HomeMy WebLinkAbout2017 30 fOLLOWING Rita HigginsForm CPF M 102: Campaign Finance Report
Commonwealth
of Massachusetts
Fill in Reporting Period dates:
Type of Report: (Check one)
❑ 8th day preceding preliminary
Municipal Form
Office of Campaign and Political Finance
File with: City or Town Clerk or Election Commissi
Beginning Date: 4/04/2017 Ending Date: 5/11/2017
07
❑ 8th day preceding election ❑X 30 day after election ❑year-end report ❑ d9solut et C}
Rita Higgins
Ending Balance from previous report
Candidate Full Name (if applicable)
Board of Selectmen / Nantucket
39 1/2 Millbrook Rd.
Office Sought and District
Nantucket, MA 02554
E, -mail:
Residential Address
higgins.reg@gmail.com
Phone # (optional):
(774) 236-0122
r �
Committee to Elect Rita Higgins `A
Committee Name J,
Amy Zielinski
Name of Committee Treasurer
39 1/2 Millbrook Rd. Nantucket, MA 02554
Committee Mailing Address
E-maili amy.zielinski@gmaiI.com
Phone #(optional): (860) 978-5084
SUMMARY BALANCE INFORMATION:
Line 1:
Ending Balance from previous report
1,820.02
Line 2:
Total receipts this period (page 3, line 11)
859
Line 3:
Subtotal (line 1 plus line 2)
2,679.02
Line 4:
Total expenditures this period (page5, line 14 )
2,704.15
Line 5:
Ending Balance (line 3 minus line 4)
25.13
Line 6: Total in-kind contributions this period (page 6) I 1
Line 7: Total (all) outstanding liabilities (page 7)
322
Line 8: Name of bank(s) used: Nantucket Bank
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, receipt ex nditures, disbursements, in-kind contributions and liabilities for this reporting period and represents the campaign
finance activity of all persons acting under the to mbehalf of this committee in accordance with the requirements of M.G.L. c. 55. Date�.0
(Treasure>'s signature)
Signed under the penalties of perjury:
FOR CANDIDATE FILINGS ONLY: Affidavit of Candidate: (check I box only)
Candidate with Committee and no activity independent of the committee
}� 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
VS� 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
'finance activity, inclucertify 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
❑ ans r e es, disbursements, in-kind contributions and liabilities for this reporting period and represents the
idving icontributions, loty of all persons in e au or behalf of this committee in accordance with the requirements of M.G.L. c
campaign finance act
Date.
perjury* . (Candidate's signature)
Signed under the penalties of
SCHEDULE A: RECEIPTS
M.G. 1,. 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 X200 or more)
Gabrielle Gould
Apr 12, 2017 8 Margaret Way 100
Nantucket, MA 02554
Rita Higgins 222
Apr 12, 2017 39 1/2 Millbrook Rd
Nantucket, MA 02554 (CANDIDATE LOAN)
Amy Zielinski
Apr 12, 2017 5 Madison CT 187
Nantucket, MA 02554 (LOAN)
Line 9: Total Receipts over $50 (or listed above)F 509
Line 10: Total Receipts $50 and under* (not listed above) F==350
Line 11: TOTAL RECEIPTS IN THE PERIOD [—=859 F 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 age 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 Purpose of Expenditure Amount
`Z (Lvdd �-►`l Graphic Design 75
Apr 8, 2017 Nikki Aguiar SS
V�0.v1�v ULPt ,,VIA 0 Z
E
2 Millbrook Rd Repay Loan 1,765.13
4/21/2017 Rita Higgins ucket, MA 02554
O::; I
ne Old South Road Advertising 278.2
Apr 4, 2017 Inquirer & Mirror Nantucket, MA 02554
149 Orange St Election Night Food 84.12
Apr 11, 2017 Shangri-La Nantucket, MA 02554
5 Madison Ct Repay Loan 187
Apr 21, 2017 Amy Zielinski Nantucket, MA 02554
Line 12: Total Expenditures over $50 (or listed above) 2,389.45
F7-__
Line 13: Total Expenditures $50 and under* (not listed above) 314.7
Enter on page 1, line 4 Line 14: TOTAL EXPENDITURES IN THE PERIOD
F: 2,704.15
* If you have itemized expenditures of $50 and under, include them in line 12. Line 13 should include only those expenditures not itemizedPage 4
above.
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
May 11, 2017
To Whom Due
3
ERitaHiggins NE:
Address Purpose
9 1/2 Millbrook Rd Campaign expenses 3
antucket, MA 02554
Enter on page 1, line 7 -+ Line 18: TOTAL OUTSTANDING LIABILITIES (ALL)
Amount
rage i