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HomeMy WebLinkAboutHoldgate, Dawn Hill - 2021Form CPF M 102: Campaign Finance Report . . , C Municipal Form l' ? Office of Campaign and Political Finance 2021 'ui` ` P : 4 Commonwealth of Massachusetts File with: Cin or Town Clerk or Election Commission Fill in Reporting Period dates: Beginning Date: 01/01/2021 Ending Date: 06/03/2021 Type of Report: (Check one) 8th day preceding preliminary EI8th day preceding election 30 day after election year-end report dissolution Dawn E. Hill Holdgate The Committee to Elect Dawn Hill Holdgate Candidate Full Name(if applicable) Committee Name Selectman, Nantucket Carl Jelleme Office Sought and District Name of Committee Treasurer 4 Vesper Lane,Nantucket MA 0254 19 Arrowhead Drive, Nantucket MA 02554 Residential Address Committee Mailing Address E-mail: dawn@great pointproperties.com E-mail: info@toscanacorp.com Phone#(optional): 508) 364-7342 Phone#(optional): 508) 228-1418 SUMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous report 1,286.08 Line 2: Total receipts this period(page 3,line 11) 7501 Line 3: Subtotal(line 1 plus line 2) 2,036.081 Line 4: Total expenditures this period(page 5, line 14) 1,014.9 Line 5: Ending Balance(line 3 minus line 4) 1,021.18 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: Cape Cod Five Affidavit ofCommittee 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 ofall campaign financeactivity,including all contributions,loans,receipts,expenditures,disbursements,in-kind contributions and liabilities for this reporting period and represents the campaignfinanceactivityofallpersonsactingundertheauthorityoronbehalfofiscommitteeinaccordancewiththerequirementsofM.G.L.c.55. Signed ruder the penalties of perjury:Lam^ Treasurers signature) Date: FOR CANDIDATE FILINGS ONLY: Affidavit of Candidate:(check 1 box only) C udidate with CommitteecertifythatIhaveexamined this report including attached schedules and it is,to the best of my knowledge and belief,a true and complete statement of all campaign financeactivity,of all persons acting under the authority or on behalf ofthis 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 behalfduring this reporting period that are not otherwise disclosed in this report. Candidate without Committee1certifythatIhaveexaminedthis report including attached schedules and it is,to the best of my knowledge and belief,a true and complete statement ofall campaignfinanceactivity,including contributions,loans,receipts,expenditures,disbursements,in-kind contributions and liabilities for this reporting period and represents the campaign finance activity of all pe g under the authority or on behalf of this candidate in accordance with the requirements of M.G.L.c.55. Date: (../i/L 1 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 ofall 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$200 or more) James M Godec Real Estate Investor 5/5/2021 33 Greenwich Ave Apt 14E 250 Overland Capital New York, NY 10014-2722 Michael A Glowacki Real Estate Broker May 20, 2021 PO Box 928 500 Bass Point Realty Nantucket, MA 02554 Line 9: Total Receipts over$50(or listed above) 750 Line 10: Total Receipts $50 and under* (not listed above) Line l l: TOTAL RECEIPTS IN THE PERIOD 750 E— 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. Page 2 SCHEDULE A: RECEIPTS (continued) Name and Residential Address Occupation& Employer Date Received alphabetical listing required) Amount for contributions of$200 or more) Line 9: Total Receipts over$50(or listed above) Line 10: Total Receipts $50 and under* (not listed above) Line 11: TOTAL RECEIPTS IN THE PERIOD 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. Page 3 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. 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 Apr 27, 2021 Poets Corner Press 16 Amelia Drive 5" bumper stickers 740.84 Nantucket MA 02554 Apr 30, 2021 Poets Corner Press 16 Amelia Drive 12 x18 Campaign signs 274.06 Nantucket MA 02554 Line 12: Total Expenditures over$50(or listed above) 1,014.9 Line 13: Total Expenditures$50 and under* (not listed above) Enter on page 1,line 4 -* Line 14: TOTAL EXPENDITURES IN THE PERIOD 1,014.9 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 SCHEDULE B: EXPENDITURES (continued) To Whom Paid Date Paid alphabetical listing) Address Purpose of Expenditure Amount 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 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 C: "IN-KIND" CONTRIBUTIONS Please itemize contributors who have made in-kind contributions of more than$50. In-kind contributions $50 and under may be added together from the committee's records and included in line 16 on page 1. Date Received From Whom Received* Residential Address Description of Contribution Value Line 15: In-Kind Contributions over$50 (or listed above) Line 16: In-Kind Contributions $50&under(not listed above) Enter on page 1,line 6 —> Line 17: TOTAL IN-KIND CONTRIBUTIONS 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. Page 6 SCHEDULE D: 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 Enter on page 1,line 7 - Line 18: TOTAL OUTSTANDING LIABILITIES(ALL) Page 7 Form CPF M 102: Campaign Finance Report i ' .al Municipal Form c; ;. Office of Campaign and Political Finance 0 1 13 PM 1327 CommonwealthofMassachusettsFile with: Cit.or Town Clerk or Election Commission Fill in Reporting Period dates: Beginning Date: 06/03/2021 Ending Date: 7/8/2021 Type of Report: (Check one) 8th day preceding preliminary 8th day preceding election X 30 day after election year-end report dissolution The Committee to Elect Dawn Hill Holdgate Dawn E. Hill Holdgate Committee Name Candidate Full Name(if applicable) Selectman, Nantucket Carl Jelleme Office Sought and District Name of Committee Treasurer 4 Vesper Lane, Nantucket MA 02554 19 Arrowhead Drive, Nantucket MA 02554 Committee Mailing Address Residential Address E-mail: dawn@greatpointproperties.com E-mail: info@toscanacorp.com Phone#(optional):508) 364-7342 Phone#(optional): 508) 228-1418 SUMMARY BALANCE INFORMATION: 1,021.18 Line 1: Ending Balance from previous report o Line 2: Total receipts this period(page 3,line 11) Line 3: Subtotal(line 1 plus line 2) I 1,021.18 500 Line 4: Total expenditures this period(page 5,line 14) 521.181 Line 5: Ending Balance(line 3 minus line 4) l 1 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:ICape Cod Five Affidavit of Committee Treasurer:lete statement ofall campaign finance I certify that I have examined din all contributions, his loans,receipts, xpenditures,disbursements,in-kind contributionsrtincludingattachedschedulesanditis,to the best of myland liabilities for this reporting pperiod and represents the campaign finaactince includingfinanceactivityof all persons acting under the authority or on behalf oft is committee in accordance with the requirements of M.G.L.c.55.Date. Jul 8, 2021 Treasurer's signature) Signed under the penalties of perjury: L FOR CANDIDATLFILINGS ONLY: Affidavit of Candidate:(check 1 box only) Candidate with Committee I certifyvy that ofall have acting under the authority or attached behalf of this to in accordancewith knowledge is of M.G.L. and c.55. complete esnotmreceived any contributions, of all n finance L c yll persons actingincurredanyliabilitiesnormade any expenditures on my behalf during this reporting period that are not otherwise disclosed in this report. Candidate without Committee of my riod represents I n nee that I have lu ing co Crib ti report including, eiptshedexpendatues,disbursements,in-kindulesanditis,to the contributions and liabilities for this reporting penod andatrueandcompletestatementfcampaignte financenfiactivity, n including contributionspersons s, campaign finance activity of all perso er the authority or on behalf ofthis candidate in accordance with the requirements of M.G.L.c.55. Date: 10 ( L" Candidates signature) Signed under the penalties of perjury: cn 0 0 O 0 q Ln o Ff3 17- ti IN O ui 0 0 wH . Ica a C7 U, 9 a o Erx0 a W 0A J NMILn 4 a 0a ' Y .s v i E Ln _ o N E Eg OaNrt Whay - • 1-1) ?i3OwH + ox 1.z. XO• Q0Opo r QI0 ru v u°;za 0 . V V