HomeMy WebLinkAbout2019-04-01-Bokun-OCPF Form CPF M 102: Callipai n Finance Report
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lipMIlInicipal Farm
Office ofCampnign and Political finance
Cnusmnuwcnldt �. :. „
of hlassachusctts
2919 APR _ ( AM 10: 58
Fill til i�C17t3I tin Period dates: Beginning _ I'ilc w'fh Cit a own Cltik or niece lin Csri E li�.tiosi
Beginning Date: a 0��4 Ending Date-, T() t� i< ;
Type of Report; (Check one)
❑ 8th day preceding preliminary ❑ gill day Preceding election EZ30 day after election ❑ycar•t; d report
dissolution
C(nldidatc l=ull game(if applicable) Committee Nnine
Office 3nuolsl and District Name of Commil(cc Treasurer
Itcsidep a1 Addrcas J� Cammilitt Mailing Address i f
Teleplirsne Number(optiontti): !/ Telephone Number(optional):
SUMMARY BALANCE INFORMATION.
Line 1: Ending Balance from previous report
t,
Line 2: Total receipts this period(page 3, line 1 1) DLA
r�
Line 3: Subtotal (line l plus line 2)
Line 4: Total expenditures this period(page 5, line 14) F00
Line 5: Ending,Balance(line 3 minus line 4) 1 �4 0
Line 6: Total in-kind contributions this period(pale b)
Line 7: Total (all)outstanding liabilities(page 7)
Line 8: Name of bank(s)used:
ArRdsAt orCommiflec Trtasurrr:
I certify that I have examined this report includimfmd-niwWcs and it is,to(he bcs(of my knowtcdge anal belief,a trut and complete sta(aucrit of all campaign fi=wc
nctivlty,including all contributions,lumis,recef SS,C,podicums,d15 SCIttCnIS,ni 151Fid Ct7ntrlbtittQnS arid habllille5 for(hi Tepnitlrt&pC1EQd and re prcarnrt the campaign
finance nctivity orilt persons acting under tho a lhority or on bth f o s committee in wordance with the requirements or M.01.c,55.
5iencd undrr the ptaattles orptrluryt (Trcnsurci a signature) Dtite;
F�1R( �_ AfCdavit of Candidrtle:(rbrcit I ]Eon only)
Candldutr with Commlrtte bnsf nv artivily Indrprndtut of tltt conlml(tro
"certify that I hate exnnsined(his rcport including attached schedules and it is,to the best oruty knusslcdge and bcliel;a Inic wed"niplete stsltmrnJ o!'all came-Bels finance
activity,of all persons acting under the atllliority or on behalf orlhis COrnntiltcc in accotdan.-c wilh diCrequirelncittS[rr M.fi,i.,C.55- 1 Ilavo not yviceived any crintr1411tions,
Inawod Any liabilities rwr made any expenditures on my behalydurjng IN%reporting period.
Gnrtdidiile without Contnliiite',Candidate with independent aclivify filing stlinrnit report
I certify that I have cxamined this rcport including attached schr4ulcs and it it,to the hell ormy knQtsicdgc and tlel jef,u true and complete statemcni of all camlmign
❑ finanw activity,including contributions,lonns,receipts,cxpendilures,disbisrserrten(s,in-kind contributions and liabilities for this topontng period and represents the
l,'g(ripaJ(�rl finance activity orale persons ricking undcr the:nt/INIfil}'or on behalf Or Illi Immincc in accordance wide the ftrt{;j,erpCFltS of hI.G.L.c.55.
Date:
FJttdtt•fife vtnaltics of prrjury: {Candidates iign]ll1rC} f
E
SCHEDULED: LIABILITIES
M.G.L. c. 55 requires conanzittees to report ALL liabilities which have been reported previously and ar-e still outstanding, as well
as those liabilities incurred during this reportingperiod.
Date Incurred To Whom Due Address Purpose Amount
i
Enter on page 1,line 7 Line 18: TOTAL OUTSTANDING LIABILITIES (ALL)
Page 7
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
i
Line 15:In-Kind Contributions over$50 (or listed above)
Line 16: In-Kind Contributions$50 &under(not listed above)
Enter on page 1,line 6 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 B: EXPENDITURES
M.G.L. c. 55 r'ewir'es 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
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 Line I4: 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