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HomeMy WebLinkAbout2020-01-14-Colburn-OCPF Form CPF M 102: Campaign Finance Deport PIED ED Municipal Form F s; �j;., Office of Campaign and Political Finance Commonwealth Tin #(tl9 1 4 i lel of Massachusetts File with: City or Town Clerk or Election Commission l January 1, 2019 Ending December 31, 2019 Fill in Reporting Period c�a�e's�: a Beginning Date; g Dale: Type of Report: (Check one) ❑ 8th day preceding preliminary ❑ 8th day preceding election ❑ 30 day after election ❑x year-end report [] dissolution KATHRYN R. COLBURN School Committee Candidate Full Name(if applicable) Committee Name SCHOOL COMMITTEECerise Jalelian Office Sought and District Name of Commitee Treasurer 49 Forest Street, Lexington, MA 02421 7 Lols Lane, Lexington, MA 02420 Residential Address Committee Mailing Address Telephone Number(optional): (617) 782-9428 Telephone Number(optional): (617) 733-6278 SUMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous report 2,562.54 Line 2: Total receipts this period(page 3, line 11) 0 Line 3: Subtotal (line 1 plus line 2) 2,562.54 Line 4: Total expenditures this period(page 5, line 14) a Line 5: Ending Balance(line 3 minus line 4) 2,562,54 Line 6: Total in-kind contributions this period (page 6) 0 Line 7: Total(all) outstanding liabilities(page 7) 0 Line 8: Name of bank(s)used: BROOKLINE BANK Affidavit of Committee Treasurer: 1 certify that I have examined this report including alta ed schedules and i u to the hest of my knowledge and belief,a true and complete statement of all campaign finance activity,including all contributions,loans,receipts, pcnditure9,disburses cn in-kind contributions and liabilities for this reporting period and represents the campaign finance activity of all persons acting under the au ority or on behalf of thisVorbruittee in accordance with the requirements of M.G.L.c.55. Signed under the penalties of perjury: (Treasurer's signature) Date: January 10, 2020 FOR CANDIDATE FILINGS ONLY: Atridavit of C ndida :(check f box only) Candidate with Committee and no activity independent of 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 OR 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 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 this reporting period and represents the campaign finance activity of all persons acting u e he authors€ or o b half of this committee in accordance with the requirements of M.G.L.c.55. 1 - Date: January 10, 2020 Signed under the penalties of perjury: (Candidate's signature) I 1 SCHEDULE A: RECEIPTS M.G.L. c. 55 requires that the name acrd r'esiderrtial address be reported, in alphabetical order,for all receipts over$50 in a calendar year. Conurrittees roust keep detailed accounts and records of all receipts, but creed only itemize those receipts ovTr f5t fyc Cli n, the occupation and entployer 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 ad e(�ar( e nixed to report all receipts. Please include your committee name and a page number on each page.} '� i 1 ' Name and Residential Address Occupati© &�=En��ptivye Date Received (alphabetical listing required) Amount (for contributti �S4¢f� a re} NONE Line 9: Total Receipts over$50 (or listed above) 0 Line 10: Total Receipts$50 and under* (not listed above) F---10 - Line 11: TOTAL RECEIPTS IN THE PERIOD F=0 F- Enter on page 1,line 2 * 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) Name and Residential Address Occupation&Emp)�'oe Date Received (alphabetical listing required) Amount (for contributions of$200 or more) Line 9: Total Receipts over$50 (or listed above) 0 Line 10: Total Receipts $50 and cinder* (not listed above) � Line 11: TOTAL RECEIPTS IN THE PERIOD fl E- Enteron page 1,line 2 * If you have itemized receipts of$50 and under,include them in line 9. Line to should include only those receipts not itemized above. Page 3 SCHEDULE B: EXPENDITURES M.G.L. e. 55 requires committees to list, in alphabetical order, all expenditures over$50 in a reporlhrg period. Committees durst keep detailed accounts and records of all expendilrm•es, but meed only itemize those over$50. Expenditures$50 and 1110A-5)V,fz�rt�e�d ether-, fr•orn committee records, and reported on line 13. (A "Schedule B: Expenditures" attachment is available to complete,print and attach to this report,if a j1#ffo �p s TrMrm,ty to report all expenditures. Please include your committee name and a page number on each page.) To Whom Paid Ttj`rri Date Paid (alphabetical listing) Address Purpose of Expe"Wi-N-G 10 iaA"unt NONE Line 12: Total Expenditures over$50(or listed above) 0 Line 13: Total Expenditures$50 and under* (not listed above) p 4rn ,line 4 Line 14: TOTAL EXPENDITURES IN THE PERIOD * If you have itemized expenditures of$50 and under,include there in line 12. Line 13 should include only those expenditures not itemized above, Page 4 SCHEDULE B: EXPENDITURES (continued) To Whom Paid . Date Paid (alphabetical listing) Address Purpose of ExpendithIr t -- W_, Line 12: Expenditures over$50 (or listed above) 0 Line 13:Expenditures $50 and under* (not listed above) o fn 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 5 SCHEDULE C: "IN-HIND" CONTRIBUTIONS Please itemize contributors who have made in-kind contributions of more than$50. id o�z` ilins$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 Dq"sWptfot}b `t tribution Value NONE Lire 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 a * If an in-kind contribution is received from a person who conEributes 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. SS requires committees to report ALL liabilities which have been reported previously and are still outstanding, cis well as those liabilities incurred during this reporting period. Date Incurred To Whose Due Address t`°;. Pe Amount NONEj �{aCJ Enter on page 1,line 7 Lime 18: TOTAL OUTSTANDING LIABILITIES (ALL) a Page 7