HomeMy WebLinkAboutStatement of OrginaizationI b t L
CPF ID
` (For Office Use Only,
Form CPS 91: STATEMENT OF ORGANIZATION
PA TAAft* 46®MMITTEE
Commonwealth Office of Campaign and Political Finance
of Massachusetts
File with: Director (617) 979-8300 i (800) 462-OCPF
Office of Campaign and Political Finance ocpf(ay'cpf.state.ma.us
One Ashburton Place, Room 411, Boston, MA 02108 www-mass-goviocpf
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:
CANDIDATE: First Name: HOWARD Middle Initial: B Last Name: DICKLER
Residential Address: 13 LYONS LANE
City i State / Zip: NANTUCKET MA 02554
0
Email Address: hdickier@yahoo.com ^'
Party Affiliation: (if applicable) Phone #: 301-807-4522 C
OFFICE SOUGHT/PURPOSE: —�
Title: Commissioner, Nantucket Land Bank —p
District: Nantucket r
r_
cJt
COMMITTEE: Name of Committee:
HOWARD DICKLER FOR LAND BANK
(The name of the committee must include the candidate's last name)
Committee Mailing Address: POB 2978
City / State / Zip:
NANTUCKET MA 02584 Phone #: 301-807-4522
OFFICERS:
Chair:
HOWARD DICKLER
Treasurer*: ANA I MARTINEZ
Residential Address:
13 LYONS LAND
Residential Address: 13 LYONS LANE
City / State I Zip:
NANTUCKET MA 02554
City r state I Zip: NANTUCKET MA 02554
Email:
hdickler@yahoo.com
Email: anaimartinez1540gmail.com
Phone #:
301-807-4522
Phone rl: 301-580-4236
of any political committee (see reverse).
* A public employee may not serve as treasurer
I hereby consent to the filing of this committee. I understand that a candidate shall not give copse to th ganization of more than one committee on his/her
behalf. I am aware that candidates are required to keep detailed accounts and r rds o I c gn'fin act activity-kor a period of six years from the date of
the relevant election.
SIGNED UNDER THE PENALTIES OF PERJURY ``- ' `` _ S 3 Z
�e �� �� Date:
Candidate 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. I 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 years from the date of the relevant election; 2) if after my acceptance of this office I become an
appointed public employee, I must resign this position and notify OCPF of my resignation; and 3) a candidate may not serve as treasurer of the political
committee organized on his/her behalf.
SIGNED UNDER THE PENALTIES OF PERJURY: /a� - , Date
Trq�surers sig ure
x s
I hereby accept the office of Chair of the above -named ce
SIGNED UNDER THE PENALTIES OF PERJURY:
Chair's signature
DEFLN11I0N OF A PUBLIC EMPLOYEE
M.G.L. Chapter 55, Section 13 states that a person who is employed for compensation by the Commonwealth or any county, city or town
(other than an elected official) may not directly or indirectly solicit or receive political contributions. Such persons may not serve as treasurers
of any political committee• If you are unsure of Please
our status, lease contact OCPF for ftuther y guidance.
$ELECTRD FXT A�`T FROM M.G.L S�
Section l defines a candidate's committee:
"Candidate's committee", the political committee organized on behalf of a candidate .... The term candidate's committee" shall also appl v to
the campaign fund of a candidate who has not organized apolitical committee for the purpose of carrying our the election campaign of such
candidate or who receives contributions or makes expenditures independently of said committee.
Section 2 requires candidates to keep certain records:
Every candidate shall keep detailed accounts of all contributions received by him, or by a person acting on his behalf and of all expenditures
made by him, or by a person acting on his behalf. Said accounts may be kept by an agent duly authorized thereto, but the candidate shall be
responsible for said accounts, which shall
candidate.... The candidate shallpreserve alal kept separate and distinct from all other accounts and shall include contributions made by the
l receipted bills and accounts relative to all contributions received,
other campaignfinance activity.... The candidate shall preserve said receipted bills and accourus for six years fromthe date ofnditures �r e andant
election....
SACdQ&LJ requires the director to:
"assess a civil penalty for any /late filed] report... of twenty-five dollars ($25) per
file by a candidate or a candidate `s committee, the civil penalty shall be assessed against t the candidate
report]. In the case of failure u,
SAC&M-S outlines statements of organization ofpolitical committees:
Each political committee shall organize by filing with the director or, if organized for the purpose of a city or town election only, with the cin
or town clerk, a statement of organization.
The statement of organization shall include: (1) the full name of the political committee, which, if organized on behalf of a candidate, shall
include the name of the candidate in said name; .... (2) the address of the political committee; 13) a statement of the purpose for which the
Political committee is organized.... (4) the name and residential address of the chair and the treasurer, (5) the name, residential address, and
Position of other principal officers, including officers and members of the finance committee, if any, and; (6) the name and address, if known.
and party affiliation of each candidate the political committee is supporting; provided, however, that if a candidate is nominated r ithout
reference to a political party, the name of his political party shall not be required....
Any change in information previously submitted in a statement of organization shall be reported to the director, or if organized for the
purpose of a city or town election only to the city or town clerk, within ten days following the change.
Each political committee shall have a treasurer who shall qualify for his office by f ling a written acceptance thereof with the director, or if
organized fnr the purpose of a city or town election only, with the city or town clerk. Said treasurer shall remain subject to all the duties and
liabilities imposed by this chapter until his written resignation of the office is received or his successor's written acceptance is filed as
aforesaid No person acting under the authority of, or on behalf of, arty political committee shall receive arty money or expend or disburse the same, or incur expenses while it has no treasurer qual fed as aforesaid anything of value. or
Each treasurer of a political committee shall keep and preserve detailed accounts, vouchers and receipts as prescribed for a candidate by the
provisions of section two. Each treasurer of a political committee shall keep said records for a period of sir years following the date of the
relevant election ....
iVo expenditure shall be made for, or on behalf
desesignated agents .... Of apolitical committee without the authorization of the chair or treasurer, or their
All funds of -Political committee shall be kept separate from any personal funds of officers, members or associates of such committee
IMPORTANT: M.G.L. c. 55, s. 5 requires that any changes in the information provided on this form shall be filed within ten (10)
bays of said change. Further information can be obtained from OCPF by phone at (617) 979-8300, via e-mail at ocpf�a ci pf state.ma us
or on the web at http://www.roass.gov/ocpf.
;9t :2„
Form CPF M 102: Campaign Finance Report
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
Type of Report: (Check one)
❑ 8th day preceding preliminary ❑X 8th day preceding election ❑ 30 day after election ❑ year-end report ❑ dissolution
HOWARD DICKLER
Candidate Full Name (if applicable)
Commissioner, Nantucket Land Bank
Office Sought and District
13 Lyons Lane, Nantucket MA 02554
Residential Address
E-mail: hdickler@yahoo.com
Phone # (optional): 301-807-4522
HOWARD DICKLER FOR LAND BANK
ANA I MARTINEZ
Committee Name
Name of Committee Treasurer
POB 2978 NANTUCKET MA 02584
Committee Mailing Address
E-mail: anaimartinez154@gmall.com
Phone # (optional): 301-650-4236
SUMMARY BALANCE INFORMATION:
Line 1: Ending Balance from previous report -
Line 2: Total receipts this period (page 3, line 11) 21100
Line 3: Subtotal (line l 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) ' 0
Line 6: Total in -kind contributions this period (page 6) !� 0
Line 7: Total (all) outstanding liabilities (page 7) T�
Line 8: Name of bank(s) used: I BANK OF AMERICA
►fndavit of Committee Treasurer.
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 j
ictivity, 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,.beehalf of this committee in accordance with the requirements of M.G.L. c. 55,
itgned under the penalties of perjury: �r lri� (Treasurer's signature) Date:
Affidavit of Candidate: (check 1 box only)
Candidate with Committee
a1 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 contnbutioos:
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
1 certify that I have examined this report including ttached sch es and it is, to t f my knowledge and belief, a true and complete statement of all campaign
finance activity, including contributions, loans rec ' rs expendi s, dish
ts, - contributions and liabilities for this reporting period and represents the
campaign finance activity of all persons actin the a behalf o is di to in accordance with the requirements of M.G.L. c. 55.
Date:
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 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
Date Received (alphabetical listing required)
FMay20, 2021 HOWARD DICKLER (CANDIDATE)
13 LYONS LANE NANTUCKET MA 02554
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
* If you have iternized receipts of $50 and under,
Occupation & Employer
Amount (for contributions of $200 or more)
2,100 RETIRED
'i
is
2,100 �(-. Enter on page 1, line 2
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
PQB 2185 NANTUCKET MA
7 BANNER ADS IN DAYBREAK
2,100
02584
@300/AD
i
I
f
Line 12: Total Expenditures over $50 (or listed above) 2, ioo
Line 13: Total Expenditures $50 and under* (not listed above) =
Enter on page 1, line 4 - I 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
i
i{
i
i
Line 15: In -Kind Contributions over $50 (or listed above)E:7
Line 16. In -Kind Contributions $50 & under (not listed above)
Enter on page 1, line 6 Line 17: TOTAL IN -KIND CONTRIBUTION
S 0
* 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.
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