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HomeMy WebLinkAbout2022-01-22-Barry-OCPF d Form CPQ' M 142: Campaign Finance Report Municipal Form Y_. I . Office of Campaign and Political Finance Commonwealth 13 , ifi i H . 04 of Massachusms Fi[ewith: C' n er r lection Commission Fill in Repor mg Period dates: egirtning nate: January 1, 2021 Ending bate: L -! 1 Type of Report: (Check one) 0 8th day preceding preliminary ❑ 8t>tf day preceding election ❑ 30 day after election ❑X year-end report ❑ dissolution I 5uzle Barry � Committee to Elect Suzie Barry Candidate Cull Name(if apph`tiable) Committee name Select:Board Member I Kim Coburn Office Sought and District Name of Committee Treasurer 159 Burlington St, Lexington, MA 02420 66 Liberty Ave, Lex€ngon, MA 02420 Residential Address Committee Mailing Address E-mail: suziebarrylex@gmi,ill.com mil: t:hecoburns@aol.com Phone (optional): (781) 867-51353 Phone (optional). (781) 863-6285 SUMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous report 2607.64 Line 2: Total receipts this period(page 3,lige I I) 726 Line 3: Subtotal(line 1 plus litre 2) 3333.64 Line 4: Total expenditures this period(page 5, line 14) 16.41 Line 5: Ending Balance(line 3 minus line 4) 3317.29 Line 6: Total in-kind con ibut:ions this period(page 6) Line 7-. Total(all)outstar ding liabilities(page 7) 49 Line 8: Name ofbank(s) sed: Bank t Affidavit of Committee Treasurer: I certify that I have examined this report including attael ted schedules and it is,to the best of my knowledge and belief,a true and complete statement ofull campaign finance activity,Including all contributions,loans,receipts,exp nditures,disbursements,in-kind contributions and liabilities for this reporting period and represents the campaign finance activity of all persons acting under tic authority or on behalf this committee in accordance with the requirements of M.Q.L.U.55. Signed under the penalties of perjury: (`t'reasurer's signature) bate: January 17,2022 ( p OR CAATE GS ONLY: Aff davit of Candidate:(check 1 box only) Candidate,with Committee I certify that I have examined this report including ttached schedules and it is,to the best of my knowledge and belief,a true and complete statement of ail campaign finance activity,of all persons acting under the authority or on behalfof this committee in Accordance with the requirements of M.G.L.c.55. 1 have not received any contributions, incurred any liabilities nor mads any expenditures i in my behalfduring(his reporting period that are not othenvisc disclosed in this report. Candidate without Committee I certify that l have examined this report including ttached schedules and it is,to the best of my knowledge and belief,a true and complete statement of all oampaign finance activity,including contributions,loans,re ipts,expenditures,disbursements,in-land contributions and liabilities for this reporting period and represents the campaign finance netivity of ull persons acting and r thorily or an be f of!tris c dilate in accordance with the requirements ofM.G.I..e.55. Bate: ) Signed under Ilia penalties of perjury: (Candidate's signature) SCHEDULE Ac RECEIPT'S M.G.L. c.55 requires that the name and ,esidential address be reported, in alphabetical order,for all receipts over$50 in a calendar year. Committees must keep detailed accort is and records of all receipts, but need only itemize those receipts over$50. In addition, the occupation and employer must be reported r 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 cc mmittee name and a page number on each page.) Name and Residential Address Occupation&Employer Date Received (alphabetical listing required) Amount (for contributions of X204 or more) Robert Burbidge CFO 12/19/21 29 Fairbanks Road 200 Genesis HR Solutions Lexington MA 02421 Lisa Chaput 12/18/21 4 Pine Knoll Rd 100 Lexington MA 02420 Linda Dixon 12/22/21 70 Fifer Lane 100 Lexington MA 02420 Bebe and Gary Failici 12/19/21 4 Diehl Rd 100 Lexington MA 02420 William Kennedy 12/21/21 135 Wood Street 100 Lexington MA 02421 Ian Wrigley ' 12/22/21 205 Grove St 100 Lexington MA 02420 rre—i K. ..4 �.. 0 F � r Line 9:Total Receipts over$50(or listd above) 700 Line 10:Total Receipts$50 and under* (nal listed above) 26 Line 11.TOTAL RECEITTS IN TN + PERIOD 726 <-- Enter on page 1,line 2 *If you Dave itemized receipts of$50 antider,include them in line 9. Line 10 should include only those receipts not itemized above. Page 2 SCUBDULE A: RECEIPTS(continued) 1+Tame and Resi ential Address Occupation&Employer Date Received (alphabetical l ting required) Amount (for contributions of$200 or amore) .A C..� Line 9:Total Receipts over$50(or lis+above) Line 10:Total Receipts$50 and under*kot listed above) Line 11:TOTAL RECEIPTS IN T PERIOD Li I F Enteron page 1,1ine 2 E *If you have itemized receipts of$50 and u der,include them in line 9. Line 10 should include only those receipts not itemized above. Page 3 SCHE DULL, B: EXPENDIT RES 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 a-vpendiwes,but need only itemize those over$50. Expenditures$50 and under may be added together, from committee records, and reported on lin 13. (A"Schedule 1:3:Expenditures"attachmnt 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.) To Whom Paidl � Date Paid (alphabetical listing) Address Purpose of Expenditure Amount 49 M Line 12:Total Expenditures over$50(or listed above) Line 13:Total Expenditures$50 and under*(loot listed above) xs.41 Enter on page 1, ine 4 Line 1.4:TOTAL EXPENDITURES IN TIS PERIOD 16.41 *If you have itemized expenditures of$50 And under,include them in line 12. Line 13 should include only those expenditures not itemized above, I Page 4 i SC; MDTLE B: ME ES(continued) To'Whom Paid Date Paid (alphabetical listin ) Address Purpose of Expenditure Amount 1 i cyyggpry- �' 13 40 0 VI Tine 12:Expenditures over$50(or listed above) Line 13:Expenditures$50 and under*(not listed above) Enter on page 1,1 ne 4 Line 14:TOTAL EXPENDITUIRES IN THE PERIOD *If you have itemized expenditures of$50 aid under,include them in line 12. Tine 13 should include only those expenditures not itemized above. Page 5 t9 14 SCHEDULE C: 1N- CONTRIBUTIONS Please itemize contributors who have m de in-kind contributions of more than:$50. In-kind contributions$50 and under maybe added together from the committee's rec rds and included inline 16 on page L Date Received From Whom Received* Residential Address Description of Contribution Value I i t F ter• •,_�.� ifp� ITL.. 4• '� .eLLov TE Line 15: In-Kind Contributions over$50(or listed above) Line 16:In-Kind Contributions$50&under(not listed above) Enter on page ,line 6 Line 17:TOTAL,IN-HIND CONTRLBUTIONS If an in-kind contribution is received from person who contributes more than$50 in a calendar year,you must report the name and address of the contributor;in addition,if the contribi ition is$200 or more,you must also report the contributor's occupation and employer. page 6 SCHEDULED. LUBILITIE S A.G.L. c. 55 requires cornrnittees to report ALL liabilities which have been repotted previously and are still outstanding, as well as those liabilities incurred during this ri porlingperiod Date Incurred ToWhom Due Address Purpose Amount Suzie Barry I59 Burlington St December website fees 2/11/21 Lexington, MA 02420 9 z z F > [ Enter on page i, ine 7 � Lige IS:TOTAL OUTSTANDING LL4 BIM ES(ALL) 49 Page 7