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HomeMy WebLinkAbout2016-02-22-Jay-OCPFCommonwealth of Massachusetts Form CPF M 102: Campaign Finance Report Municipal Form Office of Campaign and Political Finance Fill in Reporting Period dates: Beginning Date: 01/07/2016 File with: City or Towi$ ltrk or Eledtion Connnission Ending Date: IFeb 12, 2016 Type of Report: (Check one) ❑ 8th day preceding preliminary © 8th day preceding election ❑ 30 day after election ❑ year -end report ❑ dissolution Eileen Jay Candidate Full Name (if applicable) Lexington School Committee Board Member Office Sought and District 191 Waltham St., Lexington, MA 02421 Telephone Number (optional): Residential Address Eileen Jay for School Committee Committee Name Becky Barrentine Name of Committee Treasurer 100 Bedford St., lexington, MA 02420 Committee Mailing Address Telephone Number (optional): 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) 0 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: 6,635 6,635 1,400 5,235 0 88 Citizen's Bank 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, in -kind 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.O.L. c. 55. Signed under the penalties of perjury: "� (Treasurer's signature) Date: I Z// VA Le FOR CANDIDATE FILINGS ONLY: Affidavit of Candidate: (check 1 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 bat 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. c. 55. I have not received any contributions, incurred any liabilities nor made any expenditures on my behalf (luring this reporting period. Candidate without Committee DB Candidate with independent activity filing separate report ❑f certify that 1 have examined this report including attached schedules and it is, to the bat of my knowledge and belief, a true and complete statement of all campaign finance activity, including contributions, 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 aWgorily or on behalf of this l fommittee in accordance with the requirements of M.O.L. c 55. C 1 Signed under the penalties of perjury: , �C-- d46t (Candidate's signature) Date: I 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. (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 13, 2016 Berger, Lucia 50 Forest St 02420 100 Feb 9, 2016 Cui, Lijon 9 South Rindge Ave 02420 100 Jan 25, 2016 Lau, Suzanne 18 Phinney Road 02421 100 Feb 4, 2016 Li, Edward 7 Deering Ave. 02421 100 Feb 2, 2016 Li, Pan 3 Malt Lane 02421 100 Feb 1, 2016 Lin, Melanie 120 Kendall Road 02421 100 -= Jan 14, 2016 Richard and Jane Pagett 10 Oakmount Circle 02420 250 retired Feb 6, 2016 Qin, Wenying 11 Minuteman Lane 02421 100 Feb 6, 2016 Rowley, Michael 90 North Street 02420 100 Feb 9, 2016 Ruxin, Robert 12 Nickerson Rd 02421 100 Jan 25, 2016 Seasholes, Ernest 1505 Mass Ave., Unit 17 02420 100 Jan 19, 2016 Slmkovits, Harvy 74 Angier Road 02420 500 Consultant, self - employed Line 9: Total Rece pts over $50 (or listed above) e- 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 them in line 9. Line 10 should include only those receipts not itemized above. Page 2 SCHEDULE A: RECEIPTS (continued) Date Received Name and Residential Address (alphabetical listing required) Amount Occupation & Employer (for contributions of $200 or more) Feb 4, 2016 Steigerwald, Corinne 143 Cedar St 02421 100 Jan 28, 2016 Wang, Weldong 59 Reed St. 02421 100 Jan 28, 2016 Wong, Gwendolyn 6 Cedarwood Terrace 02421 100 Feb2,2016 Wu, Leeying 65Cary Ave 02421 360 4 _�' r "` - €-- (-.ir't (I Feb 7, 2016 Su, CHindi 20 Tufts Rd 02421 100 Jan 5, 2016 Yao, lieying 4 Fairbanks Rd 02421 100 Feb 5, 2016 Zhang, Zhiwu 86 Adams St. 02420 100 Feb 10, 2016 Zheng, Xiaohong 33 Webster Road 02421 100 Line 9: Total Receipts over $50 (or listed above) 2,810 E-. Enter on page 1, line 2 Line 10: Total Receipts $50 and under* (not listed above) 3,825 Line 11: TOTAL RECEIPTS IN THE PERIOD 6,635 * If you have itemized receipts of $50 and under, include them 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 $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. (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 Feb 10, 2012 Barrentine, Elizabeth 100 Bedford Street 02420 Lawn Signs 1,170 Jan 25, 2016 CARL - Chinese American Assoc of Lexington P08 453 Lexington, MA 02420 Ad 100 various Paypal online transaction fees 120 Enter on page I, line 4 -> Line 12: Total Expenditures over $50 (or listed above) 1,390 Line 13: Total Expenditures $50 and under* (not listed above) 10 Line 14: TOTAL EXPENDITURES IN THE PERIOD 1,400 • 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 4 SCHEDULE B: EXPENDITURES (continued) Date Paid To Whom Paid (alphabetical listing) Address Purpose of Expenditure Amount Enter on page 1, line 4 -3 Line 12: Expenditures over $50 (or listed above) Line 13: Expenditures $50 and under* (not listed above) Line 14: TOTAL EXPENDITURES IN THE PERIOD * 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 5 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 on page 1. Date Received From Whom Received* Residential Address Description of Contribution Value Enter on page 1, line 6 -> Line 15: In -Kind Contributions over $50 (or listed above) 0 Line 16: In -Kind Contributions $50 & under (not listed above) 0 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 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 various Elise Rowley Y 90 North St., Lexington, MA 02420 Printing and related costs 88 Enter on page 1, line 7 -4 Line 18: TOTAL OUTSTANDING LIABILITIES (ALL) 88 Page 7