HomeMy WebLinkAbout2017-12-31-Colburn-OCPF' Form CPF TVI 102: Campaign Finance Report
Municipal Form
Office of Campaign and Political Finance
Commonwealth r
of Massachusetts �; - i e I W
File with: City or Town Clerk or Election Commission
Fill in Reporting Period dates: Beginning Date: April 4, 2017 Ending Dft V.
Deeembet 31, 2017
Type of Report: (Check one)
❑ 8th day preceding preliminary ❑ 8th day preceding election ❑ 30 day after electionx❑ year-end report ❑ dissolution
R. COLBURN
Candidate FLIT Name (if applicable)
SCHOOL COMMITTEE
Office Sought and District
49 Forest Street, Lexington, MA 0241
Residential Address
Telephone Number (optional): (617) 872-9428
COMMITTEE
Committee Name
CERISEJALELIAN
Name of Committee Treasurer
Fl -cis Lane, Lexington, MA 02420
Committee Mailing Address
Telephone Number (optional): (617) 733-6278
SUMMARY BALANCE INFORMATION:
Line l: Ending Balance from previous report
Line 2: Total receipts this period (page 3, line 11)
Line 3: Subtotal (fine 1 plus line 2)
Line 4: Total expenditures this period (page 5, line 14)
Line 5: Ending Balance (line 3 minus line 4)
z,8zo.19
0
2,820.19
257.65
Line 6: Total in-kind contributions this period (page 6) ' of
Line 7: Total (all) outstanding liabilities (page 7) o
Line 8: Name of bank(s) used: FklinF Bank
certify that I have examined this report including attached hedules and its, to the best of my knowledge and belief, a true and complete statement of all campaign finance
ctivity, including all contributions, loans, receipts, exp di[ures, disburse a is, in-kind contributions and liabilities for this reporting period and represents the campaign
finance activity of all persons acting under the author' or on behalf of tIn c mmittee in accordance with t e requirements of M.G.L. c. 55.
n
ligned under the penalties of perjury: r I .. .f �': d /y. (Treasurer's signature) Date: January 16, 2018
?OR CANDIDATE FILINGS ONLY: Affidavit of)tandid�te: (check I box only)
Candidate with Committee and no activity independenllpJI(e committee
LlI 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. e. 55. I have not received any contributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
Candidate without Committee _QR with independent activity filing separate report
I certify that 1 have examined this report' eluding attached schedules and it is, to the best of my knowledge and belief, a hue and complete statement of all campaign
❑finance activity, including contributions oa¢s, receipts, expenditures, disbursements, in-kind contributions and liabilities for this reporting period and represents the
campaign finance activity of all person aZn;gunr the authorrty or onbehalf of this committee in accordance with the requirements of M.G.L, c. 55.
-'"r�"" "" f�`"-" (Candidate's signature) Date: January 16, 2018
Signed under the penalties of perjury g )
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 most keep detailed accounts and records of all receipts, but need only itemize those receipts over $50. In addition, the
occupation and employer must be repo ted 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)
L=
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 2
SCHEDULE A: RECEIPTS (continued)
Date Received
Name and Residential Address
(alphabetical listing required)
Amount
Occupation & Employer
(for contributions of $200 or more)
r
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 1B: EXPENDITURES
M.G.L. c. 55 requires committees to list, in alphabetical order, all expenditures over $50 in a reportingperiod. Committees must keep
detailed accounts and records ofall 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
4.7.17 Judith Leader7
17 Fairfield Drive, Lexington, MA Post-election party 57.85
11.1.17 PK Shiu
12.20.17 PK Shui
Grant Place, Lexington, MA
19 Grant Place, Lexington, MA
Domain Name Renewal
invoice
Line 12: Total Expenditures over $50 (or listed above)
Line 13: Total Expenditures $50 and under* (not listed above)
Enter on page 1, line 4 - I Line 14: TOTAL EXPENDITURES IN THE PERIOD 257.55
* 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)
F-
Address
Purpose of Expenditure
-
Amount
F-1.
E
-7
F
F-
7L
!J
I
--E
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 nof 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
7
-......
F_
7F
I
L -I -E
I
F
1 771=.
Enter on page 1, line 6 -
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
* If an in-kind contribution is received from a person who contributes more than $50 in a calendar year, you must report the name a d address
of the contributor; in addition, if the contribution is $200 or more, you must alsoreport the contributor's occupation and employer. Page 6
SCHEDULE D: LIABILITIES
M.G.L. e. 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
7F
1711
1
11
F 1
7=
:::
7-
=-
F:
- -
F
I 7F7
1.
L- 7
L- I
=
71
71
1 717
1 7
I
F -
Enter on page 1, line 7 -
Line 18: TOTAL OUTSTANDING
LIABILITIES (ALL)
Page 7