HomeMy WebLinkAbout2010-12-31-Kelley-OCPFFill in dates: � �+onm nW year a ace new
Reporting Period Beginnin Jk'-"k� , l oo 1 O Ending o 61 a 16
Type of report: (Check one)
08th day preceding preliminary 08th day preceding election 030 day after election 0year -end report ❑dissolution
Full Name of Candidate (if applicable)
csc 0ALa�S�,
v� Office Sought and District i
CSC �C) E' at 5 c -- 1
Residential Address
Tel. Na (optional)
Committee Name
Lt N u» w� I.1 ic)..sns
Name of Committee Treasurer N
gap Committee Mailing Address
�.�� -.cam .�'Yl(�• 'lei - obi- g4�f�_
Tel. Na (optional)
SUMMARY BALANCE INFORMATION:
Line 1: Ending balance from previous report
Line 2: Total receipts this period (page 2, line 1 1) $ Ca
Line 3: Subtotal pine I plus line 2) $ 1 0
Line 4: Total expenditures this period (page 3, line 14) $ 0
Line 5: Ending balance pine 3 minus line 4) $- �o • r l
----------------------------------
Line 6: Total in -kind contributions this period (page 4) $
Line 7: Total (all) outstanding liabilities (page 4) $ C�
Line 8: Name of bank(s) used
Afn&%* of Committee Treasurer.
I m* that I have emunined this repot including attsched scloduke and it is, to the bat of my knowledge and belief; a true and complete statemat of all campaign
finance activity, including all contributions, loam, tempts, expenditures, disbunane ts. uAund contributions and liabilities for this reporting period and represents the
campaign finance activity of all persons acting under the authority or on behagof this oommittee in accordance with the mWive naus of M.G.L. e. 33.
Signed under the penalties of perjury:
Tresmerees signature (in ink)
FOR CANDIDATE FILINGS ONLY (CANDIDATE MUST SIGN BELOW)
Aflidsvk of : (check 1 box only)
0 Candldate vAth C and to adh* Independent of the committee
I m* that I have emunined this report including attached schedules and it ►s. to the bat of my knowledge and belie£ a tree and completer sta comet of All aunpaign
finance activity, of all person acting under the authority or on behalf of this eomniaoo in accordance with the requirane is of M.O.L. a 33. 1 have not received any
cord ibutiom, incurred any liabilities nor made any expenditures on my behalf d sing this reporting period.
0 Candidate without Committee O$ Candidate with Independeat 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 staterna4 of all campaign
finance activity, itne► butiom, loans, receipts. expendiaues, disbwatnhaw, innkinhd cartributiaus and liabilities for this reporting period and nepresenta the
campaign finance vity of all acting under the authority or on behalf of this conanittae in accordance with the requirements of M.G.L. a 33.
i a �„ Signed under the pe ruMas of perjury:
Candidate sighstMV (' s Data
SCHEDULE A: RECEIPTS
A,1.G,L. c. SS requires that the name and residential address be reported in alpliatie ' n o4 for all receipts
over $50. in a calendar year. Committees must keep detailed accounts and r al receipts, but need only
itittnize those receipts over $50. In addition, the occupation crud employer r E who
V11111ribute $200 or more in a calendar year. TOWN! ` Cy I P
may be copied if additional es are required to report all receipts. Please inclu e our cbri c and a e
'Phis page P pages P Y page
...d.,.r nn each naee-
Date
Received
Name and Residential Address
(alphabetical listing required)
Amount
Occupation & Employer
(for contributions of $200 or more)
Line 9: Total receipts in excess of $50 (or listed above)
Enter on page 1, line 2
n T :. to ..t....aw :....t..de ...,t., tl6 en rars+inte not iterni7
Line 10: Total receipts $50 and under* (not listed above)
Line 11: TOTAL RECEIPTS IN THE PERIOD
_ _-- .-- -'- -�_ u_-
If you have itemized receipts o f 3JU and under lncluue t1jul:1 111 11116 7. ■JI11G 1V 041vulu uKauuv va+ g U__ - -•r•
above. Page 2
ed
M.G.L. c. SS 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.
F rpenditurds $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 pane.
Date Paid
To Whom Paid
(alphabetical listing)
Address
Purpose of Expenditure
Amount
7-
.A :A
C>
--0
Enter on page 1, line 4
Line 12: Expenditures over $50
C
Line 13: Expenditures $50 and under*
0
Line MTOTAL EXPENDITURES
0
A
VA 5
0
*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
SCHEDULE C: "IN-KIND" CONTRIBUTIONS
Please itemize contributors who have made in -kind contributions of more than $50. In -kind contributions $50 and under may be
added together from the committee's records and included in line 16.
Date
From Whom Received*
Residential Address
Description of
Value
Received
Contribution
Enter on page 1, tune 7
Line 18: OUTSTANDING LIABILITIES (ALL)
t0
w
cn
Line 15: In -kind over $50
C
Line 16: In -kind $50 and under
Enter on page 1, line 6
Line 17: Total In -kind
* 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.
SCHEDULED: LIABILITIES
M. GL, c. 55 requires committees to report ALL liabilities which have been reportedpreviously and are still outstanding, as well as
those liabilities incurred during this reporting period.
Date
Incurred
To Whom Due
Address
Purpose
Amount
Enter on page 1, tune 7
Line 18: OUTSTANDING LIABILITIES (ALL)
t0
This page may be copied if additional pages are required to report all activity. Please include your committee name and a page
number on each page. `, printed on recycled paper Page 4