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Home My WebLink About2016-02-22-Pato-OCPFc•w.,eea: Form CPF M 102: Campaign Finance Report Municipal Form Omee ofCampaignand Political PMnce Homily City w Town Clerk or Election Commission Please print or type all information, except signatures. C? Fill in dates: J dbary r Reporting Period Beginning 2"0'16 Ending �e"%ruary 20t Type of report: (Check onej 08th day preceding preliminary 08th day preceding election 030 day after election .Oyear -end report Odlasolution ,Joe Pato Full Name of Candidate (If applicable) Selectman Office Sought and District 900 Mass. Ave., Lexington, MA 02420 Residential 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, no 11) $ 5Q0.00 Line 3: Subtotal pine l plus line 2) $ 600.00 Line 4: Total expenditures this period (page 3, line 14) $100.00 Line 5: Ending balance (line 3 minus line 4) $ 500.00 Line 6: Total in -kind contributions this period (page 4) $ 0.00 Line 7: Total (all) outstanding liabilities (page 4) $ ere 9r r/ Line 8: Name of bank(s) used Cambridge Savings Bank Affidavit orcomnddse Tweunn I ea* tbat 1 Mw ewnened this report Including attached schedules and it k, to the bat of my knowledge and belief, a we lid complete statement of all campaign &woo activity, Including all contribution; loam, receipts, expeditura, d'uWnmwnu, kddtd contribution and liabilities for this repaing poled and moments the campaign finance activity of ill pawn Wingurdathe Sut orftyoonbehalfof this catndue. In academe vdth the requirements of M.O.L a 55. Signed under the penalties of per)uryt ah77�4 Tonne$ 'Ignaten (In Ink) eau FOR CANDIDATE FILINGS ONLY: (CANDIDATE MUST SIGN BELOW) Affidavit orC.Mldatet (dock 1 boa only) O Candidatetdth Conunlfn end no ectivtly independent of the tomato 1 certifythet 1 Mve exuninod this report including sttadwd schedules and it he m the bat ermy know*dge and 6414 *Me aM oonpkte "anent ofall nmgign finance activity, of all penes acting undo* the authority or on bebaifof this oanmieW in accordance withthe requirements ofM.O.L a 55. 1 have not received any ooMiWtioas, incurred any liabilities nor nude any aperdilma on my behalf during this rooming period O C.ndldeleMNootCommidt*QaCa dldete with Independent activity Ming report 1 entity that 1 have examined ids repot bxluding tauhed Wtedules aM h b, to the bat otmy Mewled*, and belle( we and complete nuemeea oral canpaign finance activity, holuding cadributione, loam, receipts, expa4iuva, dichotomous bald d consdbutione end !abilities for tide reporting period eM repreaente the aampalgn finance activity ofell pawn Wing undaew authority or en behalrof Ns committee in accordom with the requiremmu ofM.O.L a55. Signed under the penalties ofperJwryt z SCHEDULE A: RECEIPTS Att,G.L. c. 55 requires that the name and residential address be reported, in alphabetical order, for all receipts over $50.1n a calendar year. Committees must keep detailed accounts and records of all receipts, but need only itemize those receipts over M. In addition, the occupation and employer must be reported for all persons who c0ntr/bute $200 or more in a calendar year. Tills page may be copied if additional pages are required to report all receipts. Please Include your committee name and a page umma".w....y...- Date Received Name and Residential Address (alphabetical listing required) Amount Occupation & Employer (For contributions of $200 or more) Joe Pa to Loan 500. retired computer scientist fir Line 9: Total receipts in excess of $50 (or listed above) 5 o C .0C _ Lino 10: Total receipts $50 and under' (not listed above) ea w Line 11: TOTAL RECEIPTS IN THE PERIOD =dip 04 Enter on page 1, line 2 If you have Itemized receipts of Sp0 and under include them In line 9. Line 10 should Include only those eeceiptl not itemized ware. SCHEDULE D: EXPENDITURES 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. 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 1/7/16 CAAL Post Ottice Box 453 Lexington, MA 02420 1/4 pg. ad 100 00 Enter do page 1, line 4 Line 12: Expenditures over $50 100 00 Line 13: Expenditures $50 and under' U m Line 14:TOTAL EXPENDITURES 100 00 'If you have itemized expenditures of 350 and under, include them in line 12. Line 13 should Include only those expenditures not Page 3 itemized above. SCHEDULE C: "IN-KIND" CONTRIBUTIONS Please Itemize contributors who have made in kind contributions of more than $50. to -kind contributions $50 and under may be added together from die committee's records and included in line 16, Date Received From Whom Received* Residential Address Description of Contribution Value 1/7/16 Joe Pato 900 Massachusetts Avenue Lexington MA 02420 loan to campaign 500.00 9/14/15 John Krawczyk 78 Outlook Drive Lexington, MA 02421 domain renewal 9.17 Enter on page 1, line 6 Line 15: In -kind over $50 °m Line 16: In -kind $50 and under 000 Line 17: Total In -kind 50°° • if an In -kind contribution is recelved 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 contributors occupation and employer. SCHEDULE D: LIABILr11ES 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 1/7/16 Joe Pato 900 Massachusetts Avenue Lexington MA 02420 loan to campaign 500.00 9/14/15 John Krawczyk 78 Outlook Drive Lexington, MA 02421 domain renewal 9.17 Enter on page 1, line 7 Line 18: OUTSTANDING LIABILITIES (ALL) 509.17 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. ^, amea on recycled paper Page 4