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Home My WebLink About2014-10-28-Diaz-OCPFCommonwealth 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: 8/23/2014 Ending: 10/17/2014 10/27/2014 Type of report: Pre- election Thomas R. Diaz Tom Diaz for School Committee Full Name of Candidate Committee Name School Committee Alice M. Pierce Office Sought/ District 354 Waltham St Lexington, MA 02421 Name of Committee Treasurer 17 Volunteer Way Lexington, MA 02420 Residential Address Committee Address SUMMARY 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 $0.00 $5,068.44 $5,068.44 $1,191.89 $3,876.55 $9.80 $2,068.54 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: G' GAG: ti li1,i 1 cuu. Treasurer's signature (in ink) /o /Z7 / Date Affi davit 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. I have not received any contributions, 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: 11 0411 4( 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 Amount Occupation and Employer 10/2/2014 Blier, Vicki 42 Shade St Lexington, MA 02421 10/8/2014 Boese, Ann 45 Spring St Lexington, MA 02421 10/3/2014 Cherenson, Suzanne 12 Ingleside Rd Lexington, MA 02420 10/8/2014 Cohen, Helen 32 Patterson Rd Lexington, MA 02421 9/10/2014 Cohen, Linda 33 Forest St Unit 309 Lexington, MA 02421 8/28/2014 Diaz (Loan), Thomas R. 254 Waltham St Lexington, MA 02421 9/23/2014 Diaz (Loan), Thomas R. 254 Waltham St Lexington, MA 02421 8/29/2014 Diaz (Loan), Thomas R. 254 Waltham St Lexington, MA 02421 8/30/2014 Diaz (Loan), Thomas R. 254 Waltham St Lexington, MA 02421 10/14/2014 Diaz (Loan), Thomas R. 254 Waltham St Lexington, MA 02421 $200.00 Designer Self $75.00 $100.00 $100.00 $100.00 $322.50 $727.81 $133.28 $31.00 $107.20 Date Name and Residential Address Amount Occupation and Employer 8/28/2014 Diaz (Loan), Thomas R. 254 Waltham St Lexington, MA 02421 9/10/2014 Garberg, Gary W 16 Cary Ave Lexington, MA 02421 9/14/2014 Griffith, Stanley 43 Baskin Rd Lexington, MA 02421 8/26/2014 Griffiths, Thomas 7 Volunteer Way Lexington, MA 02420 10/13/2014 Katz, Jamie 18 Barberry Rd Lexington, MA 02421 $211.65 $100.00 $100.00 $500.00 Software Engineer Eg &h $100.00 10/15/2014 Koplow, Florence $150.00 Retired 9 Brent Rd Retired Lexington, MA 02420 9/17/2014 Koplow, Florence 9 Brent Rd Lexington, MA 02420 9/11/2014 Krawczyk, John J 78 Outlook Dr Lexington, MA 02421 8/26/2014 Krieger, Jeanne 44 Webster Rd Lexington, MA 02421 9/17/2014 Leader, Judith C 17 Fairfield Dr Lexington, MA 02420 9/10/2014 Mercer, Barbara 94 Falmouth Ct Bedford, MA 01730 9/10/2014 Nye, Mary Harding 1932 Massachusetts Ave Lexington, MA 02421 $100.00 $100.00 $250.00 Retired Retired $150.00 $100.00 $100.00 Date Name and Residential Address Amount Occupation and Employer 9/10/2014 Oldenburg, Carl 16 Burlington St Lexington, MA 02420 9/28/2014 Pierce, Alice M 17 Volunteer Way Lexington, MA 02420 9/28/2014 Trudeau, Jane A 7 Volunteer Way Lexington, MA 02420 Total Itemized Receipts Total Unitemized Receipts Total Receipts $100.00 $100.00 $250.00 Attorney Self $4,308.44 $760.00 $5,068.44 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 Amount Purpose 9/17/2014 Connolly Printing 17b Gill St Woburn, MA 01801 8/28/2014 Lexington Graphics 76 Bedford St Lexington, MA 02420 $727.81 Signs $211.65 Printing 10/14/2014 US Postal Service $107.20 Postage Lexington, MA 02420 8/29/2014 US Postal Service $133.28 Postage Lexington, MA 02420 Total Itemized Expenditures Total Unitemized Expenditures Total Expenditures $1,179.94 $11.95 $1,191.89 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 Value Description Occupation /Employer Total Itemized Inkind Contributions Total Unitemized Inkind Contributions Total Inkind Contributions $0.00 $9.80 $9.80 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 8/15/2014 Diaz (Loan), Thomas R. 254 Waltham St Lexington, MA 02421 8/28/2014 Diaz (Loan), Thomas R. 254 Waltham St Lexington, MA 02421 10/14/2014 Diaz (Loan), Thomas R. 254 Waltham St Lexington, MA 02421 8/29/2014 Diaz (Loan), Thomas R. 254 Waltham St Lexington, MA 02421 8/30/2014 Diaz (Loan), Thomas R. 254 Waltham St Lexington, MA 02421 8/15/2014 Diaz (Loan), Thomas R. 254 Waltham St Lexington, MA 02421 8/28/2014 Diaz (Loan), Thomas R. 254 Waltham St Lexington, MA 02421 9/23/2014 Diaz (Loan), Thomas R. 254 Waltham St Lexington, MA 02421 $335.10 Loan from candidate $211.65 Loan from candidate $107.20 Loan from candidate $133.28 Loan from candidate $31.00 Loan from candidate $200.00 Loan from candidate $322.50 Loan from candidate $727.81 Loan from candidate Total Outstanding Liabilities $2,068.54