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Home My WebLink About2017-04-06-CAAL-Political Action-OCPFCommonwealth of Massachusetts Form CPF M 102: Campaign Finance Report Municipal Form Office of Campaign and Political Finance (Fill in Reporting Period dates: Beginning Date: Feb 18, 2017 File with: City or Town Clerk or Election Commission Ending Date: IMar 27, 2017 Type of Report: (Check one) 0 8th day preceding preliminary ❑ 8th day preceding election 0 30 day after election ❑ year-end report 0 dissolution Candidate Full Name (if applicable) Office Sought and District Telephone Number (optional): Residential Address CAAL Political Action Committee Committee Name Lily Yan Name of Committee Treasurer 5 Militia Dr., Lexington, MA 02420 Committee Mailing Address Telephone Number (optional): (617) 678-6208 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) 600 3,440 4,040 1,215.1 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: 2,824.9 Santander Affidavit of Committee Treasurer: 1 certify that 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 camps gn finance activity, including all contributions, loans, receipts, expenditures, disb ements, in -k d contributions and liabilities for this reporting period and represents the c' mpaign finance activity of all persons acting under the authority or on at ,f this c mm' ee in accordance with the requirements of M.G.L. e. 55. Signed under the penalties of perjury: / _ /a _/ ..• � (Treasurer's signature) Date: FOR CANDIDATE FILINGS ONLY: Affidavit of rdida : (check 1 box only) Candidate with Committee and no activity independent of the committee 1 certify that 1 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. Candidate without Committee2 Candidate with independent activity fling 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: (Candidate's 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 $50 in a calendar year. Committees must keep detailed accounts and records of all receipts, but need on y 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 o this report, if additional pages are required to rt all recei is Please include your committee name and a page number on each page.) repo p Occupation & Employer (for contributions of $200 or more) Date Received Name and Residential Address (alphabetical listing required) Amount I I fift I A _Air cThe 0 P/ 67 ce P% 1413 S'G/Pd e IPPC Line 9: Total Rece'pts over $50 (or listed above) Line 10: Total Receipts $50 and under* (not listed above) Line 11: TOTAL RECEIPTS IN THE PERIOD 1 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 & Employer (for contributions of $200 or more) Line 9: Total Rece'pts over $50 (or listed above) Line 10: Total Receipts $50 and under* (not listed above) Line 11: TOTAL RECEIPTS IN THE PERIOD F Enter on page 1, line 2 * If you have itemized receipts of $50 and under, include them in line 9. Line 10 shou d include only those receipts not itemized above. Page 3 Schedule A: Receipts CARL PAC A-1 Name & Residential Address Judy & Yang, Ruiyang Williams Rd, Lexington, MA 02421 Jessie Solomon Pierce Rd, Lexington MA 02420 Chen, Jianzhu 31 Wyman Road, Lexington, MA 02420 Chen, Ping 12 Dunham st, Lexington, MA 02420 Amount $ $ $ $ 50 100 100 50 Occupation & Employer (if contribution is over $200) Date Received Cai, 2/22/2017 40 Chen, 2/22/2017 16 2/23/2017 2/23/2017 Duan, Baofu 19 Parker Street, Lexington MA 02420 $ 20 2/23/2017 Guo, Ge 14 Augustus Road, Lexington, MA 02421 $ 40 2/26/2017 Han, Xuan 44 Hayes Ave, Lexington, MA 02420 $ 50 2/27/2017 Hu, Sandra 27 Tyler Road, Lexington, MA 02420 $ 40 2/23/2017 Hu, Wei & Xi, HuaLin 34 Webb St., Lexington, MA 02420 $ 50 2/27/2017 Li, Ed 7 Deering Ave, Lexington, MA 02420 $ 50 3/3/2017 Li, Huiming 91 Grove St, Lexington, MA 02420 $ 50 2/22/2017 Lin, Melanie 120 Kendall Road, Lexington, MA 02420 $ 100 2/23/2017 Lin, Xiaoyan 41 Williams Road Lexington, MA 02420 $ 50 2/24/2017 Liu, Mingyu 85 Winter Street, Lexington, MA 02420 $ 20 2/23/2017 Liu, Qing 10 Carol Ln, Lexington, MA 02420 $ 50 2/27/2017 Liu, Wei 161 E. Emerson Rd, Lexington, MA 02420 $ 40 2/24/2017 Liu, Xueyuan 2 Raymond St, Lexington MA 02421 $ 50 2/24/2017 Luo, Hongbin 1 Cherry Street, Lexington, MA 02420 $ 100 2/25/2017 Ma, Yizhang & Chen, Feihong 25 Liberty Ave, Lexington, MA 02420 $ 100 2/23/2017 Ma, Yuci 29 Potter Pond, Lexington, MA 02420 $ 50 2/22/2017 Pan, Dahua 34 Balfour Street, Lexingtion, MA 02420 $ 50 2/23/2017 Qi, Muting 7 Carol Ln, Lexington, MA 02420 $ 100 2/24/2017 Qin, Wendy 11 Minute Man Lane, Lexington, MA 02421 $ 50 3/2/2017 Si, Zhaopu 6 Apollo Cir, Lexington, MA 02421 $ 40 2/28/2017 Sheng, Hong 952 Waltham St, Lexington, MA 02420 $ 50 .. 2/23/2017 Tong, Lin 464 Concord Ave, Lexington, MA 02420 $ 40 3/1/2017 Tong, Ye 80 Grant St, Lexington, MA 02420 $ 40 2/23/2017 A-1 Schedule A: Receipts CARL PAC Total Receipts from 02/18/2017 - 03/27/2017 A-2 3,440 Name & Residential Address Amount Occupation & Employer (if contribution is over $200) Date Received Wang, Jun $ 20 2/22/2017 16 Hickory St Lexington MA 02421 Wang, Qi $ 100 2/22/2017 11 Blodgett Rd, Lexington, MA 02420 Wang, Xiaosong $ 100 2/24/2017 87 School St, Lexington, MA 02420 Wang, Zhonghua $ 40 2/26/2017 63 Ward St Lexington MA 02420 Wu, Leeying $ 100 2/22/2017 65 Cary Ave., Lexington, MA 02420 Wu, Lingsong & Zhang, Yaxin 12 Appletree Ln, Lexington, MA 02420 $ 100 2/25/2017 Wu, Richard & Chen, Lihao $ 100 2/25/2017 66 Emerson Gardens, Lexington, MA 02420 Wu, Weifang $ 50 2/25/2017 11 Blueberry Lane, Lexington, MA 02420 Xiong, Huayu $ 50 2/26/2017 8 Blossomcrest Road, Lexington, MA 02421 Xu, Chindi $ 100 2/25/2017 20 Tuffs Road, Lexington, MA02421 Xu, Houze 45 Freemont St, Lexington, MA 02421 $ 100 2/22/2017 Xu, Rose $ 40 2/23/2017 74 School Street, Lexington, MA 02421 Xu, Tie 11 Buckman Drive, Lexington, MA 02420 $ 50 2/23/2017 Yang, Jian Helen & Yang Wenhua 1 Solomon rd, Lexington, MA 02420 $ 80 3/2/2017 pierce Yang, Mai 19 Peachtree Rd, Lexington, MA, 02420 $ 50 2/23/2017 Yap, Stanley 30 April Lane, Lexington, Lexington, MA 02421 $ 100 2/23/2017 3/24/2017 Yuan, Ruixi & Xiong, Li 663 Lowell Street, Unit 42, Lexington, MA 02420 $ 100 Suyue, Wang 8 Homestead St. Lexington, MA02421 $ 70 2/22/2017 Zhang, Jing 67 Sherburne road south, Lexington, MA 02421 $ 100 2/23/2017 Zhang, Wei 6 Tricorne Road, Lexington, MA 02421 $ 40 2/23/2017 Zhang, Ying & Xia, Haiping 21 Fern street, Lexington, MA 02420 $ 40 2/23/2017 Zhou, Jianhua 26A Parker St., Lexington, MA 02421 $ 40 2/25/2017 Zhou, Jun & Zhu, Lei 21 Hill St, Lexington MA 02421 $ 100 2/23/2017 Zhu, John & Wu, Lijun 48 Baskin Rd Lexington, MA 02421 $ 100 2/26/2017 Zhu, Scott 14 Whittier Road, Lexington, MA 02420 $ 100 2/22/2017 Zou, Kevin 4 Fairbanks Rd, Lexington, MA 02421 $ 40 2/22/2017 Total Receipts from 02/18/2017 - 03/27/2017 A-2 3,440 SCHEDULE B: 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. (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 (alphabetical listing) Date Paid Feb 18, 2017 Alexanders Pizza Feb 16, 2017 Lexington Historical Society Feb 12, 2017 Staples Address 180 Bedford St, Lexington 02420 13 Depot Square, Lexington, MA 02420 111 Middlesex Turnpike, Burlington, MA 01803 Purpose of Expenditure Food for BoS and SC Candidates' Forum Rent Postcards Amount 94.54 100 69.05 Feb 13, 2017 Staples Feb 26, 2017 Staples 111 Middlesex Turnpike, Burlington, MA 01803 Lawn Signs 147.11 111 Middlesex Turnpike, Burlington, MA 01803 Mar 2, 2017 Tri-Star Printing & Mailing 33 Park Street, Somerville, MA 02413 Feb 24, 2017 US Postal Office 1661 Mass Ave, Lexington, MA 02420 Postca rds Lawn Signs 69.05 159.38 Stamps 245 Feb 28, 2017 IUS Postal Office 1661 Mass Ave, Lexington, MA 02420 Stamps 121.9 Line 12: Total Expenditures over $50 (or listed above) 1,006.03 Line 13: Total Expenditures $50 and under* (not listed above) 209.07 Line 14: TOTAL EXPENDITURES IN THE PERIOD 1,215.1 Enter on page 1, line 4 —> * If you have itemized expenditures of $50 and under include them in line 12. Line 13 should include only those expenditures not itemized Page 4 above. Date Paid SCHEDULE B: EXPENDITURES (continued) To Whom 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) Line 14: TOTAL EXPENDITURES IN THE PERIOD Enter on page 1, line 4 --) * 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. 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 Line 15: In -Kind Contributions over $50 (or listed above) Line 16: In -Kind Contributions $50 & under (not listed above) Line 17: TOTAL IN-KIND CONTRIBUTIONS Enter on page 1, line 6 -* * 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 —> Line 18: TOTAL OUTSTANDING LIABILITIES (ALL) Page 7