HomeMy WebLinkAbout2012-02-27-Stewart-OCPFForm CPF M 102: Campaign Finance Report
Municipal Form
,
° Office of Campaign and Political Finance
Commonwealth _1
of Massachusetts
File 4viilt: City' or Town Clerk or Election Commissio
Fill in Reporting Period dates: Beginning Date: 2/28/2012 Ending Dal ' 2 ° ! J -4 H' i'
Type of Report: (Check one)
❑ 8th day preceding preliminary ❑ 8th day preceding election 0 30 day after election ❑ year -end report ❑ dissolution
I Mary Ann Stewart
Candidate Full Name (if applicable)
F mary Ann Stewart for School Committee
Committee Name
SUMMARY BALANCE INFORMATION:
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)
518.66
425
943.66
11.78
931.88
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: Brookline Bank
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, expen itures, disbursements, in -kind contributions and liabilities for this reporting period and represents the campaign
finance activity of all persons acting tinder the auth on beh f this c nittee in accordance with the requirements of M.G.L. c. 55.
Signed under the penalties of perjury: (Treasurer's signature) Date: f
FOR CANDIDATE FILINGS 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 tinder 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 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 withority or on behalf f this committee in accordance with the requirements of M.G.L. c. 55.
Signed under the penalties of perjury: & (Candidate's signature) Date: i1 "
Lip
SCHEDULE A: RECEIPTS
M. G.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 must 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)
1/6/2012 Jennifer Vogelzang, 8 Paddock Lane, 50
Lexington, MA 02421
1/22/2012 Tom Diaz, 354 Waltham Street, Lexington, 100
MA 02420
1/27/2012 Jeanne Krieger, 44 Webster Road, 250 Retired
Lexington, MA 02421
2/2/2012 Barrett for State Senate, 7 Augustus Road, 25
Lexington, MA 02421
Line 9: Total Receipts over $50 (or listed above) 425
Line 10: Total Receipts $50 and under* (not listed above) I
Line 11: TOTAL RECEIPTS IN THE PERIOD 425 E- 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 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 iteni a those over $50. Expenditures $50 and under may be added together,
from committee 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.)
Date Paid
To Whom Paid
(alphabetical listing)
Address
Purpose of Expenditure
Amount
1/22/2012
PayPal
fee
3.2
1/27/2012
PayPal
fee
7,55
2/2/2012
PayPal
fee
1,03
0
Enter on page 1, line 4
Line 12: Total Expenditures over $50 (or listed above)
11.7$
Line 13: Total Expenditures $50 and under* (not listed above)
Line 14: TOTAL EXPENDITURES IN THE PERIOD 11.78
x 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