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HomeMy WebLinkAbout2014-12-31-Pato-OCPFamme.ar. Form CPF M 102: Campaign Finance Report Municipal Form oma of campaign and MUM Finance Pik with: City or Town Clerk or Election Canodaion Please print or type all information, except signatures. Fill in dates: JVIL ar r Reporting Period Beginning Y 20`14 Ending uecemberDiu 31 'b14 Type of report: (Check one) 08th day preceding preliminary 08th day preceding election 1E330 day after election Oyear -end report Odissolution ,Joe Pato Full Name of Candidate (if applicable) Selectman Office Sought and District 900 Mass. Ave., Lexington, MA 02420 Residential Address TeL Na (optional) Committee to Elect Joe Pato Selectman Committee Name Kerry Brandin Name of Committee Treasurer 16 Franklin Rd, Lexington, MA 02420 Committee Mailing Address TeL No. (optional) SUMMARY BALANCE INFORMATION: Line 1: Ending balance from previous report Line 2: Total receipts this period (page 2, line 11) Line 3: Subtotal One 1 plus line 2) Line 4: Total expenditures this period (page 3, line 14) Line 5: Ending balance pine 3 minus line 4) $ 100.00 $ 0.00 $ 100.00 $ 0.00 $ 100.00 Line 6: Total in -kind contributions this period (page 4) $ 0.00 Line 7: Total (all) outstanding liabilities (page 4) $ n nn Line 8: Name of bank(s) used Cambridge Savings Bank Affidavit of Comatlttee Treasurer I eerily that I have examined this repot including attached schedules and it is, to the best of my knowledge and belief, a true lid complete statement of ell campaign finance activity, including all contributions, loans, receipts, expenditures, d46unemcnu, bHdtd contributions and Ilabiiitla for this reporting period and represents the campaign finance activity of all persona acting under the authority or on behalf of this committee In accordance with the requirements of M.O.L e. 55. Signed under the penalties of perjury: Treasurer's signature (In ink) Date FOR CANDIDATE FILINGS ONLY: (CANDIDATE MUST SIGN BELOW) ;M,a�ryTgtthtvlt of Candidate: (duck 1 box only) %Wand lams with Committee and no activity Independent of the commutes 1 ratify tbat I have examined this report including anadud sdheduks and it is, to the bed 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.o.L a SS. nave not Waived any contributions, incurred any liabilities not nude any expenditure on my behalf during this reputingperiod O Candidata without Committee 01 Candidate with Independent activity Sling separate report 1 ocrttty that I have examined Uds repot including attached schedules and it is, to the bat of my knowledge and ballet a true and complete nuenum of all campaign finance activity, Including contributions, loam, receipts, expenditures, disbhauroanu, to-kind contributions and liabilities for this reporting period and repraada the campaign finance activity of all persons acting under the authority or on behalf of this committee in accordance with the requirements of M.O.L o. SS. r---) Signed under the penalties of perjury: SCHEDULE A: RECEIPTS bI 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 ituinize 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. q'iiis page may be copied if additional pages are required to report all receipts. Please include your committee name and a page Date Received Name and Residential Address (alphabetical listing required) Amount Occupation & Employer (for contributions of $200 or more) • cr, Lino 9: Total receipts in excess of $50 (or listed above) 00 00 ~_ Line 10: Total receipts $50 and under' (not listed above) 00 00 Line 11: TOTAL RECEIPTS IN THE PERIOD 00 00 Enter on page 1, line 2 Pyou have Itemized receipts of $50 and under include them in line 9. Line 10 should include only those receipts not itemized obove. Page 2 SCHEDULE 13: 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 may be added together, from committee records, and reported on line 13. This page may be copied if additional pages are required to report all expenditures. Please include your committee name and a page fiber on each page Date Paid To Whom Paid (alphabetical listing) Address Purpose of Expenditure Amount • r <. Enter on page 1, line 4 Line 12: Expenditures over $50 ° 00 Line 13: Expenditures $50 and under* o 00 Line 14:TOTAL EXPENDITURES 0 00 *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 3 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, Date Received From Whom Received* Residential Address Description of Contribution Value Enter on page 1, line 6 Line 15: In -kind over $50 0oo Line 16: In -kind $50 and under coo Line 17: Total In -kind $000 • 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. SCHEDULE D: LIABILITIES Ln MG.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. Date Incurred To Whom Due Address Purpose Amounk5 ; ,, Enter on page 1, line 7 Line 18: OUTSTANDING LIABILITIES (ALL) $0.00 This page may be copied if additional pages are required to report all activity. Please Include your committee name and a page number on each page. « printed on recycled paper Page 4