HomeMy WebLinkAbout2022-02-28-Barry-8Day-OCPF Form CPF M 102® Campaign Finance Deport
Municipal Form
Office of Campaign and Political Finance
Commonwealth
of Massachusetts
File with: it fir% ier cfi onrmission
Fill iri Reporting Period dates: Beginning Date: January 1, 2022 Ending Date: F l 18, 2022
VtV M4
Type of Report: (Check one)
❑ 8th day preceding preliminary ❑X 8th day preceding election ❑ 30 day after election ❑ year-end report ❑ dissolution
Suzie Barry Committee to Elect Suzie Barry
Candidate Full Name(if applicable) Committee Name
Select Board Member Kim Coburn
Office Sought and District Name of Committee Treasurer
159 Burlington St, Lexington, MA 02420 66 Liberty Ave, Lexington, MA 02420
Residential Address Committee Mailing Address
E-mail: suziebarrylex@gmail.com E-mail: thecoburns@aol.com
Phone (optional): (781) 862-5853 Phone#(optional); (781) 863-6285
SUMMARY BALANCE INFORMATION:
Line 1: Ending Balance from previous report 3317.23
Line 2: Total receipts this period(page 3, line 11) 950
Line 3: Subtotal(line 1 plus line 2) 4267.23
Line 4: Total expenditures this period(page 5, line 14) 1049.34
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Line 5: Ending Balance(line 3 minus line 4) 3217.89
Line 6: Total in-kind contributions this period(page 6) 0
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Line 7: Total(all)outstanding liabilities(page 7) 98
Line 8: Name of bank(s)used: To Bank
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 author or on behalf o£this committee in accordance with the requirements of M.G.L,c.55.
Signed under the penalties of perjury; " \�/! (Treasurer's signature) Date: 2/25/2022
FOR CANDIDATE 1F'ILINGS ONLY: Affidavit of Candidate:(check 1 box only)
Candidate with Committee
❑ I certify that f 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,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.
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
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 Wwority or on beital is can ' ate in accordance with the requirements of M.G.L.c.55.
Date: � � �-
Signed under the penalties of perjury: andidate's signature)
SCHEDULE A: RECEIPTS
MG.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)
Sarah Bothwell Allen
1/24/2022 158 Burlington St 50
Lexington, MA 02420
Thomas Colatosti Executive Chairman
2/9/2022 188 East Emerson Rd 500 Oasis Systems
Lexington, MA 02420
William Dailey
1/1/2022 114 Marrett Rd 150
Lexington, MA 02421
Jacqueline Fiore
1/4/2022 73 Laconia St 50
Lexington, MA 02420
Leo McSweeney
1/11/2022 244 Bishops Forest Drive 100
Waltham, MA 02453
Brenda Robinson
1/7/2022 80 Hancock Street 50
Lexington MA 02420
George-Arthur Robinson
1/7/2022 80 Hancock Street 50
Lexington MA 02420
Line 9: Total Receipts over$50(or listed above) 950
Line 10: Total Receipts$50 and under*(not listed above)
Line 11: TOTAL RECEIPTS IN THE PERIOD 950 E- .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.
Page 2
SCHEDULE A: RE,CEIPTS (continued)
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 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.
Page 3
SCHEDULE B: EXPENDITURES
M.G.L. c. 55 requires committees to list, in alphabetical order, all expenditures over$50 in a reportingperiod. 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
Connolly Printing 17B Gill St Lawn signs and wires
1/28/2022 Woburn, MA 01801 1026.64
Line 12: Total Expenditures over$50(or listed above) 1026.64
Line 13: Total Expenditures$50 and under* (not listed above) 22.70
Enter on page 1,line 4 Line 14: TOTAL EXPENDITURES E4 THE PERIOD 1049.34
* if you have itemized expenditures of$50 and under,include them in line 12. Line 13 should include only those expenditures not itemized
above. Page 4
SCHEDULE D: EXPENDITURES (continued)
To Whom Paid
Date Paid (alphabetical listing) Address Purpose of Expenditure Amount
Line 12: Expenditures over$50(or listed above)
Line 13:Expenditures$50 and under* (not listed above)
Enter on page 1,line 4 Line 14: TOTAL EXPENDITURES IN THE PERIOD
* If you have itemized expenditures of$50 and under,include them in line 12. Line 13 should include only those expenditures not itemized
above.
Page 5
SCHEDULE C: "IN-KIND" CONTRIBUTIONS
Please itemize contributors who have made in-kind contributions of more than $50. Ira-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
Line 15: In-Kind Contributions over$50(or listed above)
Line 16: In-Kind Contributions$50&under(not listed above)
Enter on page 1,line 6 Line 17: TOTAL TN-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