HomeMy WebLinkAbout2017-12-31-Crocker-OCPFForm CPF M 102: Campaign Finance Report
Municipal Form
Office of Campaign and Political Finance
Commonwealth
of Massachusetts
File with: City or Town Clerk -"of Election Commission
Fill in Reporting Period dates: Beginning Date: 3/28/17 Ending Date: I al..' Qj `�'
X
Type of Report: (Check one)
® 8th day preceding preliminary ® 8th day preceding election ® 30 day after election ®X year-end`feport dissolution
A Crocker
Committee
Candidate Full Name (if applicable)
Office Sought and District
15 Currier Court, Lexington, MA 02420
Telephone Number (optional):
Residential Address
SUMMARY
I Uudv Crocker for School Committee - I I
Committee Name
Mary McDonald
Name of Committee Treasurer
15 Nickerson Rd, Lexington, MA 02421
Committee Mailing Address
Telephone Number (optional):
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)
189.25
o.00
Line 5: Ending Balance (line 3 minus line 4) I p pp
Line 6: Total in-kind contributions this period (page 6)� soo.00
Line 7: Total (all) outstanding liabilities (page 7) 0.00
Line 8: Name of bank(s) used: 0 Bank
lftidavit of Committee Treasurer:
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
ctivity, 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 authority or on behalf of this committee in accordapce with the requirements of M.G.L. c. 55,
under the penalties of perjury:
Affidavit of Candidate: (check 1 box only)
signature) Date:
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 Q)3 Candidate with independent activity filing separate report
MI 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 flus 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.
under the penalties of perjury:
signature) Date: 1 d I `6
SCHEDULE A; RECEIPTS
M.G.L. c. SS 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 only itemize those receipts over $50. In addition, the
occupation and employer nntst 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 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
Name and Residential Address
(alphabetical listing required)
_ �....
Amount
Occupation & Employer
(for contributions of $200 or more)
IF
A
I
F
r�
C)
Line 9: Total Receipts over $50 (or listed above)
o.00
Enter on page 1, line 2
Line 10: Total Receipts $50 and under* (not listed above)
o.00
Line 11: TOTAL RECEIPTS IN THE PERIOD
o.00
* 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 B: EXPENDITURES
M.G.L. c. SS requires committees to list, in alphabetical order, all expenditures over $50 in a reportingperiod. 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
Date Paid (alphabetical listing) Address Purpose of Expenditure Amount
r
Memorial Library [i-874masAve [Donation on beLexington, MA 02420 Safe Routes alf To of
lLprogg
ton F /30/17 ram
60.00
for the purchase of the video "
CTM Publishing Pe Box 473 dvertisement balance 0
nn7n7 Lexington, MA 02420 $25.00
1
Facebook - Hacker Way Promotional Advertising
3/31/17 IMeninlo Park, CA 94025 $43.
FE]
ilrPm Diamond Fife &Drum L0 Box
16 _w__..2 Ma 02420 Donation $60:74
12: Total Expenditures over $50 (or listed above)
Line 13: Total Expenditures $50 and under* (not listed above)
Enter on page 1, line 4 - ( Line 14: TOTAL EXPENDITURES IN THE PERIOD
* 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 C: "IN -HIND" 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.
of the contributor; in addition, if the contribution is $200 or more, you must also report the contributor's occupation and employer. Page 6
SCHEDULED: 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 reportingperiod.
Date Incurred
To Whom Due
7
Address
E
Purpose
Amount
7
F
Enter on page 1, fine 7 >
Line IS: TOTAL OUTSTANDING LIABILITIES (ALL) 0.00
Page 7