HomeMy WebLinkAbout2016-02-22-Barry-OCPFCommonwealth
of Massachusetts
Form CPF M 102: Campaign Finance Report
Municipal Form
Office of Campaign and Political Finance VI!
File with: City orTowinQie or' Elechon Cammissimr
Fill in Reporting Period dates: Beginning Date:
hanuary 1, 2016
Ending Date:
(February 12, 2016
Type of Report: (Check one)
❑ 8th day preceding preliminary
8th day preceding election ❑ 30 day after election ❑ year -end report ❑ dissolution
Suzie Barry
Candidate Full Name (if applicable)
Selectman
Office Sought and District
1159 Burlington Street, Lexington, MA 02420
Telephone Number (optional):
Residential Address
(781) 862-5853
(Committee to Elect Suzie Barry
Committee Name
(Kim Coburn
Name of Committee Treasurer
166 Liberty Avenue, Lexington, MA 02420
Committee Mailing Address
Telephone Numbs (optional}
(781) 863-6285
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)
649.02
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:
100
749.02
200
549.02
0
93.72
ITO Bank
Affidavit of Committee Treasurer:
[certify that have examined this report including attached schedules and it is, to the best of my knowledge and belief, a hue and complete statement of all campaign finance
activity, including all contribution, 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 autlwril or o. this m m accordance with the w the requirements ofM.G.L c. 55.
Signed ender the penalties of perjury: % efrcasurets signature) Date:) 0%/,} r,ld
FOR CANDIDATE FILINGS ONLY: AffndaviisdCand[date: (check t box only)
Candidate 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 We 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 ofhiG 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 fling separate report
I certify that report t I have examined this rort 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, Inane rec expenditures, disbr finenls, in -kin, • tributions and liabilities for this reporting period and represents the
campaign finance activity of all persons actingun r the authority or on pf4�is cnn .. tee in accordance with the requirements of?ANL. e.55.
Signed ender the penalties of perjury':
(Candidate's signature)
Date:
SCHEDULE A: RECEIPTS
dL G.L. c. 55 requires that the name and residential address be repotted, 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 550. In addition, the
occupation and employer Hurst be reported for all persons who contribute 5200 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)
Jan 19, 2016
Linda Dixon
70 Fifer Lane
Lexington, hIA 02420
100
Line 9: Total Receipts over $50 (or listed above)
100
F Enter on page 1, Tine 2
Line 10: Total Receipts $50 and under* (not listed above)
0
Line 11: TOTAL RECEIPTS 1N PHE PERIOD
too
* If you have itemized receipts of $50 and under, include them in line 9. Line 10 should include only those receipts not itemized above.
Paget
SCHEDULE A: RECEIPTS (continued)
Date Received
Name and Residential Address
(alphabetical listing required)
Amount
Occupation & Employer
(for contributions of $200 or more)
c-_
Line 9: Total Receipts over $50 (or listed above)
F Enter on page 1, line 2
Line 10: Total Receipts $50 and under* (not listed above)
Line 11: TOTAL RECEIPTS IN THE PERIOD
* if you have itemized receipts of $50 and under, include Diem in line 9. Line 10 should include only those receipts not itemized above.
Page 3
SCHEDULE B: EXPENDITURES
M.G.L. c. 55 requires committees to list, in alphabetical order, all expenditures over 850 in a reporting period. Committees must keep
detailed accounts and records of all expenditures, but need only itemize those over 850. Expendinnrs 850 and under may be added together,
from conmtittee records, and reported on line l3.
(A "Schedule B. Expenditures" attachment is available to complete, print and attach to this report, if additional pages are required to
report all expenditures. Please include your committee name and a page number on each page.)
Date Paid
To Whom Paid
(alphabetical listing)
Address
Purpose of Expenditure
Amount
Jan 11, 2016
Chinese American Association of
Lexington
c/o Diamond Hayes
63 Shade Street
Lexington, MA 02421
Half page advertisement in
CAAL's New Year's Celebration
Program
200
Enter on page 1, line 4 ->
Line 12: Total Expenditures over $50 (or listed above)
200
Line 13: Total Expenditures $50 and under* (not listed above)
0
Line 14: TOTAL EXPENDITURES IN IRE PERIOD
200
* If you have itemized expenditures of $50 and unde , include them in line 12. Line 13 should include only those expenditures not itemized
above. Page 4
SCHEDULE I3: EXPENDITURES (continued)
Date Paid
To Whom Paid
(alphabetical listing)
Address
Purpose of Expenditure
Amount
0
Enter on page 1, line 4 ->
Line 12: Expenditures over $50 (or listed above)
Line 13: Expenditures $50 and under* (not listed above)
Line 14: TOTAL EXPENDITURES IN ME PERIOD
0
* Ifyou have itemized expenditures of$50 and under, include them in line 12. Line 13 should include only those expenditures not itemized
above.
Page 5
SCHEDULE C: "IN-HIND" 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 1.
Date Received
From Whom Received*
Residential Address
Description of Contribution
Value
Enter on page t, 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 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.
Page 6
SCHEDULE D: LIABILITIES
111.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
Dec 20, 2015
Suzie Barry
159 Burlington Street
Lexington, MA 02420
Business cards
55.72
Dec 26, 2015
Suzie Barry
159 Burlington Street
Lexington, MA 02420
Website fees (December)
19
Jan 27, 2016
Suzie Barry
159 Burlington Street
Lexington, MA 02420
Website fees (January
19
Enter on page I, line 7 -4
Line 18: TOTAL OUTSTANDING LIABILITIES (ALL)
93.72
Page 7