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Home My WebLink About2022-02-15-Bokun-EOY2021-DIS-OCPF Fore CPF M 102: Camp FJnance Deport Municipal Form Office of Campaign and Fic lAae Commonwealth of Massachusetts t t s File with: City or Town Clerk or Election Commission Fill in Reporting Period dates: Beginning Date: i 1 � Type of Report: (Check one) ❑ 8th day preceding preliminary ❑ $th day preceding election ❑ 30 day after election ❑year-end report ("`dissolution Candidate Pull Name(if applicable) € Committee Name 74.__. 2 r ! - y ..d. t Office Sought and District Name of Committee Treasurer itIA gg .. p /61 044 Residential Address,J Committee Mailing Address E-mail: `` /�'�E `�"C, .,, ,{ .= "f . -LL E-mail: .:'ate .°`g i :�mw` t.airy .,- Phone#(optional)_ �` Phone#(optional): SUMMARY BALANCE INFORMATION: Line l: 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 S,line 14) :; Line 5: Ending Balance(line 3 minus line 4) 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: 13. Affidavit of Committee Treasurer: I certify that I have examined this report including attyt>ed schedules and it is,to the best of my knowledge and belief,a true and complete statement of all campaign finance ` disburse!prnts.in-kind contributions and liabilities for this reporting period and represents the campaign Y P g d behalf pfthis committee m accordance with the requirements of M.G.L.c.55. Date; ; activity,including all contributions,loans,recetp�s;expe ditures, finance Activit of all arsons actin under the utho -or an Signed under the penalties of perjury. s r a% (l reasurers signature) ' , `; �� -''z t""."_" f FOR CANDIDATE FILINGS ONLYt,,,Afpdavlt of Candidate:(check 1 box only) irndidate with Committee 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 ��JJJ 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. I have not received any contributions, incurred any liabilities nor made any expenditures on my behalf during this reporting period that are not otherwise disclosed in this rcport. Candidate without Committee 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 El 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 behalfof is can date in accordance with the requirements of M.G.L.c.55. —. Date: ,c Signed under the penalties of perjury: 1' (Candidate's signature) 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.) Name and Residential Address Occupation &Employer Date Received (alphabetical listing required) Amount (for 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 11: TOTAL RECEIPTS IN THE PERIOD Enteron page 1,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 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.) To Whom Paid Date Paid (alphabetical listing) Address Purpose of Expenditure Amount , _. p TT - --T1 r ireJi 7 9- i� PO �,.. Line 12: Total Expenditures over$50 (or listed above) f% Line 13: Total Expenditures $50 and under* (not listed above) , Enter on page 1,line 4•-3- Line 14: TOTAL EXPENDITURES IN THE PERIOD : . ' * 1f you have itemized expenditures of$50 and under,include them in line l2, Line 13 should include only those expenditures not itemized above. Page 4 The UPS Store - #1856 405 4klalthain Lexington, MA 02421 (7B1) [361--717(1 02/22121 04:513 Ply We ars; tare one stop` for all your shipping, Postal and business needs, YO" may° track your packages at 001 062201 (004) TO $ 300,00 FS Business Small MR OTY 12 A Unit Price $ 25.00 Start Data 02/23/21 End Date 02/23/22 662 004002 (004) TO _$ 0.00 Call In Service NR OTY 12 Reg Unit Price $ 0.00 Start Date 02/23/21 Earl Date 02/23/22 003 064003 (004) TO $ 0 T Mail Forwarding NR A 12 Rog Unit Price $ 0,00 Start Date 02/23/21 End [.late 02/23/2.2 004 064004 (004) TO 0,00 Pka Notify . Fina i NR El I Y 12 Reg Unit Price $ 100 Start Date 02/23/21 End bate 02/23/22 subTota 1 $ 300.00 10fal $ 300,00 DEBIT $ 300,00 ACCOUNT NUMBER Verified By PIN ENTRY METHOD; Chipbad MODE: Issuer AID: A000000004 2203 rcr�s, Annnn4F;nnn B nJ �� o EAGLEBANK EAGL 350 Broadway,Everett,MA 02249 Page: 1 of 1 Return Service Requested Statement Date: 10129121 Primary Account: XXXXXX8666 Enclosures: 0 lr�1111Jill t1lnirlrr�l]Illllr�l 002262 0, 4500 AV 0. 426 TR00009 Scott Bokun for School Committee 405 Waltham St Ste 154 Lexington, MA 02421-7934 G L Notice of Additional Limits on Liability for ATMldebit Card, w..- When Used for Paint-of-Sale and ATM Trans:actlons, B K Yu-�J r-:l to iiwe for any unauthorized tranwtsxs uirq rvx AAw3o.r.card,when used for 1rr,,f-s.a:e v 4T1.1 transaptons if you can dernonst'aR aat r:as�.1YT rxestz:tz7 reasonable care In t-m`e r=�ren card from the risk of foss or theftarJd ii)-*�c ��t_t,vird your loss to us when ' t n ti 1 s_oar eel that your card was lost or stolen er ue ,'Xuit v =a s a:z taken place. You i,� n the loss vriihin two days of being discovered rrr as Ear 146w up to$500 of the lois o:unlimiud liability if the transaction is not repartee a3 i,�;14 wodic statement. iS Scott Bokun for School Committee Account Number: XXXXXX8666 Statement Dates: 10/01/21 thru 10131/21 Previous Balance: 288.68 Days in the Stmt Pe%od 31 0 Deposits/Credits: 0.00 Avg Current Bafarce 122,11 2 Checks/Debits: 288.68 Avg Available Ba'':ar�rcz 122,11 Q Service Charge 0.00 "' Interest Paid: 0.00 Current Balance: 0.00 ota or Tota .,Ttils portod :YeaC.to�bate,.. Total Overdraft Fees 0.00 0.00 Q Total Returned Item Fees 0.00 0.00 _- N ... ... - ty 1 Cj .,,..,. ^,,••, t l 1 1 T ll...;JEI;EJEE.Ei,lEIEE.E� t ':•.;Ea;::a:rar::•,.�a:.., -E..d,:,csEEua:..r:;l 1 :T1.ii,:.:,:;::.E::':a; a....,., . ,.ail;i:i;;'s•11 p; . glance .': c'7 Dsscn tion Oet�iEs � Credits :� B 10114 DBT Crd 2225 10/13/21 Dbwl5hjr 280 `>1J 8.18 �N WIX.COM PREMIUM-PLAN o SAN FRANCISCO CA C#5825 10118 Closing Entry-Zero Balance 8.18 0.00 Eagle Bank, 350 Broadway, Everett, MA 02149 office hours are: Monday - Friday 8:30 a.m. - 4:00 p.m. excluding Federal Holidays. 617.387.5110 MEMBER FDIC/MEMBER DIF 617.387.5110 NOTICE: SEE REVERSF SIDE FOR IMPORTANT INFnRMATinN �- . e m } D \ � 2 . 3 CL \ ƒ$ 2 » \ \ ro � ) ƒ\ { \ } . - _ / ( , } om : . - Q \ � } m ( . el \ m _ { � { � � \ /