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8 Days BeforeForm CPF M 102: Campaign Finance Report Municipal Form Office of ('ampaign and Political Finance Commonwealth of Massachusetts File with: Citv or Town Clerk Fill in Reporting Period dates: Beginning Date: 1/20/2019 Ending Date: 3/16/2019 r01VVN CLEF,,- 3:16 LEF, Type of Report: (Check one) ❑ 8th day preceding preliminary ❑X 8th day preceding election ❑ 30 day after election ❑ year-end report ❑ dissolution Mark Donato Candidate Full Name (if applicable) Land Bank Commissioner -Nantucket Oil -ice Sought and District 106 Orange Street, Nantucket, MA 02554 Residential Address E-mail: m.donato@comcast.net Phone H (optional): (508) 334-2552 Committee to Elect Mark Donato Committee Name Katherine Murphy Name of Committee Treasurer 106 Orange Street, Nantucket, MA 02554 Committee Mailing Address E-mail sconset02S64@gmaii.com Phone g (optional): (508) 257-6211 SUMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous report Line 2: Total receipts this period (page 3, line 11) Line 3: Subtotal (line 1 plus line 2) Line 4: Total expenditures this period (page 5, line 14) Line 5: Ending Balance (line 3 minus line 4) 0.00 I $2,000.00 l $2,000.00 $ 272.00 $1,728.00 Line 6: Total in-kind contributions this period (page 6) 0.00 Line 7: Total (all) outstanding liabilities (page 7) 0.00 Line 8: Name of bank(s) used: Nantucket Bank Affidavit of Committee Treasurer: 1 certify that I have examined this report including activity,'including all contributions, loans, receipts finance activity of all persons acting under th4I under the penalties of perjury: schedules and it is, to the best of my knowledge and belief, a true and complete statement of all campaign finance tuy¢s, disbursements, in-kind contributions and liabilities for this reporting period and represents the campaign nhfbehalf ofAhjrjommiUca_ui,-accordance with the requirements of M.G.L. c. 55. of C#didat,k: (check 1 boa only) (Treasurer's signature) Date: 3/25/2019 Candidate with Committee and no aklivity independent bf4he committee 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, 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 QR Candidate with independent activity fiifing 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, disburseatimts, in-kind contributions and liabilities for this reporting period and represents the campaign finance activity of a]I persons acting under the au ority or If of is committee in accordance with the requirements of M.G.L. c. 55. Date: 3/25/2019 Signed under the penalties of perjury: f1t (Candidates signature) 3.1b 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 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.) Date Received Name and Residential Address (alphabetical listing required) Amount Occupation & Employer (for contributions of $200 or more) 3/16/2019 Mark Donato 106 Orange Street, Nantucket, MA 02554 $2,000.00 Retired. Employer N/A. Line 9: Total Receipts over $50 (or listed above) $2,000.00 F Enter on page 1, line 2 Line 10: Total Receipts $50 and under* (not listed above) 0.00 Line 11: TOTAL RECEIPTS IN THE PERIOD $2,000.00 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 in im. V of Massachusetts Form CPF M101: STATEMENT OF ORGANIZATION CANDIDATE'S COMNIITTEE MUNICIPAL FORM Office of Campaign and Political Finance File with: City / Town CJerk or Election Commission NOTICE IS HEREBY GIVEN in accordance with the provisions of General Laws, Chapter 55, as amended, of the organization of a candidate's committee as follows: TE: Full Name: Mark Donato Residential Address: 106 Orange Street City / State / Zip: Nantucket E -Mail Address: m.donato@comcast.net Party Affiliation: SOUGHT/PURPOSE: Title: District: LandBank Commissioner Nantucket MA 02554-4018 Phone#: (508) 334-2552 f (If applicable)) CON UMTTEE: Name ofCommittec: Committee to Elect Mark Donato ea (The name of the committee must include the candidate's last name) _T Committee Mailing Address: 106 Otrange Street City / State / 7ip: Nantucket MA 02554 Phone # ( 508) 334-2552 OFF[CRRS: Chairman: Mark Donato Treasurer4: Katherine Murphy Residential Address: 106 Orange Street Residential Address: 9 Comeau Lane City / Statc / Zip: Nantucket MA 02554 City / State / Zip: Siasconset MA 02564 Phone#: (508) 334-2552 Phone#: (508) 257-6211 Email: sconset02564@gmail.com *A public employee may not serve as treasurer of any political committee erre . Other Officer/Title: Other Officer/Title: Residential Address: Residential Address: City / State / Zip: City / State / Zip: Phone 11: Phone* (Complete and attach a Form CPF M A 101, if necessary, with other officers and finance committee, if any,) 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 ail campaign finance activity for a period of six years from the date of the relevant election. SIGNhD UNDER THE PENALTIES OF PERJURY: Date: 3/17/2019 Candidate's signature I hereby accept the office of Treasurer of the above-named committee. I affirm that I am not a public employee as defined by M.G.L. c. 55, s. 13. 1 understand that: 1) 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 year from the date ofthe relevant election; 2) if after my acceptance ofthis office I become an appointed public employee, I must resign this position and notifyy PF of my resignation; and 3) a candidate may not serve as treasurer of the political committee organized on his/her behalf. f SIGNED UNDER THE PENALTIES OF PERJURY: I hereby accept the office of Chairman of the above-named SIGNED UNDER THE PENALTIES OF PERJURY: Date: 3/17/2019 signature Date. 3/17/2019 SCHEDULE B: EXPENDITURES M.G.L. e. 55 requires committees to list, in alphabetical order, all expenditures over $50 in a reportingperiod 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 A.G.E. Graphics, LLC 52231 State Route 248 Political Advertising Signs 2/19/2019 Long Bottom, Ohio 45743 $235.00 UberButtons 800 N. Apollo Road Political Advertising Buttons 2/19/2019 Melbourne, FL. $ 37.00 Line 12: Total Expenditures over $50 (or listed above) $272.00 Line 13: Total Expenditures $50 and under* (not listed above) Enter on page 1, line 4 Line 14: TOTAL EXPENDITURES IN THE PERIOD $272.00 * 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 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 6 on page 1. Date Received From Whom Received* Residential Address Description of Contribution Value Enter on page 1, line 6 -4 Line 15: In -Kind Contributions over $50 (or listed above) 0.00 Line 16: In -Kind Contributions $50 & under (not listed above) 0.00 Line 17: TOTAL IN-KIND CONTRIBUTIONS 0 .070 • 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 . 0 SCHEDULED: LIABILITIES M.G.L. c. SS 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) 00 Page 7