HomeMy WebLinkAbout2016-04-01-Pato-OCPFCiaoKoweal'i
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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