HomeMy WebLinkAbout2020-01-16-Barry-OCPF Form CPF M 102: Campaign Finance Report
Municipal Form
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Office of Campaign and Political Finance '�� IV E
Commonwealth ? d( °1
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File with City or"Town Cleric or'Ele§iJn Commission
Fill In Reporting Period dates: Beginning Date: March 23, 2019 Ending Date: dc 'rribdrl3i. 19
Type of Report: (Check one)
❑ 8th day preceding preliminary ❑ 8th day preceding election ❑ 30 day after election year-end report ❑ dissolution
Suzie Barry Committee to Elect Suzie Barry
Candidate Full Name(ifapplicable) Conuniltee Name
Selectman Kim Coburn
Office Sought and District Name of Committee Treasurer
159 Burlington St, Lexington, MA 02420 66 Liberty Ave, Lexington, MA 02420
Residential Address Committee Mailing Address
Telephone Number(optional): (781) 862-5853 Telephone Number(optional): (781) 863-6285
SUMMARY BALANCE INFORMATION:
Line 1: Ending Balance from previous report 2,656.64
Line 2: Total receipts this period(page 3, line 11) o
Line 3: Subtotal (line 1 plus line 2) 2,656.64
Line 4: Total expenditures this period (page 5, line 14) 49
Line 5: Ending Balance(line 3 minus line 4) 2,607.64
Line 6: Total in-kind contributions this period(page 6) o
Lime 7: Total(all) outstanding liabilities(page 7) 0
Line 8: Nance of bank(s)used: TD Bank
Affidavit of Committee Treasurer:
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 all contributions,loans,receipts,expenditures,disbursements,in-kind contributions and liabilities for this reporting period and represents the campaign
finance activity of all persons acting under the author b t f thi .cpmt ittee in accordance with the requirements of M.G.L.c.55.
Signed Linder the penalties of perjury: G (Treasurers signature) Date: ]an 14,_2
FOR CANDIDATE PILINGS ONLY: Affidavit ofCandidate.(check I bog only)
Candidate 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 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. 1 have not received any contributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
Candidate without Committee Ott 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 act' er the authority or on behof oflhis com itee in accordance with the requirements of M.G.L,c.55.
Signed under the penalties of perjury: �Cafldidate's signature) Date: J
_... f
SCHEDULE A: RECEIPTS (continued)
Name and Residential Address Occupation & Employer
Date Received (alphabetical listing required) Amount (for contributions of$200 or more)
............
Line 9: Total Receipts over$50 (or listed above)
Line 10: Total Receipts$50 and under* (not listed above)
Line 11: TOTAL RECEIPTS IN THE PERIOD F Enter on page 1,line 2
* If you have itemized receipts of$50 and under,include them in line 9. bine 10 should include only those receipts not itemized above.
Page 3
SCHEDULE B- EXPENDITURES (continued)
To Whom Paid
Date Paid (alphabetical listing) Address Put-pose of Expenditure Amount
Line 12: Expenditures over$50 (or listed above)
Line 13: Expenditures $50 and under* (not listed above)
Enter on pate 1,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
SCHEDULED: LIABILITIES
M.G.I. c. 55 requires committees to report ALL liabilities which have been reported previously crud are still outstanding, as well
cis those liabilities incurred during this reporting period.
Date Incurred To Whom Due Address Purpose Amount
Enteron page 1,line 7 Line 18: TOTAL OUTSTANDING LIABILITIES(ALL)
Page 7