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Home My WebLink About2015-04-02-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: 2/14/2015 Ending: 3/23/2015 Type of report: 30 day after election Thomas R. Diaz Full Name of Candidate 3/24/2015 ) 0 (.l U _ A) t Tom Diaz for SchoolaCommittee f I r i! Committee Name School Committee Alice M. Pierce v1 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 $4,726.98 $2,240.00 $6,966.98 $5,856.83 $1,110.15 $323.38 $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 j finance activity of all persons acting under the authority or on behalf of this committee in accordance with the requirements of H.G.L. c. 55. Signed under the penalties of perjury: bt t(,( Treasurer's signature (in ink) Date Affidavit of Candidate (check 1 box only) : i I 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 j 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 H.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, ans, receipts, expenditures, disbursements, inkind contributions and liabilities for this reporting period and r9preents the campaign finance activity of all persons acting under the authority or on behalf of this,ecfmmittee in accordance with the requirements of H.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 2/25/2015 Adler, Nancy 22 Village Cir Lexington, MA 02420 2/24/2015 Burnell, George 4 Eaton Rd Lexington, MA 02420 2/25/2015 Cabrera, Pilar G 75 Woburn St Lexington, MA 02420 2/27/2015 Canale, Richard 29 Shade St Lexington, MA 02421 2/22/2015 Frymer, Anne 64 Asbury St Lexington, MA 02421 2/17/2015 Griffiths, Thomas 7 Volunteer Way Lexington, MA 02420 2/27/2015 Hatfield, Elisabeth 1 Potter Pond Lexington, MA 02421 2/26/2015 himmel, Jonathan 66 Hancock St Lexington, MA 02420 2/27/2015 Hubert, Nancy 1010 Waltham St Apt 323 Lexington, MA 02421 2/23/2015 Kennealy, Michael 4 Brent Rd Lexington, MA 02420 $100.00 $100.00 $100.00 $50.00 $50.00 $750.00 Software Engineer Eg &h $100.00 $35.00 $15.00 $175.00 Date Name and Residential Address Amount Occupation and Employer 2/17/2015 Klimoff, Ingrid H 75 Reed St Lexington, MA 02421 2/25/2015 Koplow, Florence 9 Brent Rd Lexington, MA 02420 2/23/2015 Oberteuffer, John A 14 Glen Rd South Lexington, MA 02420 2/17/2015 Pierce, Alice M 1010 Waltham St Apt 419 Lexington, MA 02421 2/25/2015 Redmon, Ann 31 Woodland Rd Lexington, MA 02420 2/17/2015 Trudeau, Jane A 7 Volunteer Way Lexington, MA 02420 Total Itemized Receipts Total Unitemized Receipts Total Receipts $90.00 $300.00 Retired Retired $50.00 $50.00 $25.00 $250.00 Attorney Self $2,240.00 $0.00 $2,240.00 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 2/27/2015 CTM Publishing P 0 Box 473 Lexington, MA 02420 3/23/2015 Diaz, Thomas 354 Waltham St Lexington, MA 02420 3/14/2015 Diaz, Thomas 354 Waltham St Lexington, MA 02420 2/24/2015 Diaz, Thomas 354 Waltham St Lexington, MA 02420 3/3/2015 Diaz, Thomas 354 Waltham St Lexington, MA 02420 2/16/2015 Lexington Graphics 76 Bedford St Lexington, MA 02420 3/23/2015 Paypal 2211 N First St San Jose, CA 85134 Total Itemized Expenditures Total Unitemized Expenditures Total Expenditures $900.00 Ad $15.94 Reimbursement (See R1) $291.33 Reimbursement (See R1) $2,006.64 Reimbursement (See R1) $754.03 Reimbursement (see R1) $1,878.98 Mailing $9.91 Fees $5,856.83 $0.00 $5,856.83 it (,) Ja 0i ue 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 2/28/2015 Gelston, Barry 280 Woburn St Lexington, MA 02420 3/1/2015 Gelston, Barry 280 Woburn St Lexington, MA 02420 3/2/2015 Gelston, Barry 280 Woburn St Lexington, MA 02420 2/15/2015 Gelston, Barry 280 Woburn St Lexington, MA 02420 2/27/2015 Gelston, Barry 280 Woburn St Lexington, MA 02420 2/19/2015 Leader, Judith C 17 Fairfield Dr Lexington, MA 02420 2/14/2015 Walker, Melinda 14 Larchmont Ln Lexington, MA 02420 Total Itemized Inkind Contributions Total Unitemized Inkind Contributions Total Inkind Contributions Value Description Occupation /Employer $60.00 Facebook ad $29.91 $2.99 $15.00 $47.48 $100.00 $68.00 $323.38 $0.00 $323.38 Facebook ad Teacher Mr. Gelston's One Room Schoolhouse Facebook ad Facebook Facebook ad Facility rental At Home NA Postage ;a -a In 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 10/14/2014 Diaz (Loan), Thomas R. 354 Waltham St Lexington, MA 02421 8/29/2014 Diaz (Loan), Thomas R. 354 Waltham St Lexington, MA 02421 8/22/2014 Diaz (Loan), Thomas R. 354 Waltham St Lexington, MA 02421 11/1/2014 Diaz (Loan), Thomas R. 354 Waltham St Lexington, MA 02421 10/28/2014 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 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 Total Outstanding Liabilities 95 � +i2 'a0k (\�L $107.20 Loan from candidate $133.28 $322.50 $54.71 $3,891.97 Loan from candidate Loan from candidate Loan from candidate Loan from candidate $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 $6,015.22 Schedule R: Reimbursements Date Reimbursee Amount 2/24/2015 Diaz, Thomas $2,006.64 3/3/2015 Diaz, Thomas $754.03 3/14/2015 Diaz, Thomas $291.33 3/23/2015 Diaz, Thomas $15.94 "M.Oi 99 .0 Wd dV a SIS1 0 Commonwealth of Massachusetts Form CPF R1: Itemization of Reimbursements Municipal Form Office of Campaign and Political Finance File with: City or Town Clerk or Election Commission 3/24/2015 Diaz, Thomas Individual Being Reimbursed Tom Diaz for School Committee Committee Name $2,006.64 Amount of Reimbursement 2/24/2015 Date of Reimbursement Signed under the penalties of perjury: Candidate's /Treasurer's signature (in ink) Date Vendor Name and Address 2/21/2015 Lexington Graphics 76 Bedford St Lexington, MA 02420 Amount Purpose $2,006.64 Mailing � ' °K0 t.3l 9s .za ilz��( 5«2 Commonwealth of Massachusetts Form CPF R1: Itemization of Reimbursements Municipal Form Office of Campaign and Political Finance File with: City or Town Clerk or Election Commission 3/24/2015 Diaz, Thomas Individual Being Reimbursed Tom Diaz for School Committee Committee Name $754.03 Amount of Reimbursement 3/3/2015 Date of Reimbursement Signed under the penalties of perjury: Candidate's /Treasurer's signature (in ink) Date Date Vendor Name and Address Amount Purpose 2/27/2015 Facebook Inc. 1601 Willow Rd Menlo Park, CA 94025 2/22/2015 Staples 800 Lexington St Waltham, MA 02451 2/20/2015 Staples 800 Lexington St Waltham, MA 02451 2/16/2015 Staples 800 Lexington St Waltham, MA 02451 2/6/2015 Staples 800 Lexington St Waltham, MA 02451 $184.43 Ads $186.97 Supplies $194.41 Supplies $104.54 Supplies n, I e40(31 $83.68 Supplies + 95 ,C kld ;1Z'S � =t f s SUL Commonwealth of Massachusetts Form CPF R1: Itemization of Reimbursements Municipal Form Office of Campaign and Political Finance File with: City or Town Clerk or Election Commission 3/24/2015 Diaz, Thomas Individual Being Reimbursed Tom Diaz for School Committee Committee Name $291.33 Amount of Reimbursement 3/14/2015 Date of Reimbursement Signed under the penalties of pe ;jury: Candidate's /Treasurer's signature (in ink) Date Date Vendor Name and Address Amount Purpose 3/2/2015 Costco 71 Second Ave Waltham, MA 02454 3/2/2015 Costco 71 Second Ave Waltham, MA 02451 3/2/2015 Dion's 119 River St Waltham, MA 02453 3/2/2015 Sevan Bakery 599 Mt Auburn St Watertown, MA 02472 $84.38 Party Supplies, Food $26.19 Party Beverages $107.88 Party Beverages $72.88 Party Food Commonwealth of Massachusetts Form CPF R1: Itemization of Reimbursements Municipal Form Office of Campaign and Political Finance File with: City or Town Clerk or Election Commission 3/24/2015 Diaz, Thomas Individual Being Reimbursed Tom Diaz for School Committee Committee Name $15.94 Amount of Reimbursement 3/23/2015 Date of Reimbursement Signed under the penalties of perjury:;, Candidate's /Treasurer's signature (in ink) Date Vendor Name and Address Amount Purpose 3/4/2015 Constant Contact 1601 Trapelo Rd Waltham, MA 02451 gy ;d rC W 'tZ 0 Date $15.94 Email Marketing