HomeMy WebLinkAbout2022-02-28-LexingtonCitizensForChoice-8Day-OCPF Form CFF M 102; Campaign Finance Report
Municipal Form
Office of Campaign and Political Finance
Commonwealth 'r F {
of Massachusetts
File with: City or Town Clerk or Election Commission
Fill in Reportin ril3tl dWS: ' ginning Date: l 6 Ending Date: �.
Type of Report: ( In A
❑ 8th day preceding preliminary ❑ 8th day preceding election ❑ 30 day after election ❑ year-enol report ❑ dissolution
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Candidate Full Name(ifapplicubte) Committee Name
Office Sought and District Name of Committee Treasurer-
277
reasurer279 WbburoLv sT ►A►��*wAK 7
Residential Address
Committee Mailing Address
E-mail: E-mail: ii 1t «A 4Jr 40*'
Phone#_(optional): phone#(uplional):
SUMMARY BALANCE INFORMATION:
Line 1: Ending Balance from previous report QI
Line 2: Total receipts this period(page 3, line 11) r ro,
Line 3: Subtotal(line 1 plus line 2) ,, C
Line 4: Total expenditures this period(page 5, 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:
Affidavit of Committee Treasurer:
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 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 autho ' o of behalf of this committee in accordance with the requirements of M.G.L,c.55.
Signed under the penalties of perjury: (Tfeasurers signature) Date: p2/Y �
FOR CANDIDATE FILINGS ONLY: Affidavit of Candidate:(check l box only)
Candidate with Committee
❑ I certify that i have examined this report including attached scheduics and it is,to the best of my knowledge and belief,a true and complete statement of all 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, 1 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 report.
Candidatt withuut Committee
❑ I certify that I have examined tris rep031 including artaet�ed schaiulcs and it is,to the best of my knowledge and belief,a true and complete statement of all campaign
fnance 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 candidate in accordance with the requirements of M.G,t.,e.55,
Signed under The penalties of perjury; Date:
{Candidate's signature}
SCHEDULE A: RECEIPTS
M.G.G.c.55 requires that the name and residential address be reported, in alphabetical order,for all receipls over$50 in a calendar
year. Committees must keep derailed 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)
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kine 9:Total Receipts over$50 (or listed above) 7 �lnS
Line 10:Total Receipts$50 and under* (not listed above)
Line 11:TOTAL RECEIPTS IN THE PERIOD F Enter on 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..
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SCHEDULE A: RECEIPTS 46-c- z-
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 allpersons 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)
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Line 9: Total Receipts over$50 (or listed above) i ,,r
Line 10: Total Receipts$50 and under* (not listed above)
Line It: TOTAL RECEIPTS 1N THE PERIOD 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)
Name and Residential Address Occupation & Employer
Date Received (alphabetical listing required) Amount (for contributions of$200 or more)
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Line 9: Total Receipts over$50 (or listed above)
Line 10: Total Receipts$50 and under* (not listed above) j
Line I I:TOTAL RECEIPTS IN THE PERIOD 13 50. Enteron page 1,line 2
* 1f you have itemized receipts of$50 and under, include them in line 9. Line 10 should include only those receipts not itemized above.
i
Page 3
SCHEDULE B: EXPENDITURES
M.G.L.e. 55 rertuires committees to list, in alphabetical order,all expendilu res over$50 in a reporting period. Connnittees rnru.sl keep
detailed accounts and records ofall expenditures, but need only itemize those over$50. Expenditures$50 and under may be added together,
,from committee records,and reported on lure 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
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Line 12: Total Expenditures over$50(or listed above)
Line 13; Total Expenditures$50 and under* (not listed above)
Enter on page 1, line 4 -4 Line 14: TOTAL EXPENDITURES IN THE PERIOD
*
If you have itemized expenditures of$50 and under,include them in line 12. Line t3 should include only those expenditures not itemized
above. Page 4