HomeMy WebLinkAbout2018-02-26-Sawhney-OCPFForm CPF M 102: Campaign Finance Report
- - Municipal Form
Office of Campaign and Political Finance
Commonwealth
of Massachusetts
File with: Citv or'I'own Clerk or Electron Commission
Fill in Reporting Period dates: Beginning Date: 1 I i Q Ending Date: "U ( � AL1 kj (g
Type of Report: (Check one)
❑ 8th day preceding preliminary 08th day preceding election ❑ 30 day after election ❑ year-end report ❑ dissolution
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Candidate Full Name (if applicable)
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Once Sought and District
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Residential Address
E-mail: SC V3 InV.e-- r d e e f 1 Ice"Oc
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Phone # (optional): -U
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Committee Name
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Name of Committee Treasurer
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Committee Mailing Address
E-mail:
Phone # (optional):
SUMMARY BALANCE INFORMATION:
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)
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 bark(s) used: ff. 7 C t� V__
20
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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 ofall campaign finance
etivity, including all contributions, loans, receipts, expenditures, disbursements, in-kind contributions and liabilities for this reporting period and represents the campaign
mance 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.
'igned under the penalties of perjury: ",/ e'-"�, e > e , L 1, "<<-uo (Treasures signature) Date:
R CANDIDATE PILINGS ONLY: Affidavit of Candidate: (check t box only)
lVandidate 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 had belief,a true and complete statement ofall campaign finance
activity, of all persons acting under the authority or on behalf of this committee in accordaqCa 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 Uris reporting period -
__.. arss_
.Candidate without Committee DR Candidate with independent activity filing separate report
I certify that I have examined this report including attached schedules and it is, to the best of my;G vledgd and belief, a true and complete statement of all campaign
finance activity, including contributions, loans, receipts, expenditures, disbursements, in-kind contiibufionsand liabilitiesfor tris reporting period and represents the
campaign finance activity of at persons acting under the authority oron behalfofthis committee in accordance with the requirements of M.G.L. c. 55,
under the penalties of perjury: -�"--1`^��'' ��"'"`I'_—�"'\ (Candidates signature) Date: 1-r:6 1 �\�%((
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 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)
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Line 9: Total Receipts
over $50 (or listed above)25b•6�
F Enter on page 1, line 2
Line 10: Total Receipts
$50 and under* (not listed above)
FF, ;• 53
Line 11: TOTAL
RECEIPTS IN THE PERIOD51
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* If you have itemized receipts of $50 and under, include them in line 9. Line 10 should include only those receipts not itemized above.
SCHEDULE A: RECEIPTS (continued)
Date Received
Name and Residential Address
(alphabetical listing required)
Amount
Occupation & Employer
(for contributions of $200 or more)
F-1
IF
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 B: EXPENDITURES
NLG.L. c. 55 requires committees to list, in alphabetical order, all expenditures over $50 in a reportingperiod. Committees must keep
detailed accounts and retards 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
�LDate Paid (alphabetical listing) Address Purpose of Expenditure Amount
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Line 12: Total Expenditures over $50 (or listed above) �j 05-q'
Line 13: Total Expenditures $50 and under* (not listed above) F --
Enter on page 1, line 4 � I Line 14: TOTAL EXPENDITURES IN THE PERIOD L�j � 54
* If you have itemized expenditures of $50 and under, include them in line 12. Line 13 should include only those expenditures not itemizt
SCHEDULE B: EXPENDITURES (continued)
Date Paid
To Whom Paid
(alphabetical listing)
Address
IF
Purpose of Expenditure
Amount
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E:
F
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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 not itemized
above.
Page 5
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.
Date Received
From Whom Received*
Residential Address
Description of Contribution
Value
1
F-1
Entcr 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 and address
of the contributor; in addition, if the contribution is $200 or more, you must also report the contributor's occupation and employer. Page 6
SCHEDULE D: 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 reporting period.
Date Incurred
L
To Whom Due
F-7
Address
F
Purpose
Amount
F-7
17:11
El
F-7 -1
F
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IF
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Enter on page ], line 7 -
Line 18: TOTAL OUTSTANDING
LIABILITIES (ALL)
Page 7