HomeMy WebLinkAbout2021-02-25-Lenihan-OCPF Form CPF M 102: Campaign Finance Report
Municipal Form
Office of Campaign and Political Finance
Commonwealth
of Massachusetts
File with: City or Town Clerk or Election Commission
Fill in Reporting Period dates: Beginning Date: ��% _ Ending Bate: .
Type of Report. (Check one)
r
❑ 8th day preceding preliminary ❑ 8th day preceding election ❑ 30 day after election ear-end report ❑ dissolution
i..?s'„
Candidate Full Name(if applicable) Committee Name ?
piiice Sought and District Name of Committee Treasurer
Residential Address Committee Mailing Addrdss
Telephone Number(optional): Telephone Number(optional):
SUMMARY BALANCE INFORMATION:
Line 1: Ending Balance from previous report
Line 2: Total receipts this period(page 3, line 11) ,wi.
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) � ` t
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:
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 authority or on behalf of this committee in accordance with the requirements of M.G.L.c.55.
Signed under the penalties of perjury: - -. (Treasurees signature) Date: L
FOR CANDIDATE[+ILINCS ONLY: Affidavit of Candidate:(check 1 box 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. I have not received any contributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
Cli didate without Committee OR Candidate with independent activity fling separate report
F-Ildcertify 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 under the authority or on half of this committee in accordance with the requirements of M.G.L.c.55.
Signed under the penalties or perjury: �_.,.- -. (Candidate's signature) Date: ft2 115�'4_Al
SCHEDULE A: RECEIPTS
M.G.L.c. 55 requires that the name and residential address he reporled, in alphabetical order,far•all receipts over$50 in a calendar
year. Committees inust keep detailed accounts and records of'all receipts, but need only itemize those receipts over$50. In addition, the
occupation and employer mast be reported'
all persons who contribute$200 or more in a calendaryear.
(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 c& Employer
Date Received (alphabetical listing required) Amount (for contributions of$200 or more)
P;^•- .F ,rte=V�
}`C f X11
UJ pp
�. k
Line 9:Total Receipts over$50(or listed above) �rv_
Line 10:Total Receipts$50 and under* (not listed above)
Line 11: TOTAL RECEIPTS IN THE PERIOD 4-- 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 ® EXPENDITURES
M.G.L. e. 55 requires cormoittees•to list, in alphabetical order, rill expenditures over$50 in a reporiingperiod. Cotornittees anist keep
detailed accounts and records gf'all expenditures, but need only iteorize those over$50. Isxpenditures$50 and under pray be added together,
fi•onn conrrnitlee records, and reported on line 13.
(A "Schedule B: Expendihra•es" attachment is available to complete,print and attach to this report, if additional pages are reclrrired to
report all expenditarres. Please include your corraanittee name and a page number on each page.)
To Whom Paid
Date Paid (alphabetical listing) Address Purpose of Expenditure Amount
r i
II
S
r
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 IST THE PERIOD
1f you have itemized expenditures of$50 and under,include then hr line 12. Line 13 should include only those expenditures not itemized
above. Page 4