HomeMy WebLinkAbout2010-12-31-Stewart-OCPFForm CPF M 102: Campaign Finance Report k g,
Municipal Form I I
O of campaign and Political Finance
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File with: K
City or Town Clerk or Election Commission LEXI H A
Please print or type all information, except signatures.
Fill in dates: Month Doe Year Month Due Y ear
Reporti Period Beg inning I i ,=�, I. Ending � D3 ( D y 1 y
Type of report: (Check one)
08th day preceding preliminary 08th day preceding election 030 day after election [Te year -end report ❑dissolution
Full of Candidate (ifs p icable)
Office Sought and District
Residential Address�`(��
Tel. No. (optional)
Tel. No. (optional)
SUMMARY BALANCE INFORMATION:
Line 1: Ending balance from previous report $ Ll -T , S
Line 2: Total receipts this period (page 2 line 11) $
Line 3 : Subtotal (line 1 plus line 2) $ 1
Line 4: Total expenditures this period (page 3 line 14) $
Line 5: Ending balance (line 3 minus line 4) $ t 1 3 . S�
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Line 6: Total in -kind contributions this period (page 4) $
Line 7: Total (all) outstanding liabilities (page 4) $
Line 8: Name of bank(s) use rt" L 'm
Afeldavit 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 acti ' all persons acting under the authority or on behalf of this committee in accordance with the requirements of M.G.L. c. 35.
Signed under the penalties of perjury:
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Treasurer's signatum (in ink) Date
FOR CANDIDATE FILINGS ONLY (CANDIDATE MUST SIGN BELOW)
of CandWate: (clseck 1 box only)
4� C- dictate with Committee and no sctivfty independent of fhe corrunittee
certify Wert
I I have examined this report including attached sclKdulrx and it is, to the best of my knowledge and belief, a true and complete statement of all campaign
-d- activity , of all persons ailing under the authority or on behalf of this committee in accordance with the requirements of M.G.L. a SS. 1 have not received any
contributions, ithtahmed say liabilities nhor made any experdiwrea cxh my behalf during this reporting period.
(3 Candidate wdthout Committee Candidate with Independent sedvity tilhhg separate report
I certify that 1 have examined this report including attached schedules and it is to tlhe best of my knowledge and belief awe 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 o It persons acting u audority or on behalf of this committee in accordance with the requirements of .GI–c.55.
i SI under the penalties of perjury: 91 (AO
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Candidate sips ' mk) Date lo
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Committee Name
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Name of Committee Treasurer
Committee Mailing Address
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SCHEDULE B: EXPENDITURES
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
nnmher nn each nave
Date Paid
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To Whom Paid
(alphabetical listing)
Address
Purpose of Expenditure
Amount
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Enter on page 1, line 4
Line 12: Expenditures over $50
Line 13; Expenditures $50 and under*
Line MTOTAL EXPENDITURES
*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 3