HomeMy WebLinkAbout2014-12-31-Rotberg-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
Fill in Reporting Period dates: Beginning Date:
11/16/14
Ending Date:
12/31/14
Type of Report: (Check one)
wo
❑ 8th day preceding preliminary ❑ 8th day preceding election ❑ 30 day after election ® year -end report "74 dissolution
Robert Rotberg
Candidate Full Name (if applicable)
Selectman, Town of Lexington
Office Sought and District
14 Barberry Road, Lexington, MA 02421
Telephone Number (optional):
Residential Address
(Committee to Elect Robert Rotberg
Committee Name
Michael Bliss
Name of Committee Treasurer
13 Barberry Road, Lexington, MA 02421
Committee Mailing Address
Telephone Number (optional):
SUMMARY BALANCE INFORMATION:
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)
246.47
50hOQ
246.47
296.47
Line 6: Total in -kind contributions this period (page 6)
Line 7: Total (all) outstanding liabilities (page 7)
Line 8: Name of bank(s) used:
-0-
Citizens Bank
L+
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 authority or on behalf of this committee in accordance with the requirements of M.G.L. c. 55.
c 4 (Treasurers signature)
Signed under the penalties of perjury:
Date:
FOR CANDIDATE FILINGS ONLY: Affidavit of Candidate: (check I box only)
tindidate with Committee and no activity independent of the committee
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, of all persons acting tinder 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 Oft Candidate with independent activity filing separate report
ri 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 he authority or on behalf s. mmittee in accordance with the requirements ofM.G.L. c. 55.
Signed under the penalties of perjury: / `/ 1/24( (Candidates signature) Date:
f f 666
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 ddl 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.)
Date Received
Name and Residential Address
(alphabetical listing required)
Amount
Occupation & Employer
(for contributions of $200 or more)
SEE SCHEDULE ATTACHED
c,1
F Enter on page 1, line 2
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
50.00
* If you have itemized receipts of $50 and under, include them in line 9. Line 10 should include only those receipts not itemized above.
Page 2
Receipts
Committee to Elect Robert Rotberg
From 11/26/14 through 12/31/14
Name
Address
Amount
Date
Occupation/
Employer
(if over $200)
Glick,
Georgia
21 Eliot Road
Lexington, MA 02421
50.00
11/27
TOTAL
50.00
SCHEDULE B: EXPENDITURES
1.G.L. c. 55 requires committees to list, in alphabetical order, all expenditures over 550 in a reporting period Committees mast keep
detailed accounts and records of all expenditures, but need only itemize those over 550. Expenditures 550 and under may be added together,
from committee records, and reported on line 13.
(A "Schedule 13: Expenditures" attachment is available to complete, print and attach to this report, if additional pages are required to
• o•t all expenditm•es. Please include our committee name and a page number on each page.)
P
Date Paid
To Whom Paid
(alphabetical listing)
Address
Purpose of Expenditure
Amount
SEE SCHEDULE ATTACHED
J
Enter on page I, line 4 .
Line 12: Total Expenditures over $50 (or listed above)
Line 13: Total Expenditures $50 and under* (not listed above)
Line 14: TOTAL EXPENDITURES IN THE PERIOD
296.47
* If you have itemized expenditures of S50 and under include them in line 12. Line 13 should include only those expenditures not itemized
above. Page 4
Expenditures
Committee to Elect Robert Rotberg
From 11/26/14 through 12/31/14
Date
Vendor
Address
Purpose
Amount
10/21
Conununity
Newspaper Co.
254 2 " Avenue
Suite 1
Needham Heights,
MA 02494
Advertising *
240.00
11/16
Constant Contact
1601 Trapelo Road
Suite 329
Waltham, MA 02451
Email Marketing*
31.88
Subtotal
271.88
Other expenditures
not exceeding $50
24.59
Total
296.47
Note:
* Items paid by Irene Dondley; reimbursed ($271.88) 12/30/14, Check # 1007.
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
added together from the committee's records and included in line 16 on page I.
Date Received
From Whom Received*
Residential Address
Description of Contribution
Value
NONE
..1
Enter on page 1, line 6 ->
Line 15: In -Kind Contributions over $50 (or listed above)
Line 16: In -Kind Contributions $50 & under (not listed above)
Line 17: TOTAL IN -KIND CONTRIBUTIONS
-0-
- If an m -kmd contnbnnon is received from a person W to 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 contributors occupation and employer.
Page 6
SCHEDULE D: LIABILITIES
MLLG.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
Date Incurred
To Whom Due
Address
Purpose P
Amount
NONE
Enter on page I, line 7 -> Line
18: TOTAL OUTSTANDING LIABILITIES (ALL)
Page 7