HomeMy WebLinkAbout2024-02-28-Schanbacher-8DayPre-OCPF FormCPF M 102: Campaign Finance Report
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Municipal Form
Office ofCampaign and Political Finance
Commonwealth
of Massachusetts
File with: City or Town Clerk or Election Commission
Fill in Reporting P l d dates: Beginning Date: Ending Date: 0 2 91�t4
Type of Deport: (Check one)
8th day preceding preliminary ` tai day preceding election [3 30 day after-election year-end report dissolution
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Candidate Full Dame if applicable) °�
Office Sought and District ame of Committee Treasurer
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Residential Address Committee Mailing Address ~
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Phone#; 3 .....
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SUMMARY BALANCE INFORMATION:
Line I: Ending Balance from previous report �r �
Line : Total receipts this period(page 3,line 1 1 :7, Gso
Lane : Subtotal(line 1p lus lineF.
Line 4: Total expenditures this periodpag a ,line 1
Line : Ending Balance(line 3 minus line S [
Line : Total in-bind contributions this period(page 6,line 1
Line+7: Total(all)outstanding liabilities(page 7,line 19)
Line : Total out-of-pocket expenses this period a 8,line 22
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Line 9:-'Name of bank(s) used. OrNr4 �► °f. .
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Affidavit of Committee Treasurer; F It
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I certify that t have examined this report including attached schedules and it is,to the best of any knowledge and belief,a true and complete statement ofall pai n finance
activity,including all contributions,loans,receipts,expenditures,disbursements,in-kind contributions and liabilities for this reporting period and represen# the campaign
finance activity of all persons acting under the autho .ty n half of this committee in accordance with the requirements of M. .L,c.55.
Signed under the penalties of perjury.- Treasurer's signature)
FOR CANDIDATE AT FILINGS ONLY:: Affidavit of Candidate:(check 1 box only)
Candidate with Committee
I certify that I have examined this report including attached schedules and it is,to the best.of my knowl edge 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 that are not otherwise disclosed in this report.
Candidate without 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,including contributions,loans,rece p e di tures,disbursements,in-kind contributions and liabilities for this reporting period and represents the
campaign finance activity of all persons actin r rity or on behalf of this candidate in accordance with the requirements oi. r.L.c.55.
Signed under the penalties of perjury: (Candidate's signature)
SUHEl U LL A. RECEIF` S
I.G.L.c.55 requires the name and residential address be reported,in alphabetical order,for all receipts from a contributor over in the aggregate in a calendar
ear.In addition,the occupation and employer must be reported for each contributor who contributes$ 0o or more in a calendar year.Receipts from a contributor o'
o and cess in,the aggregate i n a calendar year can be reported in total without itemi a.tion,however,the candidate or committee must keep detailed accounts and
,cords of all contributions received of any amount.In determining aggregate amounts received from a contributor,add monetary as well as in-kind contributions
-ceived.if a candidate intends a candidate monetary contribution to be a loan,enter the information on this schedule and on Schedule E Liabilities.
'ttach additional pages as needed to report all receipts.,Please include the candidate or committee name and apage number on each additional page.
Name and Residential Address Occupation&Employer
Date Deceived (alphabetical listing required) Amount (for contributions of$200 or more)
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Enter receipt totals on Page
Page
SCHEDULE A: RECEIPTS (continued)
Name and Residential Address Occupation& Employer
Date Received (alphabetical listing required) Amount (for contributions of$200 or more)
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Line 10: Total Receipts over r listed above) Ifyou have itemized receis ars
under-,include them in line 10. Lime 11
I in 11: Total l its and under(not 1i t d ab re sh uld include only those re els not
r'tem ied ove.
Line 12: TOTAL RECEIPTS IN THE PERIOD Enter on page 1 line
Page
Committee Name. 'age:
SCHEDULE .A.: RIECEIPTS
requires
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M G.L. . ,5,5 that the arra and residential address be reported, in alphabetical order,for all receipts over in a calendar
,year. Committees must keep detailed accounts and records of all receipts, but need only itemize those receipts over x$50. In addition, the
occupation and employer must be reportedfor all p rs s who contribute$200 or more in a calendar year.
Nance and Residential Address Occupation& Employer
Date Received (alphabetical listing required) Amount (for contributions of$200 or mare)
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Line : Total Receipts over$ or listed above)
Line 10: Total Receipts and under* (not listed above)
Line 11: TOTAL RECEIPTS IN THE PERIOD Enter on page 1,line
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If you have itemized receipts of$5 0 and under, include them in Im* . Line 10 should include only those receipts not itemized above.
Committee Marne: Page:
SCHEDULE A: RECEIPTS (continued)
Name and Residential,Address Occupation&Employer*
Date Received (alphabetical listing required) Amount (for contributions of$200 or more)
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Line : Total Receipts over r listed above)
Line 10: Total Receipts and under' (not listed bore
Lire 11: TO'N'AL RECEIPTS IN TIS P RJOD Enter on page 1 line 2 }
If you have itemized receipts of and udder, include them in line 9. Line 10should include only those receipts not itemized above. '
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Committee me: Page.
SCHEDULE A: RECEIPTS
M G.L. c. 55 requires that the name and residential address be reporter, in alphabetical order,for all receipts over in a calendar �
year. Committees must keep detailed accounts and records o,f all receipts, but need only itemize those receipts over$50. In addition, the
occupation and employer wast be re orte for all persons who contribute$200 or more in a calendar year.
Name and Residential Address Occupation &Employer
Date Received (alphabetical listing required) Amount (for contributions of$200 or more)
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Line : Total Receipts over r listed above) 16
Line 1 : Total Receipts and under` (not listed above) a o' 0
Line 11: TOTAL RECEIPTS IN THE PERIOD 30,L 00 Enter on page 1 line
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If you have itemized receipts of and under, include thein in line 9. Dine 10 should include only those receipts not itemized above.
SCHEDULE B: EXPENDITURES
I.G.L.e.55 requires for each expenditure over$50 that the candidate or committee list the name and address,in alphabetical order,to whom each
expenditure is paid in a reporting period.Expenditures of$50 and less can be reported in total without itemization,however,the candidate or committee must
keep p detailed accounts and records of all expenditures made of any amount.Do not include out-of-pocket expenditures of candidate reported on Schedule E.
Attach additional pages as needed to report all expenditures.Please include the candidate or committee name and ca page.numher on each additional page. �.
To Whom Paid
Date Paid (alphabetical listing) Address Purpose of Expenditure Amount
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Fater expenditure totals on Page
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SCHEDULE : EXPENDITURES (continued)
To Whom Paid
Date Paid (alphabetical listing) Address Purpose ofExpenditure Amount
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`Ifyo u have itemized expenditures Line 13: Expenditures over r listed above)
and under,include them in line 13, Line 14
sb o uld include only those exp edires riot
itemized above. Dine 14: Expenditures and under(not listed above) Iq 7,E4 I
Enter on page 1,line 4- .Line 15; TOTAL EXPENDITURES IN THE PERIOD
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A.G.L.o.5 5 requires the mine and residential.address be reported for all in-kind contributions from a contributor over$5 0 in the aggregate 1n a calendar year.In
kdditlon,the occupation and employer mut be reported for.each contributor who contributes o or more in a calendar year.Receipts from a contributor of$ o
end less in the aggregate in a calendar year can be reported in total without itemization,however,the candidate or committee must beep detailed accounts and
eeords of all contributions received of any amount.In determining aggregate amounts received from a contributor,add monetary as well as in-kind contributions
ecei ved.Do not 1nclu de out-of=pocket expenditures of candidate reported on Schedule D.Atta h additional pages as needed to report all receipts.Please
Jude the candidate or committee narne and a-pggq number on each additional page.
Date Received From Whom Received* Residential Address Description of Contribution Value
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Ifyouha itemized in-kind contributions of Line 16:In-Kind Contributions over or listed above)
$50 and under,include them in line 16 Line 1
should include only those expenditures not Line 17: In-Find Contributions and under(not listed above)
itemized above.
Enter on page 1,line 6 Line 18:TOTAL IN-KIND CONTRIBUTIONS IN THE PERIOD
Page
SCHEDULE : LLkBILITIES
.G.L. c. .5.5 requires committees to report ALL liabilities which have been reportedpreviously and the outstanding balance, as well a
those liabilities incurred daring this reportinperiod
Date Incurred To Whore Due Address Purpose Amount
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Enter on page 1,line 7 Line 19 TOTAL OUTSTANDING LIABILITIES (ALL) o
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SCHEDULE E. CANDIDATE OUT-OF-POCKET EXPENSES
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Out-of-pocket expenses are expenditures on behalf of a candidate or candidate's committee made directly to a vendor using a candidate's
personal funds.The information entered on Schedule E is not also entered on Schedule A or Schedule B.Direct monetary contributions
from, a candidate,which are deposited into the committee bank account,are receipts that should be listed in Schedule A. If a candidate
intends an out-of-pocket expense to be a loan,eater the information on this schedule and on Schedule I : Liabilities.Attach additional
pages as needed to report all expenditures. Please include the candidate or committee nam and a page number on each additaonl page.
Name and Address of vendor
Date Paid (alphabetical listing required) Amount Purpose of Expenditure
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Line o: Total Itemized Out-Of-Pocket Expenditures Over$50 If yo a have out of-p o cke of- t exp ens .5
or listed above) and under-, include them in line 20. Line 21
Line 2 1: Total Unitemi ed Out-Of-Pocket Expenditures$5 o and should in elude rely those expen di res not
under(riot listed above) itemized above.
Line 22:TOTAL OUT-OF-POCKET EXPENDITURES IIT THE PERIOD Enter on page 1,line
Page
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