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James R. KellyForm CPF M 102: Campaign Finance Report Municipal Form Office of Campaign and Political Finance Commonwealth i, ne w., o« v »u'»y11»,y"J File with City or To 'MIee>1 MFiW a "ton Fill in Reporting Period dates: Beginning Date: -Ta., 4 A,.y .7o, aol4 Ending Date: �Q,, i!, Id°, a o 1 L Type of Report: (Check one) th day preceding preliminary 8th day preceding election 30 day after election year-end report [:] dissolution Candidate Full Name (if appli ble) 5 e l e f "W#1 ]�a„'� W e krh Office Sou ht and District g. S h i m tYn 0 © riot Road 104�/l.�i Resident I Address E-mail: s`j/m/�'1O)� Ah u/ CF 470 C 0 "'Y' Phone # (optional): Committee N e Name of Committee Tr asurer I Committee Mailing Address E-mail: Phone # (optional): SUMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous report —0— O—Line Line 2: Total receipts this period (page 3, line 11) D O p . O o Line 3: Subtotal (line 1 plus line 2) -21 000 O O Line 4: Total expenditures this period (page 5, line 14) —?.2,0, q 9 Line 5: Ending Balance (line 3 minus line 4) j -7 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: Vvawia ke:&- A -„E Affidavit of Committee Treasurer: I certify that 1 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 i ittee in accordance with the requirements of M.G.L. c. 55. Signed under the penalties of perjury: (Treasurer's signature) Date: i' — 4/_ )., i Affidavit of CandiodiyF (check I box only) Candidate with Committee and no activity independent of thk/ommittee ❑ 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. C didate without Committee OR Candidate with independent activity filing separate report certify that 1 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 behalf of this committee in accordance with the requirements of M.G.L. c. 55. Signed under the penalties of perjury: (Candidate's signature) 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.) Date Received Name and Residential Address (alphabetical listing required) Amount Occupation & Employer (for contributions of $200 or more) /fit la0it. Sar s {Z. f1c;1C�J•'bliO�AfL "i, —SGS �ur� cJ� 8.5hy ,,P6^01v a � 000. oo ,3//L/o'►D//e 8 SA; */, 00 ,/✓o.� fU��f •�iA o ass y 490. Line 9: Total Receipts over $50 (or listed above) s�, 000.00 Enter on page 1, line 2 Line 10: Total Receipts $50 and under* (not listed above) 0, 00 Line 11: TOTAL RECEIPTS IN THE PERIOD a, 000 , 00 11<— * 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 itemize 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.) To Whom Paid Date Paid (alphabetical listing) Address Purnose of F.xnenditure Amnnnr 01L and �y;v�ov � o. Qax /19� �olve�� 151 i✓o,? taeket /714 oassy Line 12: Total Expenditures over $50 (or listed above) 3�o . q9 Line 13: Total Expenditures $50 and under* (not listed above) — 0— Enter —Enter on page 1, line 4 Line 14: TOTAL EXPENDITURES IN THE PERIOD Sao. q 4 * 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 SCHEDULED: LIABILITIES M.G.L. c. 55 requires committees to report ALL liabilities which have been reported previously and are still outstanding, as well as those liabilities incurred during this reporting period. Date Incurred To Whom Due Address Purpose Amount /s12olG 1/i ska�,.��� 21 S 1✓rrrw.� .So !! GQ-►�Pq�fn S �o�tfQ, qS Enter on page 1, line 7 -3, Line 18: TOTAL OUTSTANDING LIABILITIES (ALL) `IayQ, Ng Page 7