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Williams Clifford_14012214095011SCHEDULE C: "IN- KIND" CONTRIBUTIONS Please itemize contributors who have made in -kind contributions ofmore than $50. In -kind contributions $50 and under may be added together from the committee's records and included in line 16. Date Received From Whom Received* Residential Address Description of Contribution Value tJ / 3/ W A` I2A, -e n I c J Z 0 i 2- Ending L4 3 Za I'L 3114" o I Enter on page 1, line 6 Line 15: In -kind over $50 Line 16: In -kind $50 and under Enter on page 1, line 7 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.G.L. 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 s12-0 3/z 7 I fwt 0 LI I c J Z 0 i 2- Ending L4 3 Za I'L 3114" o I Enter on page 1, line 7 Line 18: OUTSTANDING LIABILITIES (ALL) 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. Page 4 Form CPF M 102: Campaign Finance Report Municipal Form Office of Campaign and Political Finance Commonwealth ofMassachusetts File with: City or Town Clerk or Election Commission Please print or type all information, except signatures. Fill in dates: Month Date Year Month Date Year Reporting Period Beginning 3 S Z 0 i 2- Ending L4 3 Za I'L rya Type of report: (Check one) Ein tv 1 8th day preceding preliminary 8th day preceding election 30 day after election Dye end ort dissolution Full Name of Pndidate (if applicable) Office Sought and District Residential Address SOF 360 5I6s Tel. No. (optional) L j A Committee Nam Name of Committee Wasuir" Rt m:s Lowe Committee Mailing DdrerF Tel. No. (optional) SUMMARY BALANCE INFORMATION: Line 1: Ending balance from previous report $ Ella 3 Line 2: Total receipts this period (page 2, line 11) $ 3 Line 3: Subtotal (line 1 plus line 2) $ 3 ct 8 . I Line 4: Total expenditures this period (page 3, line 14) $ Lee 3 j Line 5: Ending balance (line 3 minus line 4) $ -7 e, Line 6: Total in -kind contributions this period (page 4) $ Line 7: Total (all) outstanding liabilities (page 4) $ 3 c qq ,',6 k Line 8: Name of bank(s) used 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, to s, receipts, expenditures, disbursements, in -kind contributions and liabilities for this reporting period and represents the can finance ivity of all rs s acting under the authority or on behalf of this committee in accordance with the requirements of M.G.L. c. 55. / //' Si ^d der the penalties of perjury: Treasurer's signature (in FOR CANDIDATE FILINGS ONLY: (CANDIDATE MUST SIGN BELOW) 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 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. 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 under the authority or on behalf of this committee in accordance with the requirements of M.G.L. c. 55. ) tgne der the penalties of perjury: S 2012- Candidates ure (i / Date 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 ofall receipts, but need only itemize those receipts over $50. In addition, the occupation and employer must be reportedfor allpersons who contribute $200 or more in a calendar year. This page may be copied if additional pages are required to report all receipts. Please include your committee name and a page number on each pane. Date Received Name and Residential Address alphabetical listing required) Amount Occupation & Employer for contributions of $200 or more) 1/-3/1Z t \` to , _ U he v tS l` 1 - G, &X l I t8 GGn e. -'P r'r) 255 y 1 p6 312 7/1 Z 1 f'' j ` i 60 0 3 Z S A P. f Ws r C4 _t s AI„ ((I 2)1 'ell a c c Ce Adu- -r it s' 3/22// Z Fa Oct 312 i 7y Line 9: Total receipts in excess of $50 (or listed above) Enter on page 1, line 2 Line 10: Total receipts $50 and under* (not listed above) FLine 11: TOTAL RECEIPTS IN THE PERIOD 6 u8 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 ofall 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 na2e. Date Paid To Whom Paid alphabetical listing) Address Purpose of Expenditure Amount 3 20 l 1 - G, &X l I t8 GGn e. -'P r'r) 255 y s p6 312 7/1 Z 1 f'' j ` i 60 0 3 Z S A P. f Ws r C4 _t s AI„ ((I 2)1 'ell a c c Ce Adu- -r it s' 3/22// Z Fa Oct 312 i 7y Enter on page 1, line 4 Line 12: Expenditures over $50 6,€1 9 13 1 Line 13: Expenditures $50 and under* Line 14: TOTAL EXPENDITURES 1 Q 3 1 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 Form CPF M101: STATEMENT OF ORGANIZATION CANDIDATE'S COMMITTEE MUNICIPAL FORM Office of Campaign and Political Finance comm wea tb ofmassacbusetts File with: City or Town Clerk or Election Commission d2 Please print or type all information, except signatures r' NOTICE IS HEREBY GIVEN in accordance with the provisions of General Laws, Chapter 55, as amended, of the orgaxdzatiegof am candidate's committee as follows: n C,:) to1. Committee Name: r • ^ W , `, a S 00^00,--YA A Cc.'uA-f _ 14 The name ofthe committee must include the candidate's last name) p 3 Q 2. Committee Address 2a. Mailing Address: 3. Purpose: 4. Officers: Chairman: Treasurer: Other officer: Other officer: 5. Candidate 6. Office Sought: to r s Name Residential Address Zip Tel. No. Attach additional page; if1tnva?eessasy, wi li f. Lh other ocets and : ante cone itt; -e, if any AlinU`i'^ f rv Name Adilress Zip TeL No. t.L r`n e.+ Qw 4UK 1 (Ci (,u v `i v't' +- -- - - -- - -- -- Title District Party aUiation, ifapplicable I hereby consent to the filing of this committee. I understand that a candidate shall not give consent to the organization of more than one committee on his/her behalf. I am aware that candidates are required to keep detailed accounts and records of all campaign finance activity for a period of six years from the date of the relevant election. SIGNED UND_R THE PENALTIES OF P R1URY: Ll Can ' te's si e Date I hereby accept the office of treasurer ofthe above -named committee. I understand that I am subject to certain duties and liabilities under M.G.L. c. 55, including the timely filing of campaign finance reports and keeping detailed accounts and records of all campaign finance activity for a period of six years from the date of the relevant election. Treasurer's signature I hereby accept the office of Chairman of the above -named committee. SIGNED UNDER THE PENALTIES OF PERJURY: Chairman's signature Date