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HomeMy WebLinkAbout2010-02-26-Burnell-OCPFForm CPF M 102: Campaign Finance Report Municipal Form oftlet of Campaign and p6Udcai ea c or Ma:rarl�resetta File with: City or Town Clerk or Election Commission Please print or type all information, k s Fill in dates: M tea Dais Year mor& GV4 Yo► Reporting Period Beginning__ s l 1 Ending I g Type of report: (Check one) ��,,r.� I 08th day preceding preliminary 0 th day preceding election 030 day after election. Oyear-end resort ❑dissolution Fu) N ame of Candidate (if applicable) Office Sought and District Residential Address Tel No. {optional) ley t g i i v r. 7 Committee Name Name of Committee Treasurer Committee Mailing Address . ha Ct L-1 Tel. No, (optional) AMdavitofCommittet Treassurer. I catify 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, dsbutsttrmentt, in dnd contributions and liabilities for this reporting period and represents the campaign Pawnee activity ail persons acting under the authority or on behatfof this commines in accordw= with the requirements of X0.1- o. 33. 11 11 Signed under the penalties of perjury. l d Trta+urees signature FOR CANDMATE FILINGS Qn "Y-. (CANDIDATE MUST SIGN BELOW) vet of Candidate. (cheep box only) dldste 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 bat of my knowledge and belieg a true and complete statement of all campaign, finance activity, of all persons acting under the authority or on behalf of this oommince in with the requirements of NLGI. a 33. 1 have not received any contributions, incurred any liabilities nor made any expenditures on my behalf during this reporting period. 1] Candidate without Committee OR Candidate with independent activity niing **paste report 1 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, loam, receipts, expenditure, disbutsem u6 in kind contributions and liabilities for this reporting period and represents the campaign finance activity of all g under the au n nbehaif of this committee in accordance with the requirements ofM.G.L. c, 35. 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A.p.p -P O O � 0� 0 s s p� EF} to � W $fl$3 69X33ww�69ww -* to N Cn N N Cn N N N Cn N N 0 0 0 0cn Cn Om Cn m 0 Cn to OOC7OOOO®OG7OOO C7 0 0 0 0 0 0 0 0 0 0 0 0 O CD v - ' CD �w G a CD E21 owl SCHEDULE B: EXPENDITURES MG. L. c. SS requires committees to list, in alphabetical order, all expenditures over $S© in a reporting period Committees must keep detailed accounts and records o, f all expenditures, but need only iteffi thou aver 5� r Expenditures $54 and under may be added together, from committee records, and reported on line 13. This page may be copied if additional pages are required to report all expenditures. Please include your committee name and a page number on each page. Date Paid To Whom Paid (alphabetical listing) Address Purpose of Expenditure Amount I ���1.� '��`R'��`'� (' Enter on page 1, line 4 Line 12: Expenditures over $50 Line 13: Expenditures $50 and under* Line 14:'I OTAL EXPENDITURES e 6 *If you have itemized expenditures of S50 and under, include theta in line 12. Line 13 should include only those expenditures not itemized above. Page 3 Form CPF M 102: Campaign Finance Repo36 Municipal Form u Office of Campaign and Political Financ** i7 1 E D , p Y Commonwealth of Massachusetts Z a 21AR Election Commission Fill in Reporting Period dates: Beginning Date: Ending Date: 7 Type of Report: (Check one) 8th day preceding preliminary E] 8th day preceding election a!O day after election Q year-end report Q dissolution i Candidate Full Name (if applicable) F Office Sought and District L Residential Ad '6 Telephone Number (optional): ice Committee Name M Name of Committee Treasurer Committee Mailing Addres �4 Telephone Number (optional): 1 Line 1: Ending Balance from previous report Line 2: Total receipts this period (page 3, line 11) 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) Line 6: Total in-kind contributions this period (page 6) E � 71 - J i-q -, Line 7: Total (all) outstanding liabilities (page 7) L Line 8: Name of bank(s) used: ffidavit of Committee Treasurer: 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 -tivity, including all contributions, loans, receipts, expenditures, disbursements, in-kind contributions and liabilities for this reporting period and represents the campaign nance activity of all persons acting under the authorily6,An behalfafftfunitte! in accordance with the requirements of M.G.L. c. 55. igned under the penalties of perjury: (Treasurers signature) Date. Affidavit of Candidate: (check I box Only) Candidate with Committee and no activity independent of the committee " 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 0 wivity, of all persons acting under the authority or on behalf of this committee in accordance with the requirements ofM.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 Ming 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, recqAts, expenditures, disbursements , in -kind contributions and liabilities for this reporting period and represents the campaign finance activity of all persons acting tytd'eAppauthority or on beha of this committee in accordance with the requirements 017M.G.L. c. 55. under the penalties of perjury: (Candidates signature) Date: I :1 1 [r` -fi ZEE D • • I W O T _O O E (J\ LU U a ^ O U W • f f • • 1. mw M W ^1� > Gds ,N Qj > .t.d O Q O`< M O O O m v O C s, O t_ ++ U O > ca ca O Y _ C fn O � � N O t 7 i C O 75 O O C E v3 7 5 U- U t4 0) M o ✓ U. • G m U m L3 Q.0LUCD.��.�2 0 LO M Cd : 0 V) r M r Cr) I- co O Q r h- N Lt) V) 0 d r M r N (O T- r s- O cts U LU O p 75 m Q C m v N U- a. r— 0 a) Lo Z N i O O 0� L ® C� co ZO0fA Z4 — X#—�eY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 r r r r r r r r r r r r r r r 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 N N N N N Q N Q N N N N N N N toQU)Ul MNwwwcoco wwm Q3 f')� m N N N N N N N N N N N N N /n f:N �} �-Xw . $3 Jill It M, G. L. c. 55 requires committees to list, in alphabetical order, all expenditures over $50 in a reporting period 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 This page may be copied if additional pages are required to report all expenditures. Please include your committee name and a page number on each page. Date Paid To. Whom Paid (alphabetical listing) Address Purpose of Expenditure Amount i5 Z, 1 31 � 9' 3 1 Z V C C- f -ql2r- Enter on page 1, line 4 'If you have itemized expenditures of $50 and Line 12: Expenditures over $50 Line 13: Expenditures $50 and under* Line MTOTAL EXPENDITURES 't,-., 01- under, include them in line 12. Line 13 should include on1v those expenditures . itemized above. not F-90101 JI oil KAre ft` 11991ORM *14 t.101 VONFII, Please itemize contributors who have made in-kind contributions of more thad$50. In-kind contributions $50 and under may I.- added together from the committee's records and included in line 16. i. From Whom Received Residential Address Description o 1 f Contribution 11 Line 16: In-kind $50 and under Line 17: Total In-kind Date To Whom Due Address Purpose Amount Incurred 'l,j rn.ZA IMNVIAM 0 ll� �) i "4t Or- This page may be copied if additional pages are required to report all activitY. Please include your committee name and a pa number on each page. Olk proted on recyded paw Page 4 G I I lla_q'i \ <k Line 16: In-kind $50 and under Line 17: Total In-kind Date To Whom Due Address Purpose Amount Incurred 'l,j rn.ZA IMNVIAM 0 ll� �) i "4t Or- This page may be copied if additional pages are required to report all activitY. Please include your committee name and a pa number on each page. Olk proted on recyded paw Page 4