HomeMy WebLinkAboutBarnes, Curtis aZ, Form CPF M 102: Campaign Finance Report
' `� Municipal Form
, �.
Office ofC and Polstieal Finance
Connnonwealth
of Massaclassetts File wide City or T° Clgk or Election Camai sioo
Fill in Reporting Period dates: Beginning Date: q ..,I Ending Date: (r/)1 ?- 1
Type of Report (Check one)
❑ 8t day preceding preliminary lia 8th day preceding elm ❑30 day after election 0 year-end report ❑dassohnion
� v/'lIS 1-. . rAP-rdFs /J1
Candidate Fail Name(ifapptieabie) Ccmmittx Name
N Al 1`JT'V6 k,e—r W ; ‘rL C 0 iti iVo<S rat el,
office Sought and Di riot name ofCama rose waifs
it �;.',W(e-r - ; � L Lk. ; 704010C, tit
Residential Addict Committee Medig Addams
E-mail a A /2-flit s A C ,'..._ P G D ag :, A 11 , i -r s-mad:
Phone#(ectiminlk 1`D $ )-?1 i} 1 3 3 Phone Si(optimal):
SUMMARY BALANCE INFORMATION:
Line 1: Ending Balance from previous report -C)-
Line 2: Total receipts this period(page 3,line 11) - U-
Line 3: Subtotal(Tine l plus line 2) - D
Line 4: Total expencfitures this period(page 5,line 14) t J '3/ , 0 ct
Line 5: Ending Balance(line 3 minus line 4) - (7''
Line 6: Total in-kind contaattions this period(page 6) -,d
Line 7: Total(all)outstanding liabilities(page 7) - 0
Line 8• Name of bank(s)used:1 I✓N P ? V C k e-1' r.A !J K
Affidavit atCariltes Treasurer: a rise and oral campaign financeIcathhyIla I lave eaamitedibis mustionAifi alvclad sod it is,tothe best ofmyknowledge ! and
activity,including all eosmlwlioss,loans,sea+Pa+a ,in-kind coalmines and liabilities
a fortis repotting IMF reactants the campaign
finance activity of all pasoos acting ander the antboriy rst
on 1,1f
� acco dance withthe requirements of ILG.[..c.55.
I(( otns5ir ) D' `�)/`Sgedp� i �jeuq= �
FOR CANDIDATE FILINGS ONLY: mow*d Candidate:(dank 1 bast only)
tC 1 brie
with ssanigkeanonod this seQat let +�aaa and it is,to tfie best
of m9 koo+►iodS aid bdie�a tree and Watp�e matt of aA finance
❑activity,ofaa peecwss acting wader the aiwr y or m bemif e#this is a000rdmcc t the regmeaneats dA i.L a 55. I have act aoceived nay ,
incanted any babTitits nor made any amanita=on my behalf dating Iles repotting praod that am Gut otherwise disclosal is this repot
Canuiidata a Ca�dNee a try and ra.ar+ete wat�mc of all a�
pi I eat*thatt i I have
ave esa��ed this impact i .. loathedL loathed scbednles and it is,to the best of my knowledge sad belief,
9L+ finance activity,includingcontautions,loans,receipts,agemituns,disbursements,in-kind coagulations aid liabilities for this reporting period and represents the
Ia�x activityoldtam actingthe athosity arm behalf of thus a II accorce dan with the requi'earats of W.G.I..a 55.
7er
(Candidates ) Date t 17 1 -I
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.)
Name and Residential Address Occupation&Employer
Date Received (alphabetical listing required) Amount (for contributions of$200 or more)
Pa/Li-NI-di Fw ,(
I
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Line 9:Total Receipts over$50(or listed above) 1 [ 3 3
Line 10:Total Receipts$50 and under* (not listed above) I I
Line 11:TOTAL RECEIPTS IN THE PERIOD I/331 1 4- 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 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 nerd only itemize those over$50. Expenditures$50 and wider may be added together,
from committee records,and reported on line 13.
(A"Schedule B:Bzp a"attachment is avallabk to complete,print and:Ueda to this report,if ai primal pages are required to
report all tipeisditares. Please baclude year eat Raise and a page number ea each page.)
To Wham Paid Atl4 Purpose of Expenu'e AmountDate Paid (alphabetical Win) -
S�T>I y) t Nazi: 2�/). 4
:- A 5:" '7ii P- q AOt,clyTis1 ilk? /331,0Lf
I
Line 12:Total Expenditures over$50(or listed above) It/33 i , 0 1 I
Line 13:Total Expenditures$50 and under°(not listed above) I I
Enter on pie 1,line 4- Line 14:TOTAL EXPENDITURES IN THE PERIOD `//3 31 ,0 I
• of$50 and under,include them in line 12_ Line 13 should include only those not itemized
If you have itemized expenditures Pageq
above.
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