HomeMy WebLinkAbout2016-10-20-MinutemanCommonwealth
of Massachusetts
Form CPF M 102: Campaign Finance Report
Municipal Form
Office of Campaign and Political Finance
?MIb OCT 12 Pfd 2: 19
File with: City or Town Clerk or Election Conunission
Fill in Reporting Periic�ki (4ds:'G7U;i. l'i i-I; beginning Date:
ri
Sept. 13, 2016
Ending Date:
Oct. 12, 2016
Type of Report: (Check one)
❑ 8th day preceding preliminary ❑ 8th day preceding election E2 30 day after election ❑ year -end report ❑ dissolution
Campaign for Minuteman's Future
Committee Name
Candidate Full Name (if applicable)
David C. Horton
Name of Committee Treasurer
Office Sought and District
168 Paul Revere Road, Lexington, MA 02421
Committee Mailing Address
Residential Address
Telephone Number (optional):
Q
) 761 - $'6,2_., h acts
Telephone Number (optional):
SUMMARY BALANCE INFORMATION:
Line 1: Ending Balance from previous report
Line 2: Total receipts this period (page 3, line 11)
Line 3: Subtotal (line 1 plus line 2)
Line 4: Total expenditures this period (page 5, line 14)
Line 5: Ending Balance (line 3 minus line 4)
1,957.12
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:
705
2,662.12
2,619.76
42.36
0
0
Citizens 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, expenditu , disbursements, in- kindconlrib ions and liabilities for this reporting period and represents the campaign
finance activity of all persons acting under the authority . a-half ofth
Signed under the penalties of perjury:
cc wit
requirements of M.G.L. c. 55.
ieasurers signature) Date:
FOR CANDIDATE FILINGS ONLY: Affidavit of Candidate: (check 1 box 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 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. I 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 activity 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 acting under the authority or on behalf of this committee in accordance with the requirements of M.G.L. c. 55.
Signed under the penalties of perjury: (Candidates signature) Date:
SCHEDULE A: RECEIPTS
M.G.L. c. 55 requires that the name and residential address be reported, in alphabetical order, for all receipts over 850 in a calendar
year. Coumnittees must keep detailed accounts and records of all receipts, but need only itemize those receipts over 850. In addition, the
occupation and employer must be reported for all persons who contribute 8200 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.)
Date Received
Nance and Residential Address
(alphabetical listing required)
Amount
Occupation & Employer
(for contributions of $200 or more)
9/30/2016
Dean Carman
29 Kilsythe Road
Arlington, MA 02476
200
Accountant, Bertucci's Corp.
9/30/2016
Sarah Dekin
27 Eliot Road
Lexington, MA 02421
100
9/30/2016
Gregory Dennis
19 Wheaton Road
Arlington, MA 02474
100
9/30/2016
DeAnne Dupont
32 Oldham Road
Arlington, MA 02474
100
9/30/2016
Stephen Roche
325 Speen Street, Unit 1012
Natick, MA 01760
100
Line 9: Total Receipts over $50 (or listed above)
600
Line 10: Total Receipts $50 and under* (not listed above)
105
Line 11: TOTAL RECEIPTS IN THE PERIOD
705
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.
Page 2
SCHEDULE A: RECEIPTS (continued)
Date Received
Name and Residential Address
(alphabetical listing required)
Amount
Occupation Sr Employer
(for contributions of $200 or more)
Line 9: Total Receipts over $50 (or listed above)
F Enter on page 1, line 2
Line 10: Total Receipts $50 and under* (not listed above)
Line 11: TOTAL RECEIPTS IN THE PERIOD
* 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
MG.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.
(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
9/13/2016
Janet Adachl
2 Simon Hapgood Lane
Concord, MA 01742
lawn signs
482.38
9/14/2016
Janet Adachl
2 Simon Hapgood Lane
Concord, MA 01742
lawn signs
482.38
9/24/2016
Chris Bateman
1666 Massachusetts Avenue
Lexington, MA 02420
brochures
80.7
9/28/2016
Citizens Bank
PO Box 7000
Providence, RI 02940
overdraft
39
9/29/2016
Citizens Bank
PO Box 7000
Providence, RI 02940
overdraft
39
9/24/2016
Lexington Graphics
76 Bedford Street
Lexington, MA 02420
postcards
162.05
9/14/2016
Lexington Graphics
76 Bedford Street
Lexington, MA 02420
postcards
188.06
9/17/2016
Cheryl Mahoney
188 Liberty Square
Boxborough, MA 01719
brochures
13.92
10/12/2016
Minuteman Futures Foundation,
Inc.
9 Charnstaff Lane
Billerica, MA 01821
residual funds from campaign
400
9/17/2016
Sue Sheffer
26 Kensington Park
Arlington, MA 02476
postcards
184.89
9/23/2016
Ford Spalding
5 Hutton Road
Dover, MA 02030
post - election food
515.63
9/30/2016
Transaxt LLC
190 Monroe Ave. NW Ste. 500
Grand Rapids, MI 49503
www.transaxt.com
online donations processing fee
31.75
Enter on page 1, line 4 -*
Line 12: Total Expenditures over $50 (or listed above)
2,619.76
Line 13: Total Expenditures $50 and under' (not listed above)
0
Line 14: TOTAL EXPENDITURES IN THE PERIOD
2,619.76
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
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 $50 and under include then 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 I, 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
M.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
Enter on page 1, line 7 -4
Line 18: TOTAL OUTSTANDING LIABILITIES (ALL)
0
Page 7