HomeMy WebLinkAbout2025-01-06-Thompson-YearEnd-OCPF o� �
Form CPF M 102: Campaign Finance Report
Municipal Form
,_ _ ; ;:� ;��� Office of Campaegn an[t Palitical�nar�ce
Cammonwealth r � .
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File with: C[ or Town CEerk or�lection Commission
FiII in Reporting Perimclida��st��4=�-�_�� Beginning Date: 3/26/2024 Ending Date: 6/26/2024
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�e:
Type of Report''(Check one)
� $th day preceding preliminary � 8th day preceding elaction � 3Q day after election � year-end report � dissolution
Melanie Tf�ompson Thompson Committee
Candidate Full Name(if appficable) Com�nittee Name
Lexington Planning Board Margaret Counts-Kiebe
b�ce Spught and DisFxict Name of Committee Treesurer
360 Lowell St 8 Hancock A�e, Lexington, MA 02�420
Residential Address Gammittee 1Vlailing Address
E-�a��: melaniethompsor�2020@gmail.com ama��: margck@yahoo.com
Fhone#: Phone#:
SUMMARY BALANCE INFORMATION:
Line 1: Ending Balanca from previous report $�43.42
Line 2: Total receipts this period(page 3,line 12)
Line 3: Subtotat{line 1 plus line 2}
Line 4: Total expenditures this period(page 5,line 15) ��4�.4�
Line 5: E,nding Balance(line 3 minus Iine 4) 0
Line G: Total in-kind cantributions this period{�age b,line 18)
Line 7: Total(alij outstanding liabilities(page 7,line 19)
Line$:Tota.l out-of-pocket expenses this period(�age 8,iine 22)
Line 9: Name of bank(s}used: TD BaClk
Af'fdavit of Committee Treaeurer:
I certify that I have examined this reporE including attached schedules arad it is,to the best of my]rnowledge and belief,a#rue and complete statement of all campaign finance
activi#y,inciuding a[t contributio�s,loans,receipts,expenditures,disbursements,in-kind contributions and liabilities for this reporting period and rePresants the campaign
finence activity of aEl persons acting under th uthoriEy or on behal¢of 's com � ee i ac ord ce wiEh tfte requirements of M.G.L.c.55.
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Signed u�der the penalties oi per,jury: � � easurer's signature) �ate: l � ����
FOR CANDIDATE I+'ILINGS ONLY: Af;tidavit of Caadidate:(check 1 box nnly)
Cendidafe with Committee
�certify that I have examined this report including attached schedules and it is,to Yhe best of my knowledge and�elief,a tr�e and compleEe statement of all campaign finance
activity,of all persons acting under the suthorety or on behaEf of this co�nmittee in accordance with the requirements of M.G.L,c.55, I have not received any contributions,
incurred any liahilifies nor made any expenditures on my behalf during this reporting period that aze not otherwise disclosed in#ius report.
Candidate without Cornmittee
� I certify that I hava examined this re�ort including attached schedules and it is,to the best of my]mowledge and belief,a true and comp[ete stafement of all campaign
fiaance activity,including contributions,loans,receipts,expenditures,disbursements,in-kind contriburions and[iabil[ties for this reporteng period and represents the
campaign finance activity of alI parsons a ing under the authoriry or on behalFof this candidate in accordance with tha requirements ofM.G.L.c.55.
Si�ned�nder the gen�lties of perjury: �� �� S�� (Candidate's signature) Date: (( ��
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M102(i2/2023)
• � . SCHEDULE A: RECEIPTS
M,G.L,.a 55 requires the name and residantial address be reported,in alphabetical order,for aIl receipts fi'om a contributor over$50 in the aggregate in a catandaz
year.In addition,the occupation and employer rnust be reported for each contributor who contributes$200 or more in a calendar year.Receipts from a contribu#or of
$50 and less in the aggregate in a calendar year can be reported in totaI wikhout itemization,however,#he candidate or committee must keep aetailed accounts and
records of all wnisibutions received of any amount.In determining aggregate amounts received frotn a aontxibutor,add monatary as we11 as in-kind contributions
received.If a candidate inYends a candidate monetary contribe�tivn to be a loan,enter the informatian on this schedule a�d on Schedule D Liabilities.
flttach additional pages as needed to repart all receipts,Please irtclude the candidate or committee name and a page number on each additianal page.
Na�e a�d Residential Address Occupation &Employer
Date Received (alphabe�ical listing requiwed) Amount (for contributions of$2UU or more)
Enter receipt tot�ls on Page 3
Page 2
SCHEDULE A: RECEIPTS(continued)
Name and Residential Address Occupation & Employer
Date Received (alpl�abetical iisting required) A�nount (for contributions of$200 or more}
Line 10: Total Receipts over$SO(or listed above) �"Ifyou have itemized receipts of$50 and
under,include them m line 10. Line Il
Line 11:Total Receipts $50 and under(not listed above) should include only those receipts nat
itemized above.
Line 12: TOTAL RECEIPTS IN THE PERIOD F Enter on page l,line 2
Page 3
SCHEDULE B: EXPENDITURES
M.G.L.c.55 requires for eacE�expendihue over$50 that the candidate or committee list tiie natne and address,in alphabetical order,to whom each
expenditure is paid in a reporting period.Expenditures o€$50 and less can be reported in total without iternization,however,the candidate or committee must
keep detailed accounts and recor8s of all expenditures made of any amount.Do not include out-of-pocket expenditures of candidate reported on 5chedule E.
Elttach additional pages as needed to repart all expenditures.Please includs the carrdidate or committee name and a page number on each additiorral page.
To Whom Paid
Date Paid {alp�abetical listingj Address Purpose of Expenditure Amount
3/2912Q24 TD Bank 419 �owell St Bank Fees $�3.00
Lexington, MA 02421
4/30/2024 TD Bar�k 419 Lowell St Bank Fe�s $13.00
exington, MA 02421
51311202� TD Ban[c 419 Lowell St Bank Fees 13.Op
Lexington, MA 02421
6/5/2024 TD Bank Lexington Refugee Donation to close out $104.42
ssistance Pragram ccount
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_ _ _ .._..... ..__.._ _�.i
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Enter expenditure tota�s on Page 5
Page 4
SCHEDULE B: EXPENDITURES (continued)
To Wham Paid
Date Paid (alphabetical listing) Address Purpvse of Egpenditure Amnant
*Ifyou have itemized expenditures of$SO Line 13:Expenditures over$50(or listed above)
and under,include them in Jine 13. Lme 14
should include only those ea�enditures nat Line 14: Expenditures $50 and under(not listcd above)
itemized above.
Enter an page 1,tine 4� Line 15: TOTAL EXPENDITURES IN THE PERIOD
Page 5
� . SCHEDULE C: "IN-KIND" CONTRIBUTIONS
M.G.L.c.55 requires the name and residential addtess be teported for all in-kind contributions from a contributor over$50 in the aggregate in a aalendar year.Tn
addition,fhe occupation and empIoyer must be reported for each corttributor who contrihutes$200 or more in a ca�endar year.Receipts fi'om a contributor of$50
and less in the aggxegate in a calendar year can be reported in total wi�out itemization,howevar,the c�ndidate nr committee must keep detailed accounts and
records of all contributions received of any amount.Fn deterrnining aggregate amounts received from a contributor,add monetary as well as in-kind contributions
received.Do not include out-of-pocket expenditures of candidate reported on Schedule D.fltdach addidaonal pages as needed to repart al!receipts.Please
incdude the candidate or committee name and a- a e number on each additional a e.
Date Received From Whom Received* Residential Address Description of Contribution Value
*Ifyou have itemized in-kind cantributions of Line 16:In-Kind Contt'ibutions over$50{or listed above)
$50 and under,mclude them in line 1 G. Lrne 17
should rnclude o.�ly those expenditures not �,a�e 17:In-Kinc�Con�ributions$50 and under(not listed above)
itemized above.
Enter on page l,line 6-� L�e 18:TOTAI.IN-KIND CONTRIBUTIONS IN THE PERIQD
Page G
„ SCHEDULE D: LIABILITIES
M.G.L. e. 55 requires cammittees to report t�LL liabidities which have beert reported previously and the autstanding 8alartce, as well�s
those liabilitdes incurred durir�g this reporiingperdod,
Date Inc�rred To Whom Due Address Purpose Amaunt
Enter on page 1,iine 7-3 Line�9: TOTAL OUTSTANDING LIABILITIES(ALL}
Page'7
�, .,
SCHEDULE E: CANDIDATE OUT-�F-POCKET EXPENSES
O�t-of-pocket expenses are expendituras on behalf of a candidate or candidate's committee made directly to a vendar using a candidate's
personal funds.The information entered an Schedule E is not also entered on Schedule A or Schedule B.Direct rnonetary contributions
from a candidate,which are deposited into the cammitfiee bank account,are receipts that shauld be listed in�chedule A.If a candidate
intends an out-of-pocket expense to be a loan,enter the information on this schedule and on Schedule D:Liabilities..4ttach additianad
pages as needed to report ald expenditures.Please arrclude the candidrrte or corramittee name and a page number on each additional page.
Name and Address of Vendor
Date Paid (alphabe�ical listang required} Amount Purpose of Expenditure
Line 20:Total Itemized Qut-Of-Pocket Expendi�ures Over$50 �Ifyou have out-of pocket expenses of$SO
{or listed above) and urtder, include them in Irne 20. Line 21
Line 21:Total Unitemized Out-Of Pocket Expenditures$50 and should rnclude anly those expenditures not
under(not listed above) itemizeri above.
Line 22:TOTAL OIIT-OF-POCKET EXPENDITURES IN THE PERIOD � Enter pn page 1,line$
Page 8
*Schedule E is not for ballot question committee use.