form cpf m 102: campaign finance report recejveo·city ... · i certi1)r that i have examined this...

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. ' Form CPF M 102: Campaign Finance Report RECEJVEO·CITY M . . IF CITY OF PITTSFlELO;.-t unicipa orm . . Office of Campaign and Political Finance 2017 OCT . 30 ·Affll · ::, Commonwealth of Massachusetts File with: Citv or Town Clerk or Election Commission Fill in Reporting Period dates: Beginning Date: Ending Date: to/ao/n Type of Report: (Check one) 0 8th day preceding preliminary 8th day preceding election 0 30 day after election 0 year-end report 0 dissolution D ;M_ G.Aiel Candidate Full Name (if applicable) CA-¥Couacil Ua.rJ ,:;2 Office Sought and District to t"Y\ 1"\ ;..U;:! L E \-ec..4- D;OQ!, Committee Name T e.rrc;\. L o.me i c..s; Name of Committee Treasurer 0;,)b1 pi· O !:io} O?o Gro!>b1 ei . e;±t:s6· M.& Residential Address Committee Mailing Address E-mail: ;\Cam E-mail: @i."""- i (Ci) a i Phone # (optional): Phone # (optional): SUMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous report 0 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) Line 6: Total in-kind contributions this period (page 6) 0 Line 7: Total (all) outstanding liabilities (page 7) Line 8: Name ofbank(s) used: .__[ ........... ..,.. ld '---"-C .... Affidavit of Committee Treasurer: I certi1)r 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 ofMG.L. c. 55. Signed under the penalties of perjury: Date: 1 0 /,;; "1 j, 1 FOR CANDIDATE FILINGS ONLY: Affidavit or Candidate: (check 1 box only) Candidate with Committee and no activity independent of the committee I certi1)r 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 ofMG.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 .oR Candidate with independent activity riling separate report 0 I certi1)r 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, disbwsements, in-kind contributions and liabilities for this reporting period and represents the campaign finance activity of all persons acting under ority or on behalf of this committee in accordance with the requirements ofMG.L. c. 55. Signed under tbe penalties of perjury: Date: lo/2."1/17 ·' '

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Page 1: Form CPF M 102: Campaign Finance Report RECEJVEO·CITY ... · I certi1)r that I have examined this report including attached schedules and it is, to the best of my knowledge and belief,

. '

• Form CPF M 102: Campaign Finance Report RECEJVEO·CITY CLE~

M . . IF CITY OF PITTSFlELO;.-t unicipa orm . . .· Office of Campaign and Political Finance 2017 OCT.30 ·Affll·::,

Commonwealth of Massachusetts

File with: Citv or Town Clerk or Election Commission

Fill in Reporting Period dates: Beginning Date: Ending Date: to/ao/n

Type of Report: (Check one)

0 8th day preceding preliminary ~ 8th day preceding election 0 30 day after election 0 year-end report 0 dissolution

D ;M_ G.Aiel e·:H~U

Candidate Full Name (if applicable)

CA-¥Couacil Ua.rJ ,:;2 Office Sought and District

to t"Y\ 1"\ ;..U;:!L ~ E\-ec..4- D;OQ!, 6_~.~.,·f. ~ Committee Name

T e.rrc;\. L o.me i c..s; Name of Committee Treasurer

~Q 0;,)b1 pi· e~ib ~ld .~~ O!:io} O?o Gro!>b1 ei. e;±t:s6· d~, M.& 0~~0\ Residential Address Committee Mailing Address

E-mail: Q~ ll0,-{;,c ~lQ.cJ a@O~" ;\Cam E-mail: T~rr:~. \~~ @i."""- i (Ci) ~jll1 a i l.~QM.. Phone # (optional): Phone # (optional):

SUMMARY BALANCE INFORMATION:

Line 1: Ending Balance from previous report 0

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)

Line 6: Total in-kind contributions this period (page 6) 0

Line 7: Total (all) outstanding liabilities (page 7)

Line 8: Name ofbank(s) used: .__[ ...:....~.:...:·:\-\ ........... sQ~·,_e ..,..ld'---"-C .... eo"'"'F~--------------' Affidavit of Committee Treasurer: I certi1)r 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 ofMG.L. c. 55.

Signed under the penalties of perjury: Date: 1 0 /,;; "1 j, 1 FOR CANDIDATE FILINGS ONLY: Affidavit or Candidate: (check 1 box only)

Candidate with Committee and no activity independent of the committee ~ I certi1)r 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 ofMG.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 .oR Candidate with independent activity riling separate report 0 I certi1)r 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, disbwsements, in-kind contributions and liabilities for this reporting period and represents the campaign finance activity of all persons acting under ority or on behalf of this committee in accordance with the requirements ofMG.L. c. 55.

Signed under tbe penalties of perjury: Date: lo/2."1/17

·' '

Page 2: Form CPF M 102: Campaign Finance Report RECEJVEO·CITY ... · I certi1)r that I have examined this report including attached schedules and it is, to the best of my knowledge and belief,

•'

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.)

Occupation & Employer Date Received

Name and Residential Address (alphabetical listing required) Amount (for contributions of$200 or more)

4/1/11

10/t 1/n

Di\lon >T\-u::>·Y"'-~ l\l4 l-y (1'1lA,Y\ ':>\-

Pi-\-1-<.~' t' iA H~ 0 t'd.D ~

eiJr~~) p. + "::>(oco) \.

';~~~{;~Pi~C"'" ~rt-0~1

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

l l~S.35" II E:JI E:JI E:JI I ~o.oo II

E:JI EJI EJI ~I I lOO.OO I 13 ~ {oO • 35" I +- Enter on page I , line 2

~~--~~~--==~~~~~~~~~~~ *If you have Itemized receipts of$50 and under, mclude them m !me 9. Lme lO should mclude only those rece1pts not 1terruzed above.

Page2

Page 3: Form CPF M 102: Campaign Finance Report RECEJVEO·CITY ... · I certi1)r that I have examined this report including attached schedules and it is, to the best of my knowledge and belief,

·'

SCHEDULE A: RECEIPTS (continued)

Name and Residential Address Occupation & Employer Date Received (alphabetical listing required) Amount (for contributions of$200 or more)

I fe7s<171l I

Lo..mptet~t 1 (G\.'-t~ i .-.R-

1

50.00 I I

l <i CroSio'1 fll Pi~-B el! HA 01ao 1

I 'ill;! 3111 I

/'(\ ~tS"S <Uh..ll s~-\-\! \,Joty\12.10) Poi ,·+.·c .... LJ I _f~h s+. S~.-i+c.G.03 .D .:;~-+a"' -M ~ (")~ lll

I q-fg/11 I

Ho..yr1e~, Oavid -4- (),'a.~t~ ro.oo I I 3o 6\~t\''\ d..r.'~

fi-t\-..SHetcl }-{~ Ol;l()\

I 'Win I

MCI.jnRA-. ~ebeccA. ~ ~o.oo ; I l~ P~vce.-H- !Gin~

P.·H s li P irl HA OL~or

I q/flil I

U'o...jtl'\4-, )eflt\l+ er loo.oo I I I iU \-1 ;t cs-+. '-~e. M Oi~~<i?

110/4/ll I

$q \<sV\a.u~.,-IM~~ I ~o.oo I I

~So:;~ Sv>+e.tdo p,·#s~·t' iJ fJ.. A OJ (k,,

& I :;.a. /11

I Urnbro) Ar'\je\iA.L l?o.oo ;

I IDS: L~ot'\0... d r '(5{~{'i e lA -M\\ O ldc! l

CP/a.q/11 I

Vof\o... 1 QL\Q.~c-: f\O 150.C" I I \'3 (_rosbJ ~-p· --H-~~.f\ ·et ·rYl A o1an1

I D I

D I

D I

D I

I D I Line 9: Total Receipts over $50 (or listed above) j3180.3s- J Line 10: Total Receipts $50 and under* (not listed above) I 1BD .. oo I Line 11: TOTAL RECEIPTS IN THE PERIOD !39 {i).3s- I t- Enter on page 1, line 2

* If you have Jtemtzed receipts of $50 and under, mclude them m hoe 9. Lme 1 0 should mclude only those receipts not Itemized above.

Page3

Page 4: Form CPF M 102: Campaign Finance Report RECEJVEO·CITY ... · I certi1)r that I have examined this report including attached schedules and it is, to the best of my knowledge and belief,

SCHEDULE B: EXPENDITURES MG.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 mey 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

EJ lf>a.\lecdo.,.\ t._~ I 'P~ &ts+ <::A ltvrn4 EJ "R--+\-sn"c_lc\ I l--\A. 1 0\~\

E:J I iS 1., (..)~., .,_'""""'

I L\'lS'" H~o~.~~ctrd fuc_ I£.,.,. ~"fP \'c. rl&.3a I p,·~elJ 1 f'\Pt 0\dO\

~ eoi'\1\elly Pn·"-h~ ng ~.11 s+-Wo\,~.;...r- 1'\ 1 H 1-\ 0 \ '1?6 \ r·';j~S

1

5"35 so I

E:J I Connolly P,;.J;"' I

118 4~-ll s+_ Wol...._rol\ • fv\A 0\901 lSi~·' r 35SO

1

EJ lc..,,,;,, lh~~-r''i I ~ F.·rs-! ~+ l p,;.,-~ ~'"'-I E::J f;+.hhe lA f'\J\ Oi%l

~ t\t1M~ S-h~ht'J ~31 F,'rs+ s+ C.~A q_J.uem5e~,...Q. ~ 3~o.J(p I ~~~·e.\J I HA 0\~DI ~ . fvV.

7/~ 1 /11 IEI•j•"' Sh -\-c~f5 I ~31 F-.;.,~ Sl I C~ cldv(rh·~.'J.<.tJ ld3i.oo l . P1+tJ/e1J, M~ o1ao1 A~r

EJ K"-s5iv~ ~,.&\.e~;(s \lo3 tJ or.\.h ~ 1"";,+ 1-'\cJ-~r.·c;\.\ ~~~-~" I Pi\\-s-h't ~, ).)..~ O\dD\

~ }-\;ll e_ni~.Al'Y\ Pres-s t;;7o Si\vlr -:5+- IPriJ ~rio.l 13&0. I<{ I A~(.\.WOJV\ I 1\1\1\ 0\001

~ IWubly Pro ~rk

I 5(.,4 P~cii;' c Au(.. IW.bs•-1-· ~ S." fr.:-.~c;<;co,CA 9YI33

EJ lz:, 1 ~ Sor-t I :J() l o.to ll >< ~r~ dt«"- ~ M~;\us 15of. "f I P~ ttsh·e iJ ,~A 0\d.D\

D l II II D Line 12: Total Expenditures over $50 (or listed above) I j3.f 3.o~ Line 13: Total Expenditures $50 and under* (not listed above) I c231 .Lf3 I

Enter on page 1, line 4-+ Line 14: TOTAL EXPENDITURES IN THE PERIOD 13(,cfl .fl- I .. * If you have Itemtzed expenditures of$50 and under, mclude them m lme 12. Lme 13 should mclude only those expenditures not ItemiZed

above. Page 4

Page 5: Form CPF M 102: Campaign Finance Report RECEJVEO·CITY ... · I certi1)r that I have examined this report including attached schedules and it is, to the best of my knowledge and belief,

SCHEDULE B: EXPENDITURES (continued)

To Whom Paid Date Paid (alphabetical listing) Address Purpose of Expenditure Amount

Dl I I ID Dl I I ID Dl I I ID Dl I I ID Dl I D Dl I I D Dl II D D I D D I I D D I I D D I I D D I I D D I I D

Line 12: Expenditures over $50 (or listed above) I 3'Yt3~ I Line 13: Expenditures $50 and under* (not listed above) I o?31, ~ 3 1

Enter on page 1, line 4 --7 Line 14: TOTAL EXPENDITURES IN THE PERIOD 1 3~6~. '-\ 11 0 0

• If you have Itemized expenditures of$50 and under, mclude them m lme 12. Lme 13 should mclude only those expenditures not Itemized above.

PageS

Page 6: Form CPF M 102: Campaign Finance Report RECEJVEO·CITY ... · I certi1)r that I have examined this report including attached schedules and it is, to the best of my knowledge and belief,

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

Dl II ID D II ID D II ID D I ID D I ID D I ID D I ID D I ID Dl I ID Dl I ID Dl I I ID Dl I I ID

Line 15: In-Kind Contributions over $50 (or listed above) I 0 I Line 16: In-Kind Contributions $50 & under (not listed above) I 0 I

Enter on page 1, line 6-+ Line 17: TOTAL IN-KIND CONTRIBUTIONS I D I * If an m-kind contnbutmn is recetved from a person who contributes more than $50 m 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.

Page6

Page 7: Form CPF M 102: Campaign Finance Report RECEJVEO·CITY ... · I certi1)r that I have examined this report including attached schedules and it is, to the best of my knowledge and belief,

SCHEDULED: LIAB:U..ITIES 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

~ I ~"''-'. 1);"' ~~ol~rl ~i·th~'e iJ. H~ oru

Lott.'\ II IOOD•OO I EJ I GJ_; '-I' \X,~ I~ (r~~~~7 f 1 Lotti\ w~·oo I lN~~elJ , ~~ O\~

EJ ~v~ e.\ 1 Pi'"-" f)J:> (l'bs~~ r\ . l-oa.t\ · I soo.oo I P·mheJJ r\~ o\dc>\

D I D D I D D I D Dl I D D I II D D I I D D I I D D I I ID D I I ID D I I ID D I I ID

Enter on page 1, line 7-+ Line 18: TOTAL OUTSTANDING LIABILITIES (ALL) !;,~oeOO I Page7