HomeMy WebLinkAbout2014-10-28-Diaz-OCPF-RevisedCommonwealth
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: 8/1/2014 Ending: 10/17/2014
Type of report: Pre - election
1.1/30/2014
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
$5,823.54
$5,823.54
$1,861.70
$3,961.84
$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:
CA-
Treasurer's signature (in ink) Date
Aff- 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, 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: •y 'Z
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
8/15/2014 Diaz (Loan), Thomas R.
254 Waltham St
Lexington, MA 02421
8/28/2014 Diaz (Loan), Thomas R.
254 Waltham St
Lexington, MA 02421
8/22/2014 Diaz (Loan), Thomas R.
354 Waltham St
Lexington, MA 02421
9/23/2014 Diaz (Loan), Thomas R.
254 Waltham St
Lexington, MA 02421
8/30/2014 Diaz (Loan), Thomas R.
254 Waltham St
Lexington, MA 02421
$200.00
$75.00
$100.00
$100.00
$100.00
$335.10
$211.65
$322.50
$727.81
$31.00
Designer
Self
Date Name and Residential Address Amount Occupation and Employer
8/15/2014 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
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
10/6/2014 Klimoff, Ingrid H
75 Reed St
Lexington, MA 02421
$200.00
$107.20
$133.28
$100.00
$100.00
$500.00 Software Engineer
Eg &h
$100.00
$95.00
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
$100.00
$100.00
$250.00 Retired
Retired
Date Name and Residential Address Amount Occupation and Employer
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
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
9/29/2014 Wilson, James
43 Locust Ave
Lexington, MA 02421
Total Itemized Receipts
Total Unitemized Receipts
Total Receipts
$150.00
$100.00
$100.00
$100.00
$100.00
$250.00 Attorney
Self
$100.00
$5,038.54
$785.00
$5,823.54
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
8/22/2014 Lexington Graphics
76 Bedford St
Lexington, MA 02420
$727.81 Signs
$322.50 Printing
8/28/2014 Lexington Graphics $211.65 Printing
76 Bedford St
Lexington, MA 02420
8/15/2014 Staples
800 Lexington St
Waltham, MA 02451
$335.10 Supplies
8/29/2014 US Postal Service $133.28 Postage
Lexington, MA 02420
10/14/2014 US Postal Service $107.20 Postage
Lexington, MA 02420
Total Itemized Expenditures
Total Unitemized Expenditures
Total Expenditures
$1,837.54
$2.4.16
$1,861.70
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
8/29/2014 Diaz (Loan), Thomas R.
354 Waltham St
Lexington, MA 02421
8/15/2014 Diaz (Loan), Thomas R.
354 Waltham St
Lexington, MA 02421
8/22/2014 Diaz (Loan), Thomas R.
354 Waltham St
Lexington, MA 02421
10/14/2014 Diaz (Loan), Thomas R.
354 Waltham St
Lexington, MA 02421
8/30/2014 Diaz (Loan), Thomas R.
354 Waltham St
Lexington, MA 02421
8/15/2014 Diaz (Loan), Thomas R.
354 Waltham St
Lexington, MA 02421
8/28/2014 Diaz (Loan), Thomas R.
354 Waltham St
Lexington, MA 02421
9/23/2014 Diaz (Loan), Thomas R.
354 Waltham St
Lexington, MA 02.421
Amount Purpose
$133.28 Loan from candidate
$335.10 Loan from candidate
$322.50 Loan from candidate
$107.2.0 Loan from candidate
$31.00 Loan from candidate
$200.00 Loan from candidate
$211.65 Loan from candidate
$727.81 Loan from candidate
Total Outstanding Liabilities $2,068.54