HomeMy WebLinkAbout2015-12-31-Pato-OCPFd Mundaai4
Form CPF M 102: Campaign Finance Report
Municipal Form
Office or Campaign and Political Finance
Pile with:
City or Town Cletk or Election Conwdnion
Please print or type all information, except signatures.
Fill in dates: J ° tai ar r
Reporting Period Beginning Y
2115 Ending ItecemberDn. 31 X615
Type of report: (Check one)
08th day preceding preliminary 08th day preceding election ECJ30 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
. Residentlal Address
TeL No. (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 $ 100.00
Line 2: Total receipts this period (page 2, line 11) $ 0.00
Line 3: Subtotal one 1 plus line 2) $ 100.00
Line 4: Total expenditures this period (page 3, tine 14) $ 0.00
Line 5: Ending balance pine 3 minus lino 4) $ 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 Comities Treasurers
I °emit/ that 1 have examined this report including attacfied schedules and it is, to the bat of my knowledge and belief, a true and complete slalrnuN of all ampaign
finance activity, including all contributions, loans. receipts, expenditures, dlsWamtema, hi•kl d contributions and liabilities for this reporting pealed and represents the
campaign finance activity of all penan acting under the authority or on behalf of this committee in aaorduKe with the requirements of M.O.L. c. 55.
Signed under the penalties of perjury*
Treasurer's signature (in ink)
Dat
FOR CANDIDATE FILINGS ONLY: (CANDIDATE MUST SIGN BELOW)
Affidavit of Candidate; (check 1 box only)
O Candidate with Committee and no activity independent of the commnta
I certify that I have examined this report including attached scheduka and it is, to the bat of my knowledge and belief, a true and complete statement of campaign
anence actMty, of an person acting under the autltortty or on behalf of this committee in accordance with the requirements of M.O.L o. 55. I have not received any
contributions, insured any liabilities nor nude any expeadiava on my behalf dwingUda repadngperiod,
0 Candidate Without Committee O$ eandldats with independent activity filing mantle report
I alt' that I have examined this repot tnctuding attached schedules and it is, to the best of my knowledge and bellet; a true and complete statement of all campaign
finance activity, including contributions, loam, receipts, expenditum, Imkind aotribudom and liabilities for this reporting period and mounts the
campaign fiance activity of all persons acing under the authority or on behalf of this committee in aaoeden ce with the requlrcmenu of M.G.L Q. 55.
--, Signed under the penalties of perjury:
Candidate sig ature (In ink)
Date
SCHEDULE A: RECEIPTS
bLG.L. c. 55 requires that the name and residential address be reported, in alphabetical order, for all receipts
p1er $50.in a calendar year. Committees must keep detailed accounts and records of all receipts, but need only
itemize those receipts over 550. In addition, the occupation and employer must be reported for all persona who
contribute $200 or more in a calendar year.
This 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)
..
r°
T
Lino 9:
Total receipts in excess of $50 (or listed above)
00
00
—
Lino 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
• If you have Itemized receipts of $50 and under include them in line 9. Line 10 should include only those receipts not itemized
obovo. Page 2
SCHEDULE B: EXPENDITURES
M.G.L. c. SS 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
Date Paid
To Whom Paid
(alphabetical listing)
Address
Purpose of Expenditure
Amount
•
r
Enter on page 1, line 4
Line 12; Expenditures over $50
0
00
Line 13: Expenditures $50 and under'
o
00
Line 14:TOTAL EXPENDITURES
000
*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: "1N -KIND" CONTRIBUTIONS
Please itemize contributors who have made in-kind contributions of more ihan'$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
e0c
Line 16: In -kind $50 and under
0.00
Line 17: Total In -kind
$000
• If an in•ldnd 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.
SCuWULE 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
those liabilities incurred during this reporting period
Date
Incurred
To Whom Due
Address
Purpose
Amount
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. ` ~it printed on recycled saner Page 4
ClaEanel
of Muupnno
Form CPF M 102.0; Campaign Finance Report
Municipal Form
Orate of Campaign and Political Finance
City or Town of
Candidate
Please print or type all information, except signatures,
Office
IIII In dates( Month Day Year Month Day Year
Reporting Period Beginning Ending
Type of Report: (Check One) .
o 8th day preceding 0 8th day preceding election 0 30th day following election 0 20th day of January
preliminary/primary (Town or Special) (Year•End Report)'
Pursuant to M,G,L., Chapter 55:
I. I certify that 1 am a candidate for or hold Municipal Office,
2. I certify that 1 have not received any contributions, made any expenditures, or Incurred any obligations during this
reporting period, and do not have a campaign find In existence,
3, I certify that 1 do not have a political committee.
DATE .
1. SIGNATURE
Signed under the penalties of perjury
II: RESIDENTIAL ADDRBSS
(Street and Number)
' 111, OFFICE SOUGHT
,..,
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