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HomeMy WebLinkAbout2021-01-13-Bokun-OCPF i 1 Form CPF M :1.024 Campaign Finance Report Municipal Form Office of Campaign and Political Finance �. Commonwealth ofMassachnsetts Pile with: City or Town Yerk or Election Commis ion Fill in Reporting Period dates: Beginning Date: p Z p�a Ending Date: / 3j L,air Type of Report: (Check one) ❑ 8th day preceding preliminary ❑ 8th day preceding election ❑ 30 day after election [year-end report ❑ dissolution r� T 6 A/ T- 1)6lCi;e1 r S,�-H,30L 67m Candidate Full Name(if applicable) Committee Name Office Sought and District Name orCommittee Treasurer S"!r1/DD - l�XinlGrr�r�/ rrT/� a Z �/0.� r+�.r€��+� �`�: •r,�/� L t�„ h f k vz�r Residential Address Committee Mailing Address Telephone Number(optional): Telephone Number(optional): SUMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous report 12 . 6 g Line 2: Total receipts this period(page 3,line 11) Line 3: Subtotal(line I plus line 2) Line 4: Total expenditures this period(page 5,line 14) j 2.C�o 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 bank(s)used: C G L�3��fC } Girth, 0 A Affidavit orCommittee Treasurer: �- I certify that T have examined this repo including attached s�h�les and it is,to the best ormy knowledge and belief,a true and complete statement of all campaign finance activity,including all contributions,loa s,receipts,expenditures,Zli bursements,in-kind contributions and liabilities for this reporting period and represents the campaign finance activity of all persons acting on cr the authority or- n Calf r this committee in accordance with the requirements of M.G.L,c.55. Signed under the penalties or perjury: �- — i (Treasurer's signature) Date: FOR CANDIDATE FILINGS ONLY.`Aittdavit of Candidate:(check I box only) C didate with Committee and no activity independent of the committee eertZ 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£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. 1 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 al I 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 under the authority or on behalf of this committee in accordance with the requirements of M.G.L.c.55. Signed under the penalties of perjury: (Candidate's signature) Date: V/6 . i SCHEDULE A: RECEIPTS MG.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 mast 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.) Name and Residential Address Occupation& Employer Date Received (alphabetical listing required) Amount (for contributions of$200 or more) 3 4. 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 � <-- 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 2 1 f SCHEDULE S: EXPENDITURES M.G.L. c. 55 requires committees to list, in alphabetical order, all expenditures over$50 in a r•eportingperiod. Committees must keep detailed accounts and records of all expenditures, but need only itemize those over$50. Expenditures$50 and under may he added together, fr•orrr contnrittee 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 /z dAA ovqq Sr2JjGG c Ft�n J� U D ll �d � 7 3�31Iia 00 0(j � 4 ll. 00 �. g#31� t� fl 0u 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 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 4 SCHEDULE B: EXPENDITURES (continued) To Whom Paid Date Paid (alphabetical listing) Address Purpose of Expenditure Amount G��S�W�L�FI�I 5T f U X SG��1c� �vU.0a Z/3/zo Ae 0 5Are zex1m6-wjjmA jzZ b( Line 12:Expenditures over$50(or listed above) Z.DU Line 13:Expenditures$50 and under* (not listed above) F= Enter on page 1,line 4 Line 14:TOTAL EXPENDITURES IN THE PERIOD LYK U *If you have itemized expenditures of$50 and under,include them in line 12. Line 13 should include only those expenditures not itemized above. Page 5 W N BANK 350 350 Broadway,Everett,MA 02149 EAGL Page: 1 of 2 Return Service Requested Statement Date: 02/28/20 Primary Account: XXXXXX8666 Enclosures: 0 1��11r1#I�1rr•Ilr,r�llllrll�lrlll,I�'I'I'll'�I'�'r��l�l�ltrl�lrll 002859 0.6500 AV 0 .389 TR00012 Scott Bokun for School Committee ' 405 Waltham St Ste 154 Lexington, MA 02421-7934 c ,a Notice of Additional Limits on Liability for ATM/Debit Card, f L LE When Used for Point-of-Sale and ATM Transactions. R < You will not be liable for any unauthorized transactions using your ArMlOehit Card,when used for point-of-sale or ATM transactions if you can demonstrate that you have exercised reasonable care in safeguarding your card from the risk of loss or theft and if you have promptly reported your loss to us when - it was discovered that your card was lost or stolen of unauthorized transactions have taken place. You must report the loss within two days of beingpotentiallydiscovered at be liable for up to$StO of the loss or unlimited liability if the transaction is not reported within 60 days of the periodic statement. Heritagef Account: XXXXXX8666 Please visit www.bankeagle.com to view the Bank's Privacy Notice. Scott Bokun for School Committee Account Number; XXXXXX8666 Statement Dates: 2103120 thru 3101120 Previous Balance: 1,108.68 Days in the Stmt Period: 28 0 Deposits/Credits: 0.00 Avg Current Balance 808.35 2 Checks/Debits: 303.00 Avg Available Balance 808.35 6; Service Charge 8.00 Interest Paid: 0.00 Current Balance: 797.68 M Total For Total This Period Year-to-Date N Total Overdraft Fees 0.00 0.00 Total Returned Item Fees 0 0.00 0,00 a, Ln co N C>� Transaction Activity NM _ , --I Date Description Debits Credits Balance -i� Q 2103 POS Deb 1255 02/01/20 12056668 300.00 808.68 THE UPS STO 405 WALTHAM ST. LEXINGTON MA C#5825 Continued on Next Page re nnrn rnie-Mfirno—nir III—A �c�� s�rvnrr.rrr nr�rrnre rinr rnra rnnnr�nTn nlr�n�rrannen-wrnnr qC►� iV�kltlsar[s l.extrt{Jtoss,ups the 02421 021U 1120 12 155 t'lh 4i�s alp U[� unE; ,4041 fo[ all Yous �141411s[11J, jii3r,la1 alkl111rk51rkt',t,., ISrE:II�. Sm My track your iinui:aU" tkl t'[14Vk.1lk�ll()S81l.1[t .l;illSl �O §li s i 052291 (00 4) FS Biginess ;,,I i Pitt,) .U V 1`2 ftr�i unit Price ;pial# f)�s121 1, CU12./20 End Wale 2121 l lU lktl2 06400 (004) 12 all lis Service. Nit i)U Reg Unit Price 02123121 {Marl first, ot12�3t 0 End Gates) 10 tm3 06VU3 (004) NR fllY 11 Mail }prVkarCillkJ [j mu Regi unit price ice ;tart Uate 02/23/20 Lnd Uge 021 -I0 '�:jl�OC1 i1t[q ilCq(3Cilt (0041l-ulrsi Nft Ull 12 P1« Not i f 0,00 ,,, Uri t t t'r l c e .11 `ftai t hate 021`�3I1tr End nate liZ1'Z jj21 Sl[hlota1 $ 300,00 n,B11 $ 300,00 ,t;t;UtSlJ4 ,Q$tj****582b Velifted BY PIN EidlltY ,IHOU: t;isli�R�dri 11f111C: fssl.iet' �t[j•, F1Ui1ll([U1151t[4/1il;b fUR: $UtJ(ii4��iifUU 1`,il: Eit3t)U ARC: 00 ht�tilixlx Sekvksx:> 1+alssactitirs: ita lhtlx 1 154 CltslNls,S Scot 4 Bstl:url lktcl[71c Yat[ Sl:cltl Br}klm t.f buss U,s i sea t Re f u\s� ' r)I N Exchanges.: f 0r t`t�t.tu[ 1JUCIPWI (148 tit:sus c SCHEDULE C: "LN-KIND" C®NTMUTIONS please itemize contributors who have made in-kind contributions of more than$50. Tin-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 Line 15:In-Kind Contributions over$50(or listed above) Line 16:ID-Kind Contributions$50&under(not listed above) Enter on page 1,line 6-i 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 s SCHEDULED: LIADILTI'IES 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 To Whom Due Address Purpose Amount i ai Enter on page 1,line 7 Line 18: TOTAL OUTSTANDING LIABILITIES(ALL) Page 7