HomeMy WebLinkAbout2022-01-14-Sandeen-OCPF l 9l
Form CPF M 102- Campaign Finance Report
Municipal Form
Office Of 091APaign and Political Fiasjrjce
of MussAohtasctfs
Fill in Reporting Period dates: -Besinning Date: 01/01/2021
Ending Date: 12/31/2021
Type of Report: (Check one)
8th day preceding;preliminary 8th day preceding election 30 day after election [XJ year-end report dissolution
Mark Dotiglas Sandeen Committee to Elect Mark Sandeen
calididate Full Name(if applicablQ)
-Lexington Select Board Mernber, MunICIPEil, Local Filer Jeanne Krieger CoTnmiltct�Name
Offiec Sought and District
Name of Cominjacc Treasurer
10 Brent Road, Lexington, MA 02421 44 Webster Rd Lexington MA 02421 United States
Residential Addwss Cotniniftoe Mail i rig Address
marksandeeriftmaii,com
krJeijerjk44@qffiaJl.coz
Phone#{optional): (781)424-7538
Phone 8(optional);
SUMMARY BALANCE INFORMATION-
Line.1 Ending Balance,fiom previous report 3: 5.7
En
>
Line 2. Total receipts this peiiod(page 3, line, 11)
Line 3. Subtotal(line I plus line 2) .55.74
Line 4: TOW expenditures this period(page 5,line 14) 60
Lin e 5: Ending Balance(line 3 minus line 4) 6s5.74
Line 6: Total in-kind coniTibutions this period(page 6)
Line 7: Total(all)outstanding liabilities(page 7) 3
Line 8' Nallne of bank(s)used:
Affidn-jit of Committee Trcasuver�
1,,,crW}'that I have examined this report including attached schedules and it is,to the best of ray knowledge and belicf,a"e aridoairiplcte f;tate,ncnI Of ail.callip"Jign finance
uctiviLy,including all cortiributi(iris,loans,receipts,(!-,,pcmdiWrcs,disIRIrsemcnIs,in-kind Contribudons and liabilities,for this WpOrtiugperiod and rtprumscrits.the efuriphli'mr
flflallcc activity Of all 11-5-3,acting under the autbor'at� A 1-hillf Of alis aonlinittcc,in accordance Ivith the requirements of 4,0.L.c.55,
Signed under the penaffles ofiserjuvy: ck (Treasurer's sigivatura) Date:
FLOE-CLA—NDIM-11—FILING 5-0—N_LY: A f R d a vi t of CA n did a tt.(cheek I b0_%
Pndiditte with Committee
MIFI certify that I have examined this report including attached schedules and it is,to the beat of any knowledge and bolief,a Wx-and complete swteinemt of all emnImign fInaIIW
activity,of all persons acting under t1w Authority or on behalf of this conlirlittee in acourdartao with the rctpiremcrm of Mfl.j_c-.55. I have not re ci , y I b
incurred ally liabilities nor made aw;expenditures on rw;balialf durivig this reporting puriod that am not otherwise disclosed in this report
V d an con ri LItj
On";
Candidate.without Committee
El "'WifY that I IMT CMDIfiled this report including attached schedules and it is,to the best of my knipwiedge and belief.a Irac and complete staiternerit of all campaign
finance activi1j"incltzdb4"coniribUdOltIr 103ul,wCeipts,0Xperlditums,disbtimmcncs,ju_k41d cptr itie�f poor this reporting period arid rapresenLs(ho
carnpaigin finance activity of all IVI-Solis acting unduAic'guffiiifify--6� (��Tltioas and liabil
!��haif Of t
in acc? Nviffi the requirernents of M.('L
Signed under the pfflalfle,4 of perjury., Date,
SCHEDULE Aa RECEIPTS
MG.L. c. 55 requires that the name and residential address be reponed, in alphabetical order,for all receipts over$50 in a calen&n,
Year. Committees must keep detailed accounts and records of all receipts, but need only itemize those receipts over x'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.)
Name and Residential Address Occupation&Employer
Date Received (alphabetical listing required) Amount (for contributions of$200 or more)
- C- j
Line 9: Total Receipts over$50 (or listed above)
Line 10:Total Receipts$50 and under* (not listed above)
Line 11: TOTAL RECEIPTS IN THE PERIOD -0 <-- Enter on page 1,line 2
1f you have itemized receipts of$50 and under,include diem in line 9. Line 10 should include only those receipts not itemized above.
Page 2
SCHEDULE a RECEIPTS (continued)
_-- Name and Residential Address _ Occupation �.EmployerDate Received (alphabetical listing i°e wired) Amount (fog-contributions of$200 or more)
r*a
X0
----------
Or—
w
Line 9: Total Receipts over$50(or listed above)
Line 10: Total Receipts $50 and under* (not listed above)
Line-.11: TOTAL RECEIPTS IN THE PERIOD o.o <— Enter on page 1, line 2
If you have itemized receipts of$50 and under,include there in line 9. Line 10 should include only those receipts not itemized above.
Page 3
SCBEDULE o EXPENDITURE S
M.G.L. c• SS requires comrrrit7ees to Inst, in alphabetical order, all expenditures over.$50 in a reporting period. Conineittees must key
detailed accounts and records ofall expenditures, but need only itemize those over•$50. Expenditures$50 and under naay be added tope
from committee records, and reported on line 13. b
(A "Schedule B:Expenditures" attachment is available to complete,print and attach to this report,if additional pages are re un
report all expenditures. Please include your committee name and a page number on each page.) �
To Whore Paid
Date Paid (alphabetical listing) Address
Purpose of Expenditure Amour
itizens Bank,NA 776Massachusetts Avenue,
2/34!21 exington,MA 02924 onthly$5 charge far inactive
�npaign hank account
r.s
T
M^-•I
>C.0
D
el
Line 12:Total Expenditures over$50(or listed above) 6o.0c
Line 13: Total Expenditures$50 and under* (not listed above)
Ether on page 1,line 4-� Lin=.- '
AL EXPENDITURES IEN THE PERIOD 60.00
If you have itemized expenditures of$50 and Under,include them in line 12, Line 13 should include only those expenditures not itemized i
above.
SCHEDULE 1..: if - P1 CONTRtBUTIONS
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
i '
xo
zrn
Line 15:In-Kind Contributions over$50 (of listed above)
Line 16:In-Kind Contributions$50&under(not listed above)
Enter on page 1,line 6 i Line 17: TOTAL IN-KIND CONTRIBUTIONS
*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
SCHEDULED:m LIA ILI`I'I S
M.G.L. e. .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 Wham Due Address Purpose Amount
ark Sandeen 0 Brent Road,Lexington.MA 02420 ampaign taan fromcandidate
/3012020 previously reported 900.00
arts Sandeen 0 Brent Road,Lexington,NIA 02420 Syr r!2;n�5rat tee or campaign website
9114/2021 250.20
ra
y— im.a
Enter on page 3,line 7 Line IS: TOTAL OUTSTANDING LIABILITIES (ALT) 950,20
Page 7