Muster Ct
Lexington, MA 02420
2/27/2014 Venier, Christopher
7 Abbott Rd
Lexington, MA 02420
2/16/2014 Wilson, Donald D
36 Fern St
Lexington, MA 02421
Total Itemized Receipts
Total Onitemized Receipts
Total Receipts
Amount Occupation and Employer
$100.00
$100.00
$500.00 Owner
Lexington Toyota
$100.00
$100.00
$75.00
$100.00
$100.00
$100.00
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$1,275.00
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$990.00
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$2,265.00
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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
3/22/2014 Cohen, Norman
33 Forest St #309
Lexington, MA 02421
2/27/2014 Colonial Times
809 Massachusetts Ave
Lexington, MA 02420
3/20/2014 Hussong, Laura
354 Waltham St
Lexington, MA 02421
2/24/2014 Hussong, Laura
354 Waltham St
Lexington, MA 02421
2/24/2014 Lexington Graphics
76 Bedford St
Lexington, MA 02420
3/24/2014 Paypal
2211 N First St
San Jose, CA 95134
Total Itemized Expenditures
Total Unitemized Expenditures
Total Expenditures
Amount Purpose
$933.00 Reimbursement (See Rl)
$550.00 Ad
$2,123.21 Reimbursement (See R1)
$194.22 Reimbursement (See R1)
$831.47 Printing
$24.51 Fees
$4,656.41
$0.00
$4,656.41
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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 committees 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
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Schedule D: Liabilities
M.G.L. o. 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
Total Outstanding Liabilities $0.00
Purpose
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Schedule R: Reimbursements
Date Reimbursee Amount
3/22/2014 Cohen, Norman $933.00
2/24/2014 Hussong, Laura
3/20/2014 Hussong, Laura
$194.22
$2,123.21
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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
Cohen, Norman
Individual Being Reimbursed
Norman Cohen for Selectman
$933.00
Amount of Reimbursement
3/22/2014
Da
Signed under the penalties of perjury:
Candidate's /Treasurer's signature (in ink)
Date Vendor Name and Address
2/4/2014 Lexington Historical Society
P 0 Box 514
Lexington, MA 0242.0
3/21/2014 Lexx
1666 Massachusetts Ave
Lexington, MA 02421
3/28/2014
Amount Purpose
$200.00 Facility Rental
$733.00 Campaign Executive
Committee Dinner
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Commonwealth
of Massachusetts
Form CPF R1: Itemization of Reimbursements
Municipal Form
Office of Campaign and Political Finance
File with:
City or Town Clerk or Election Commission
3/28/2014
Hussong, Laura
Individual Being Reimbursed
Norman Cohen for Selectman
$194.22
Amount of Reimbursement
2/24/2014
Date of Reimbursement
Signed under the penalties of perjury:
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Candidate's /Treasurer's signature (in ink) Date
Date Vendor Name and Address Amount Purpose
2/17/2014 Lexington Graphics
76 Bedford St
Lexington, MA 02420
2/8/2014 Lexington Graphics
76 Bedford St
Lexington, MA 02420
1/24/2014 Us Postal Service
Lexington, MA 02420
$68.53 Printing
$79.69 Design
$46.00 Stamps
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Commonwealth
of Massachusetts
Form CPF R1: Itemization of Reimbursements
Municipal Form
Office of Campaign and Political Finance
File with:
City or Town Clerk or Election Commission
3/28/2014
Hussong, Laura'!,
Individual Being Reimbursed
Candidate's
/Treasurer's signature (in ink)
Norman Cohen for Selectman
Date
Date
Committee Name
Amount
Purpose
$2,123.21
Dunkin Donuts
Amount of Reimbursement
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- 3/20/2014
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Holders
Date of Reimbursement
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2/26/2014
Dunkin Donuts
Signed under the penalties of perjury:
Refreshments -
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Signholders
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Candidate's
/Treasurer's signature (in ink)
Date
Date
Vendor Name and Address
Amount
Purpose
3/1/2014
Dunkin Donuts
$28.00
Refreshments -Sign
Holders
Lexington, MA 02421
2/26/2014
Dunkin Donuts
$14.99
Refreshments -
Signholders
Lexington, MA 02421
2/26/2014
Home Depot
$33.30
Sign Making Materials
100 First Ave
Waltham, MA
2/26/2014
Lexington Graphics
$1,922.91
Printing
76 Bedford St
Lexington, MA 02420
2/26/2014
Lexington Graphics
$70.13
Printing
76 Bedford St
Lexington, MA 02420
Date Vendor Name and Address
3/3/2019 Moison Ace Hardware
Bedford, MA 01730
Amount Purpose
$53.88 Hand Warmers
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