HomeMy WebLinkAbout8 Days BeforeForm CPF M 102: Campaign Finance Report
Municipal Form
Office of Campaign and Political Finance
Commonwealth
of Massachusetts File with: Ci or Town Clerk
Fill in Reporting Period dates: Beginning Date: Mar 30, 2017 Ending Date: Apr 3
, 2017
Type of Report: (Check one)
E] 8th day preceding preliminary X� 8th day preceding election
Nathaniel E. Lowell
Candidate Full Name (if applicable)
Planning Board, Nantucket
Office sought and District
4 Blueberry Lane, Nantucket, MA 02554
Residential Address
E-mail: natlowell@comcast.net
Phone # (optional):
A
di Lr
E] 30 day after election ❑ year-end report� � ;
Committee to Elect Nat Lowell
Committee Name
Penny Dey
Name of Committee Treasurer
17 Warren Street, Nantucket, MA 02554
Committee Mailing Address
E-mail: penny@nantucketrealestate.com
Phone # (optional): (508) 221-0801
SUMMARY BALANCE INFORMATION:
Affidavit of Committee Treasurer: and kno
aign finance
I certify that I have examinedcontributions, is rport inreu sattacheexpend schedules
d disbursements, and
it is,
t in-kind the
bed cof my contributions l abilities for thisreporting pper' and relete statement presents hef all pcampaign
activity, including a
finance activity of all persons acting under th h ity or on behalf of this cc�im;ttee in accordance with he requirements of M.G.L. c. Die. April 3, 2017
YI A 0 J - IAS. (Treasurers signature)
Signed under the penalties of perjury:
Affidavit of Candidate: (check 1
I V _
Candidate with Committee and no activity independent of the committee
I certify that I have examined thder the authority or oing n behalf of his comhed schedules andmittee intacebest of my cordance with he requige rements of M.G L nc 5m1 hav nu received anYm� �h1O��
activity, of all persons acting un
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 he best of my knowledge and belief, a true and complete statement of all paig
finance activity, including of all contributions,
acting under receipts, expenditures,
e , disbursen behalf of this committee nd r accordance liabilities
requirementsrepof M.G.L.rting period � rep
campaign finance activity Pe Date:
(Candidate's signature)
under the penalties of perjury:
01
Line 1:
Ending Balance from previous report I
Line 2:
Total receipts this period (page 3, line 11)
1,200
1,200
Line 3:
Subtotal (line 1 plus line 2)
Line 4:
Total expenditures this period (page 5, line 14)
958.99
241.01
Line 5:
Ending Balance (line 3 minus line 4)
Line 6:
Total in-kind contributions this period (page 6)
Line 7:
Total (all) outstanding liabilities (page 7)
0
Line 8:
Name of bank(s) used: Nantucket Bank
Affidavit of Committee Treasurer: and kno
aign finance
I certify that I have examinedcontributions, is rport inreu sattacheexpend schedules
d disbursements, and
it is,
t in-kind the
bed cof my contributions l abilities for thisreporting pper' and relete statement presents hef all pcampaign
activity, including a
finance activity of all persons acting under th h ity or on behalf of this cc�im;ttee in accordance with he requirements of M.G.L. c. Die. April 3, 2017
YI A 0 J - IAS. (Treasurers signature)
Signed under the penalties of perjury:
Affidavit of Candidate: (check 1
I V _
Candidate with Committee and no activity independent of the committee
I certify that I have examined thder the authority or oing n behalf of his comhed schedules andmittee intacebest of my cordance with he requige rements of M.G L nc 5m1 hav nu received anYm� �h1O��
activity, of all persons acting un
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 he best of my knowledge and belief, a true and complete statement of all paig
finance activity, including of all contributions,
acting under receipts, expenditures,
e , disbursen behalf of this committee nd r accordance liabilities
requirementsrepof M.G.L.rting period � rep
campaign finance activity Pe Date:
(Candidate's signature)
under the penalties of perjury:
SCHEDULE A: RECEIPTS
M.G.L. c. 55 requires that the name and residential address be reported, in alphabetical order, for all receipts over S50 in a calendar
year. Committees must keep detailed accounts and records of all receipts, but need only itemize those receipts over S50. 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
for contributions of S200 or more)
Date Received (alphabetical listing required) Amount
Steven Cohen 150
Mar 30, 2017 2 Greglen Avenue, Unit 403
Nantucket, MA 02554
John 3. Daly 500 Plumber/Self Employed
March 30, 2017 P.O. Box 2076
Nantucket, MA 02554
Penelope Dey 200 Real Estate/Self Employed
March 31, 2017 17 Warren Street
Nantucket, MA 02554
James D. Feeley 150
April 3, 2017 37 Old South Road, Unit 6
Nantucket, MA 02554
Patrick Ridge 200 Restaurant Owner/Island Kitchen
April 3, 2017 1 Chin's Way
Nantucket, MA 02554
Line 9: Total Receipts over $50 (or listed above) 1,200
Line 10: Total Receipts $50 and under* (not listed above)
Line 11: TOTAL RECEIPTS IN THE PERIOD 1,200 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 abov Page 2
SCHEDULE B: EXPENDITURES
rting period committees must keep
M.G.L. c.o nt requires committees p list, itures, but needlorder, all only itemize thoselovers$50.r Expenditures $50 and under may be added together.
detailed accounts and records of all expenditures,
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
19 Old South Road Radio Advertising 588.05
Mar 29, 2017 Nantucket Radio Nantucket, MA 02554
One Milestone Road print Advertising 370.94
March 31, 2017 The Inquirer & Mirror Nantucket, MA 02554
Line 12: Total Expenditures over $50 (or listed above)
958.99
Line 13: Total Expenditures $50 and under* (not listed above)
0
Enter on page 1, line 4 Line 14: TOTAL EXPENDITURES IN THE PERIOD
958.99
* 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.