HomeMy WebLinkAbout2017-12-31-Brodner-DissolutionForm CPF M 102: Campaign Finance Report
Municipal Form
uV Office of Campaign and Political Finance
Commonwealth
of Massachusetts
File with: City or Town Clerk or Election Commission
Fill in Reporting Period dates: Beginning Date: vvzon Ending Date: 1v3vzon
Type of Report: (Check one)
8th day preceding preliminary F] 8th day preceding election ❑ 30 day after election year-end report ZX dissolution
Bonnie Brodner
Candidate Full Name (if applicable)
8 Trodden Path, Lexington MA 02421
Residential Address
Bonnie Bmdner for School Committee
Committee Name
44 Webster Rd. Lexington MA 02421
Committee Mailing Address
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)
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: Baglebank
_.. _... _. 176.36
0
176.36
LLL 176.36
a
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, expenditures, disbursements, in-kind contributions and liabilities for this reporting period and represents the campaign
finance activity of all persons acting under the author!"r on behalf of this committee in accordance with the requirements of M.G.L. c. 55.
Signed under the penalties ofperjury: _ �gQit0 ff/�E'�'— ('L'reasure2s signature) Date:1. / g20t
Affidavit of Candidate: (check 1 box only)
Candidate with Committee and no activity independent of the committee
rte( 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.my expenditures on my behalf during this reporting period.
Candidate without Committee OR Candidate with independent activity filing separate report
0 I certify that I have examined this report including attached schedules and it is, to the beat 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 ac�ttiing under the authority
oorr�on behalf of this committee in accordance with the requirements of M.G.L. c. 55.
Signed under tine penalties of perjury: (Candidate's signature) Date: I ' %Y
r
.A
"i
chs
of
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, expenditures, disbursements, in-kind contributions and liabilities for this reporting period and represents the campaign
finance activity of all persons acting under the author!"r on behalf of this committee in accordance with the requirements of M.G.L. c. 55.
Signed under the penalties ofperjury: _ �gQit0 ff/�E'�'— ('L'reasure2s signature) Date:1. / g20t
Affidavit of Candidate: (check 1 box only)
Candidate with Committee and no activity independent of the committee
rte( 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.my expenditures on my behalf during this reporting period.
Candidate without Committee OR Candidate with independent activity filing separate report
0 I certify that I have examined this report including attached schedules and it is, to the beat 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 ac�ttiing under the authority
oorr�on behalf of this committee in accordance with the requirements of M.G.L. c. 55.
Signed under tine penalties of perjury: (Candidate's signature) Date: I ' %Y
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 an 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
1/9/2017
To Whom Paid
(alphabetical listing)
Coburn for School Committee 11
Address
Purpose of Expenditure
Donation
r7=
Amount
75.00
9/25/2017
ES for Lexington
71,on
101.36
7
..
F
r;-
i
L-11
F
Line 12: Total Expenditures over $50 (or listed above)
Line 13: Total Expenditures $50 and under* (not listed above)
Line 14: TOTAL EXPENDITURES IN THE PERIOD
ns.3s
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 4