Loading...
HomeMy WebLinkAbout2019 Fee, MatthewForm CPF M 102: Campaign Finance Report Municipal Form Office of Campaign and Political Finance Commonwealth of Massachuc tts File with City or Town Clerk or Election Commission Fill in Reporting Period dates: Beginning Date: 3 j 1 i1 2,0 15 Ending Date: y 1 z 5 ! 2 l i Type of Report: (Check one) 8th day preceding preliminary 8th day preceding election d0 day after election year-end report dissolution Candidate Full Name (if applicable) Office Sought and District 52 c1,K 2c -t4 Residential Address 1 E-mail: S 1 I uLc-A0 Phone # (optional): n/0, Committee Name Name of Committee Treasurer Committee Mailing Address E-mail: Phone # (optional): SUMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous report 0 Line 2: Total receipts this period (page 3, line 11) i 2)'3 - Line 3: Subtotal (line 1 plus line 2) 12- 13. 01 Line 4: Total expenditures this period (page 5, line 14) 1 Z 1,5-61 Line 5: Ending Balance (line 3 minus line 4) 0 Line 6: Total in-kind contributions this period (page 6) 0 Line 7: Total (all) outstanding liabilities (page 7) 0 Line 8: Name of bank(s) used: I 00VI Affidavit of Committee Treasurer: 1 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, 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: (Treasurer's signature) Date: 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 ofmy knowledge and belief, a true and complete statement of all campaign finance activity, ofall persons acting under the authority or on behalf of this committee in accordance with the requirements ofM.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 certify that 1 have examined this report including attached schedules and it is, to the best ofmy knowledge and belief, a true and complete statement of all campaign LJ finance activity, including contributions, loans, receipts, expenditures, disbursements, in-kind contributions and liabilities for this reporting period and represents the campaign finance activity ofall persons acting under the authority or on behalf of this committee in accordance with the requirements of M.G.L. c. 55. Date: t1 Signed under the penalties of perjury: &C4 (Candidate's signature) SCHEDULE B: EXPENDITURES (continued) To Whom Paid Date Paid (alphabetical listing) Address Purpose of Expenditure Amount cS1-ke Line 12: Expenditures over $50 (or listed above) Line 13: Expenditures $50 and under* (not listed above) Enter on page 1, line 4 Line 14: TOTAL EXPENDITURES IN THE PERIOD 1-40.01 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 5 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 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) y /wl 19 Mayhew < s 1 1 2 l o j F1,x-V, + eet,1 Line 9: Total Receipts over $50 (or listed above) E- Enter on page 1, line 2 Line 10: Total Receipts $50 and under* (not listed above) Line 11: TOTAL RECEIPTS IN THE PERIOD 2 . O` Ifyou have itemized receipts of $50 and under, include them in line 9. Line 10 should include only those receipts not itemized above. Page 2