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HomeMy WebLinkAbout5/13/2021-6/7/2021 Form CPF M 102: Campaign Finance Report � s Municipal Form , Office of Campaign and Political Finance Commonwealth • of Massachusetts File with: City or Town Clerk or Election Commission Fill in Reporting Period dates: Beginning Date: May 13, 2021 Ending Date: Jun 7,2021 1Type of Report: (Check one) 8th day preceding preliminary 0 8th day preceding election © 30 day after election ❑year-end report ❑ dissolution HOWARD DICKLER HOWARD DICKLER FOR LAND BANK Candidate Full Name(if applicable) Committee Name Commissioner, Nantucket Land Bank ANA I MARTINEZ Office Sought and District Name of Committee Treasurer 13 Lyons Lane, Nantucket MA 02554 P0B 2978 NANTUCKET MA 02584 Residential Address Committee Mailing Address E-mail: hdickler@yahoo.com E-mail: anaimartinez154@gmaii.com Phone#(optional): 301-807-4522 Phone#(optional): 301-650-4236 SUMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous report 0 Line 2: Total receipts this period(page 3,line 11) 2,100 Line 3: Subtotal(line 1 plus line 2) 2,100 Line 4: Total expenditures this period(page 5,line 14) 2,100 Line 5: Ending Balance(line 3 minus line 4) o Line 6: Total in-kind contributions this period(page 6) 0I Line 7: Total(all)outstanding liabilities(page 7) 0 Line 8: Name of bank(s) used: BANK OF AMERICA Affidavit of Committee 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 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: Ct d,'f#./t 1 FOR CANDIDATE FILINGS ONLY: Affidavit of Candidate:(check l box only) Candidate with Committee 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,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 that are not otherwise disclosed in this report Candidate without Committee aI certify that I have examined this report including ttached sch es and it is,to t f my knowledge and belief,..a trite and complete statement of all campaign finance activity,including contributions,loans rec 'pis,expendi s,disburser ts,' - contributions and liabilities for this reporting period and represents the campaign finance activity of all persons actin the a ' n behalf o is yandi to in accordance with the requirements of M.G.L.c.55. V L 1 ` Date: b 2 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 of all receipts,but need only itemize those receipts over$50. In addition, the occupation and employer must he 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) May 20, 2021 HOWARD DICKLER(CANDIDATE) 2,1001 RETIRED 13 LYONS LANE NANTUCKET MA 02554 ' ff� • lI a II Line 9:Total Receipts over$50(or listed above) 2,100 Line 10: Total Receipts$50 and under*(not listed above) 0 Line 11:TOTAL RECEIPTS 1N THE PERIOD 2,100 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 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 May 25,2021 TRUE ISLAND DIGITAL P0B 2185 NANTUCKET MA 7 BANNER ADS IN DAYBREAK 02584 @300/AD 2,100 I 1 1 • I I i { 1 I Line 12: Total Expenditures over$50(or listed above) 2,100 Line 13:Total Expenditures$50 and under*(not listed above) 01 Enter on page 1,Iine 4- Line 14: TOTAL EXPENDITURES IN THE PERIOD 2,100 *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 16 on page 1. Date Received From Whom Received* Residential Address Description of Contribution Value 1 i '! !I i I • i; 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 contributors occupation and employer. Page 6 SCHEDULE D: LIABILITIES MG.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 { ' r I 1 I11 Enter on page 1,line 7--4 (Line 18:TOTAL OUTSTANDING LIABILITIES(ALL) 0 Page 7