HomeMy WebLinkAbout2015-12-31-Coppe-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:
File with
Ending Date:
LIR
Citv or Tosw;JClerk or Election
1I - Ott =a�
ommission�
Type of Report: (Cheek one)
[J 8th day preceding preliminary ❑ 8111 day preceding election ❑ 30 day after election (g,year -end report ❑ dissolution
FT1 cwsa-R C4PP 6
Candidate Full Namo (if applicable)
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Office Sought and District
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1
Telephone Number (optional):
Residential Address
-781 -Cs-ba- 2-631
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Committee Name
eci —P &,a2Pb A
Name of Committee Treasurer
1 1153 a-Bar St
Committee Mailing Address
Telephone Number (optional); [n17 — arcs-_
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SUMMARY BALANCE INFORMATION:
Line 1: Ending Balance from previous report
Line 2: Total receipts this period (page 3, line 1 I)
Life 3: Subtotal (line i plus line 2)
Line 4: Total expenditures this period (page 5, line 14)
Line 5: Ending Balance (line 3 minus line 4)
0
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Line 6: Total in -kind contributions this period (page 6)
Line 7: Total (all) outstanding liabilities (page 7)
Line 8: Name of banks) used:
33 (0r59
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Affidavit of Committee Treasurer:
I certify that 1 have examined this report including attached schedules and it is, to the best of my knowledge and belief, a true and completestatensent 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 half of this committee in accordance with the requirements of M.G.L. c. 55.
Signed under the penalties of perjury: ' / / Oil a. ! _ (Treasurers signature)
Date:) as -_,30 j
FOR CANDID/111E FILINGS ONLY: Affidavit of Candidate: (check 1 box only)
Wan JIM) le with Committee and no activity independent of the committee
certify that t have examined this report including attached schedules and it is, to the best of my knowledge and belief, a into and complete statement of all campaign finance
ctivity, of all persons acting under the authority or on behalf of this committee in accordance with the requirements of M.G.L. c. 55. 1 have not received any contributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period
Candidate without Committee DR Candidate with independent activity filing separate report
I certify that 1 have examined this report including attached schedules and it is, to the best of my knowledge and belief, n 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 authority or on behalf of this committee in accordance with the requirements of M.G.L. c 55.
2
Signed under the penalties of perjury:
(Candidate's signature) Date:
SCHEDULE A: RECEIPTS
M.G.",, c. 55 requires that the name and residential address be reporter,, in alphabetical order, for all receipts over $50 in a calendar
year. Committees east keep detailed accounts and records of all receipts, but need only itemize those receipts over 350. in addition, the
occupation and employer must be reported for all persons who co tr'bute 3200 or more in a calendar year.
(A "Schedule A: Receipts" attachment is available to complete,) rint 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
(far contributions of$200 or more)
Line 9: Total Receipts over $50 (or listed above)
Line 10: Total Receipts $50 and under* (not listed above)
Line HA TOTAL RECEIPTS IN THE PERIOD
J
<— Enter on page I, 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 above.
Page 2
F
1
Line 9: Total Receipts over $50 (or listed above)
Line 10: Total Receipts $50 and under* (not listed above)
Line HA TOTAL RECEIPTS IN THE PERIOD
J
<— Enter on page I, 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 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
r_r
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I
Line 9: Total Receipts over $50 (or listed above)
Enter on page I, 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 3
SCHEDULE B: EXPENDITURES
M.G.L. c. 55 requires committees to list, in alphabetical order; all expenditures over SS0 in a reporting period Committees must keep
detailed accounts and records of all expenditures, but need only itemize those over 850. lApendilures $50 and under may be added together,
fr•onr committee records, and reported on line 13.
(A "Schedule 11 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
L
Enter on page 1, line 4 ->
Line 12; Total Expenditures over $50 (or listed above)
Line 13: Total Expenditures $50 and under* (not listed above)
Line 14: TOTAL EXPENDITURES IN THE PERIOD
1f you have itemized expenditures of$50 and under include them in line 12. Line 13 should include only those expenditure 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 ->
Line 12: Expenditures over $50 (or listed above)
Line 13: Expenditures $50 and under* (trot listed above)
1
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
Line 15: In -Kind Contributions over $50 (or listed above)
Line 16: hi-Kind Contributions $50 & «rider (not listed above)
;inter on page I, line 6 -' Line 17: TOTAL IN -KIND CONTRIBUTIONS
*If an in -kind contribution is received from a person w to 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 oust also report the contributors occupation and employer. Page 6
SCHEDTJLE 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 dno•ing this reporting period.
Date IncmTett
To Whom Due
Address
Purpose
Amount
L
puler en page 1,11110 7 -4
Line 18: TOTAL OUTSTANDING LIADILITIES (ALL)
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