Loading...
HomeMy WebLinkAbout2016-04-01-Pato-OCPFCiaoKoweal'i d MuaMroaa Form CPF M 102: Campaign Finance Report Municipal Form Office orCampsdp and Political Finame File with: City or Town Clerk or Election Commission Please print or type all information, except signatures. Fill In dates: Ftttruary o''22 Reporting Period Beginning x'2016 Ending Mil I'D 2eri 6 Type of report: (Check one) 08th day preceding preliminary 08th day preceding election E130 day after election Oyearond report Odissolution ,Joe Pato Full Name of Candidate (if applicable) Selectman Office Sought and District 900 Mass. Ave., Lexington, MA 02420 . Residential Address Tel. Na (optional) Committee to Elect Joe Pato Selectman Committee Name Kerry Brandin Name of Committee Treasurer 16 Franklin Rd, Lexington, MA 02420 • Committee Mailing Address TeL No. (optional) SUMMARY BALANCE INFORMATION: Line 1: Ending balance from previous report Line 2: Total receipts this period (page 2, line 11) Line 3: Subtotal (line 1 plus line 2) Line 4: Total expenditures this period (page 3, line 14) Line 5: Ending balance (lino 3 minus lima) $ 500.00 $0.90 $ 500.00 $ 300.00 $ 200.00 Line 6: Total in -kind contributions this period (page 4) $ 0.00 Line 7: Total (all) outstanding liabilities (page 4) $ 0 00 Line 8: Name of bank(s) used Cambridge Savings Bank Affidavit of Committee Treaunrl I ovally that I have examkud this report including attached schedules and it is, to the bat of my knowledge and belief, a true aM complete statement of all cempaign finance activity, including all contributions, loans, receipts, expenditure., dhhunanaiu, in-kind contributions and liabilities for this reporting period and represents the campaign finance activity of all penoa acting under the authority or on behalf of this committee in accordance with the requirements of MAIL a 0. Signed under the penait a of perjury' Treasurer's signature (In Ink) S /74, iEOR CANDIDATE FILINGS ONLY: (CANDIDATE MUST SIGN BEIOW) Affidavit of Candidatea (theek 1 box only) 0 Candidate with Committee and no activity independent of the corn: Otte I oatl& that 1 have examined this report Wilding attached adwdul s and it hoe the best of my knowledge and ballet a tau and conwkte statement ofali ampdgn finance activity, of all persons Wingurder the authority or on beiWfof this committee in amordance with the requirements of M.O.L o. 0. I have not received any oomauUom, incurred any liabilities not nude any expenditures on my behalf during this reporting period 0 Candidate without Committee QRCandld■te with Independent activity fling separate report I as t/ that 1 have examined this repot including snadwd schedules tM it is, to the best of my knowledge and ballet a We and complete sLtanem of all ampaign (Lane activity, Including contributions, loans, receipts, expenditures, disbursements, (*kind cat ibutiom lid liabilities for this reporting period and represents to vempalgn finance activity of e11 persons acting under the authority QC on behaltof this committee in accordance with the requirements of M.O.L o. SS. Signed under the penalties of perjury: rYL, Candlde dgnshrre Wc) te SCHEDULE A: RECEIPTS kf G.L. c. 55 requires that the name and residential address be reported, In alphabetical order, for all receipts uvar $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, this page may be copied if additional pages are required to report all receipts. Please include your committee name and a page IIIIIIW, VI' •1l •Inen Date Received rabv. Name and Residential Address (alphabetical listing required) Amount Occupation & Employer (for contributions of $200 or more) • . Line 9: Total receipts in excess of $50 (or listed above) 00 oo - Line 10: Total receipts $50 and under* (not listed above) 00 co Line 11: TOTAL RECEIPTS IN THE PERIOD 00 00 Enter on page 1, line 2 g you have Itemized receipts of $SQ and under include them In line 9. Line 10 should include only those eoreceipts not ite above. SCHEDULE 8: 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. This page may be copied if additional pages are required to report all expenditures. Please include your committee name and a page Date Paid To Whom Paid (alphabetical listing) Address Purpose of Expenditure Amount 3r31116 Jos Pato 900 Massachusetts Avenue Lexington, MA 02420 loan re- payment 290 83 • Enter on page I, line 4 Line 12: Expenditures over $50 290 e3 Line 13: Expenditures $50 and under' 9 17 Line 14 :TOTAL EXPENDITURES 300 00 *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 3 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. Date Received From Whom Received* Residential Address Description of Contribution Value • Enter on page 1, line 6 Line 15: In -kind over $50 Goo Line 16: In -kind $50 and under 000 Line 17: Total In -kind $0 cc * 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. SCHEDULE D: LI,ABIL1TIES SS 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 • Enter on page 1, line 7 Line 18: OUTSTANDING LIABILITIES ALL $o.00 This page may be copied if additional pages are required to report all activity. Please include your committee name and a page number on each page, `�, priced on recycled paper Page 4