HomeMy WebLinkAbout2015-02-23-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
:2 2/13/2015
Reporting Period - Beginning: 1/1/2015 Ending: 2/13/2015
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
1010 Waltham St Apt 419
Lexington, MA 02421
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
$3,262.70
$2,045.00
$5,307.70
$580.72
$4,726.98
$0.00
$6,015.22
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 N.G.L. c. 55.
Signed under the penalties of perjury:
Treasurer's signature (in ink)
7
Date
Aff' vit of Candidate (check 1 box only) :
Candidate with Committee and no activity independent of the committee
I certify that 1 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 N.G.L. c. 55. I have not received any contributions, incurred
any liabilities nor made any expenditures on my behalf during this reporting period.
El 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:
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
2/10/2015 Applegate, Meredith
42 Reed St
Lexington, MA 02421
2/13/2015 Burson, Scott
58 Sherburne Rd S
Lexington, MA 02421
2/5/2015 Chait, Laurence
25 Fairlawn Ln
Lexington, MA 02420
1/27/2015 Clough, Shepard A
89 Hancock St
Lexington, MA 02420
2/3/2015 Cohen, Helen
32 Patterson Rd
Lexington, MA 02421
2/10/2015 Cohen, Linda
33 Forest St Unit 309
Lexington, MA 02421
2/13/2015 Dugan, Timothy F
14 White Pine Ln
Lexington, MA 02421
2/3/2015 Fallick, Gary
4 Diehl Rd
Lexington, MA 02420
1/27/2015 Gelston, Barry
280 Woburn St
Lexington, MA 02420
2/10/2015 Grasso, Patricia
7 Gould Rd
Lexington, MA 02420
$100.00
$100.00
$25.00
$50.00
$100.00
$100.00
$100.00
$50.00
$50.00
$50.00
Date Name and Residential Address Amount Occupation and Employer
2/3/2015 Hoffman, Pamela
4 Rangeway
Lexington, MA 02420
2/10/2015 Jankelson, Isabel L
3113 Main Campus Dr #3113
Lexington, MA 02421
2/10/2015 Katz, Jamie
18 Barberry Rd
Lexington, MA 02421
1/31/2015 Leader, Judith C
17 Fairfield Dr
Lexington, MA 02420
2/10/2015 Nye, Mary Harding
1932 Massachusetts Ave
Lexington, MA 02421
2/10/2015 Quezada, Fernando
26 Blossomcrest Rd
Lexington, MA 02421
2/6/2015 Rabins, Erica
14 Bird Hill Rd
Lexington, MA 02421
2/9/2015 Ray, Jennifer
6 Fulton Rd
Lexington, MA 02420
2/10/2015 Reiner, Neva
1010 Waltham St Apt 258
Lexington, MA 02421
2/10/2015 Rotberg, Robert
14 Barberry Rd
Lexington, MA 02421
2/10/2015 Sandy, Frank
353 N Emerson Rd
Lexington, MA 02420
2/13/2015 Shaw, Sandra J
51 Wachusett Dr
Lexington, MA 02421
$105.00
$25.00
$100.00
$250.00 At Home
$100.00
$50.00
$20.00
$250.00 At Home
$20.00
$300.00
$50.00
$50.00
Na
Date Name and Residential Address Amount Occupation and Employer
Total Itemized Receipts
Total Unitemized Receipts
Total Receipts
$2,045.00
$0.00
$2,045.00
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
1/31/2015 Facebook Inc.
1601 Willow Rd
Menlo Park, CA 94025
2/13/2015 Paypal
2211 N First St
San Jose, CA 85134
1/31/2015 Paypal
2211 N First St
San Jose, CA 85134
2/8/2015 Vistaprint
95 Hayden Ave
Lexington, MA 02421
Total Itemized Expenditures
Total Unitemized Expenditures
Total Expenditures
$140.48 Ads
$32.31 Fees
$3.50 Fees
$404.43 Mailing
$580.72
$0.00
$580.72
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 committees 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
$0.00
$0.00
Schedule D: Liabilities
M.G.L. c. 55 requires committees to report ALL liabilities which have been reported previously and are stil
outstanding, as well as the liabilities incurred during this reporting period.
Date To Whom Due Amount Purpose
10/14/2014 Diaz (Loan), Thomas R. $107.20 Loan from candidate
354 Waltham St
Lexington, MA 02421
8/29/2014 Diaz (Loan), Thomas R. $133.28 Loan from candidate
354 Waltham St
Lexington, MA 02421
8/22/2014 Diaz (Loan), Thomas R. $322.50 Loan from candidate
354 Waltham St
Lexington, MA 02421
11/1/2014 Diaz (Loan), Thomas R. $54.71 Loan from candidate
354 Waltham St
Lexington, MA 02421
10/28/2014 Diaz (Loan), Thomas R. $3,891.97 Loan from candidate
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
9/23/2014 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
$31.00 Loan from candidate
$200.00 Loan from candidate
$727.81 Loan from candidate
$335.10 Loan from candidate
$211.65 Loan from candidate
Total Outstanding Liabilities $6,015.22
tblNewContributions 2/13/2015
Last, first Name Sec Address hip Dear When
!Shaw Sandra J Shaw 51 Wachusett 02421 Sandy 2/13/2015
Dugan Timothy F Dug 14 White Pine 02421 Timothy 2/13/2015'
!Burson Scott F Burson 58 Sherburne R 02421 Scott 2/13/2015;
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