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Home My WebLink About2014-04-03-Crocker-OCPFForm CPF M 102: Campaign Finance Report Municipal Form Office of Campaign and Political Finance Commonwealth 2014 APR _3 PH 3: 19 of Massachusetts Pile with: City or'rowm Clerk or Election Commission Fill in Reporting Period dates: Beginning Date: 2/15/2014 Ending Date: /3/2014 i`f t.t.cn. P g g g 0 g TCwHA Type of Report: (Check one) ❑ 8th day preceding preliminary ❑ 8th day preceding election ❑X 30 day after election ❑ year -end report ❑ dissolution udith Crocker Candidate Full Name (if applicable) School Committee, Lexington Office Sought and District S Currier Court Residential Address Telephone Number (optional): 7818639622 udy Crocker for School Committee Committee Name anya Mornsett Name of Committee Treasurer 21 Valleyrield Street, Lexington, MA 02421 Committee Mailing Address Telephone Number (optional): 7818621907 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) 2177.31 1518.59 3695.90 3562.94 132.96 Line 6: Total in -kind contributions this period (page 6) 1108.74 Line 7: Total (all) outstanding liabilities (page 7) Line 8: Name of bank(s) used: Brookline 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, in -kind contributions and liabilities for this reporting period and represents the campaign finance activity of all persons acting under the a gI ority or on behalf of this cam dance �vuh the requirements of M.G.L. c. 55. Signed under the penalties of perjury: -c Z— (Treasurer's signature) Date: /3/2014 FOR CANDIDATE FILINGS ONLY: Affidavit of Candidate: (check 1 box only) Candidate with Committee and no activity independent of the committee OI 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 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 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 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 offthis committee in accordance with the requirements of M.G.L. c. 55. Signed under the penalties of perjury: Cif C ( ( \ (Candidate's signature) Date: /3/2014 SCHEDULE A: RECEIPTS 11.G.L. a 55 requires that the name and residential address be reported, in alphabetical order, far all receipts over $50 in a calendar year. Committees must keep detailed accounts and records ofall 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. (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.) liilh 10P _1 PM ii Name and Residential Address Occupation & Employer Date Received (alphabetical listing required) Amount (for contributions ofl$200hlil. dr1 yl 2/24/2014 I Vine Brook MA Road Le 96.80 Lexingtonn, MA 02421 Daniel Busa 2/24/2014 16 Farm Road 96.80 Lexington, MA 02420 Karen Forienza 11 11 2/24/2014 11-ex olomo MA 02420 ce Road NA/At home 485.20 (dine Crocker Box 279 Hyannisport, MA 02672 'ence Poor Munroe Road inoton. MA 02421 rd Poor Munroe Road inaton. MA 02421 bridge Urological Associates Mt. Auburn, Suite 519 bridge, MA 02238 Line 9: Total Receipts over $50 (or listed above) Line 10: Total Receipts $50 and under* (not listed above) Line 11: TOTAL RECEIPTS IN THE PERIOD s If you have NA/Retired 100.00 NA /Retired 100.00 Doctors' office - urologists 96.80 n F-1 1 1518.591 446.16 1518.59 F Enter on page 1, line 2 include only those receipts not itemized above. Page 2 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 $50 and under Apay, & jd{ ef) C ier, from committee records, and reported on line 13. (A "Schedule B: Expenditures" attachment is available to complete, print and attach to this report, if adcjop &geS�are grgl'ePtg) report all expenditures. Please include your committee name and a page number or each page.) e If you have itemized expenditures of $50 and under, include them in line 12. Line 13 should include only those expenditures not itemized above. Page 4 To Whom Paid T O V/ l C: h `V Date Paid (alphabetical listing) Address Purpose of Expenditgx ' i 4tw &t Brookline Bank P.O. Box 70 Monthly bank account 3/10/2014 , MA 02 Brookline, 02447 -0469 maintenance fee 7.50 L olonial Times Publishing 809 Massachusetts Avenue 1/2 page advertisement in 3 17J2014 Lexington, MA 02420 Feb/March issue 550.00 udith Crocker 5 Currier Court Reimburse for lawn signs /3/2014 Lexington, MA printed at Connolly Printing 1605.44 udith Crocker 5 Currier Court Partial reimbursement /3/2014 Lexington, MA town -wide mailer - Wales Copy 1,400.00 Center (Total cost $2095.99) F F I F - I-] F_ F -IF 7 I F 11 -7 =_ F IF F 1 17-1 I Line 12: Total Expenditures over $50 (or listed above) 3562.9a Line 13: Total Expenditures $50 and under" (not listed above) Line 14: TOTAL EXPENDITURES IN THE PERIOD 3562.94 Enter on page 1, line 4 e If you have itemized expenditures of $50 and under, include them in line 12. Line 13 should include only those expenditures not itemized above. Page 4 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 r- added together from the committee's records and included in line 16 on page 1. Date Received From Whom Received* Residential Address ri t, Description of Contr. mtjon Value 2/25/2014 uzanne Barry 1I 1 59 Burlington Street Lexington, MA 02420 [ayment for Constant(,EMW4 mail account itFJ' I I , A 63.75 2/21/2014 Suzanne Barry 159 Burlington Street Lexington, MA 02420 Stamps 49.00 2/15/2014 Suzanne Barry 159 Burlington Street Lexington, MA 02420 Sign -up genius payment (online sign up website) 9.99 12/24/2014 7 orrisett Lex ngtonfieldASttre t Stamps 34.00 udith Crocker ton, MA 02420 F ier Court Business Cards (done at istaprint) 15.29 1/10/2014 udith Crocker ur, LexingtonCMA 02420 Stamps 91.50 E 2/21/2014 udith Crocker S Currier Court Lexington, MA 02420 ire frames for lawn signs (purchased at Connolly Printing) 66.41 1/28/2014 udith Crocker rrier Court Lex in 02420 Center) (done at Wales Copy 132.81 2/25/2014 udith Crocker S Currier Court Lexington, MA 02420 Printing, town -wide mailer one at Wales, partial in -kind. Reimbursed for part. 595.99 17 3/3/2014 udith Crocker 5 Currier Court Lexington, MA 02420 Payment for rental of The Depot for Town -Wide Election Result gathering 50.00 17 L I F Enter on page 1, line 6 Line 15: hl -Kind Contributions over $50 (or listed above) uos.7a Line 16: hr -Kind Contributions $50 & under (not listed above) Line 17: TOTAL IN -KIND CONTRIBUTIONS 11o8.7a a If an in -kind contribution is received from a person who contributes more than $50 in a calendar year, you must report the name and address of the contributor; in addition, if the contribution is $200 or more, you must also report the contributor's occupation and employer. Page 6 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 those liabilities incurred during this reporting period. Page 7