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HomeMy WebLinkAbout2016-04-01-Barry-OCPFCommonwealth of Massachusetts Form CPF M 102: Campaign Finance Report Municipal Form Office of Campaign and Political Finance File with: City or ToxrrCleric or Election Commission Fill in Reporting Period dates: Beginning Date: IFebruary 13, 2016 Ending Date: IMarch 222016 Type of Report: (Check one) ❑ 811, day preceding preliminary ❑ 8th day preceding election © 30 day after election ❑ year-end report ❑ dissolution Isuzie Barry (Committee to Elect Suzie Barry Committee Name Candidate Full Name (if applicable) 'Selectman 'Kim Coburn Office Sought and District Name of Committee Treasurer 1159 Burlington Street, Lexington, MA 02420 166 Liberty Avenue, Lexington, MA 02420 Committee Mailing Address Residential Address Telephone Number (optional): 1 (781) 862 -5853 Telephone Number (optional): (781) 863 -6285 SUMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous report Line 2: Total receipts this period (page 3, line 11) Line 3: Subtotal (line I plus line 2) Line 4: Total expenditures this period (page 5, line 14) Line 5: Ending Balance (line 3 minus line 4) 549.02 275 824.02 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: 4.23 819.79 0 112.72 TD Bank Affidavit of Committee Treasurer: I certify that I have examined this report including attached schedules and it is, to are 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 allayed ra - of this co m ee in accordance with the requirements ofhMG.L. e. 55. Signed under the penalties of perjury: (Treasurets signature) Date: I VIA FOR CANDIDATE FILINGS ONLY: Affidavit of Candidate: (check 1 bon only) Candidate with Committee and no activity independent of the committee I certify that I have examined this report including attached schedules and it is to the best of ray knowledge and belief, a true and complete statement of all campaign finance in activity, of all persons acting under the authority or on behalf of this committee in accordance with the requirements ofM.0 L_ c. 55. 1 have not received any contributions, incurred any liabilities nor made any expenditures on my behalf during this reporting period. Candidate without Committee OR Candidate with independent utility filing separate report 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 actin gy rrthe authority or on behayof Jiis corn a in accordance with the requirements of M.G.L. e. 55. Date: 4// l/b Signed under the penalties of perjury: L= '�VCx / V(iVf�r'"Yr'= ndidalis signature) SCHEDULE A: RECEIPTS M.G.L. c. 55 requires that the name and residential address be repm'led in alphabetical order for all receipts over 550 in a calendar year. Committees rust keep detailed accounts and records of all receipts, but need only itemize those receipts over 550. In additive, the occupation and employer must be reported for all persons who contribute 3200 or more in a calendar yea'. (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.) Date Received Name and Residential Address (alphabetical listing required) Amount Occupation & Employer (for contributions of $200 or more) Feb 20, 2016 Alan Kirby 106 Grove Street Lexington MA 02420 100 Mar 14, 2016 William Dailey 114 Marrett Road Lexington, MA 02420 150 Line 9: Total Receipts over $50 (or listed above) 250 Line 10: Total Receipts $50 and under* (not listed above) 25 Line 11: TOTAL RECEIPTS IN THE PERIOD 275 F Enter on page 1, line 2 a 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 SCIIEDULE A: RECEIPTS (continued) Date Received Name and Residential Address (alphabetical listing required) Amount Occupation & Employer (for contributions of 8200 or more) L 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 4— 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 3 SCHEDULE B: EXPENDITURES ALG.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 expendinres, but need only itemize those over $50. Expenditures 350 and under may be added together; from committee records, and reposed 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.) Date Paid To Whom Paid (alphabetical listing) Address Purpose of Expenditure Amount Enter on page 1, line 4 • Line 12: Total Expenditures over $50 (or listed above) 0 Line 13: Total Expenditures $50 and under* (not listed above) 4.23 Line 14: TOTAL EXPENDITURES IN THE PERIOD 4.23 * 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 B: EXPENDITURES (continued) Date Paid To Whom Paid (alphabetical listing) Address Purpose of Expenditure Amount t.� t Enter on page 1, line 4 • Line 12: Expenditures over $50 (or listed above) Line 13: Expenditures $50 and under* (not listed above) Line 14: TOTAL EXPENDITURES IN THE PERIOD * If you have itemized expenditures of S50 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. 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 Enter on page 1, line 6 -. Line 15: In -Kind Contributions over $50 (or listed above) 0 Line 16: In -Kind Contributions $50 & under (not listed above) 0 Line 17: TOTAL IN -KIND CONTRIBUTIONS 0 * 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 SCHEDULE D: LIABILITIES Al G.L. c. 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 Whom Due Address Purpose Amount Dec 20, 2015 Suzie Barry 159 Burlington Street Lexington, MA 02420 Dec 26, 2015 Suzie Barry 159 Burlington Street Lexington, MA 02420 Business Cards Website fees (December) 55.72 19 )an 27, 2016 Suzie Barry 159 Burlington Street Lexington, MA 02420 Website fees (January) 19 Feb 26, 2016 Suzie Barry 159 Burlington Street Lexington, MA 02420 Website fees (February) 19 Enter on page I, line 7 -x Line 18: TOTAL OUTSTANDING LIABILITIES (ALL) 112.72 l'age 7