HomeMy Public PortalAboutHastings, Rheanna - Amended 30th day Form CPF M 102 : Campaign Finance Report
Municipal FormAm elvarw
Office of Campaign and Political Finance idL
Commonwealth r' Y
of Massachusetts
File with: City or Town Clerk or Election Commission
Fill in Reporting Period dates , Beginning Date ; Ending Date :
Type of Report : (Check one)
8th day preceding preliminary 8th day preceding election 30 day after election year-end report ❑ dissolution
Candidate Full Name (if applicable) Committee Name
Office Sought and District Name of Committee Treasurer
Lou _ _ G
Re idential Address Commi ee Mailing Address
Telephone Number (optional) : Telephone Number (optional) : l / U 6
SUMMARY BALANCE INFORMATION ,
Line I : Ending Balance from previous report
Line 2 : Total receipts this period (page 3 , line 11 ) y ( ( j
Line 3 : Subtotal (line 1 plus line 2 )
Line 4 : Total expenditures this period (page 5 , line 14) m
Line 5 : Ending Balance (line 3 minus line 4) ( �
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Line 6 : Total in-kind contributions this period (page 6)
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Line 7 : Total (all) outstanding liabilities (page 7)
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Line 8 : Name of bank(s) used:
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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, di bursements, in-kind contributions and liabilities for this reporting period and represents the campaign
finance activity of all persons acting under the aut rity on be f this committee in accordance with the requirements of M. G.L. c. 55 . j
Signed under the penalties of perjury: (Treasurer's signature) Date ;
FOR CANDIDATE FILINGS ONLY : Affidavit of Candidate : (check 1 box only)
Candidate with Committee and no activity independent of the committee
pI 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 CommitteeOR Candidate with independent activity filing 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, disbursements, in-kind contributions and liabilities for this reporting period and represents the
campaign finance activity of all persons acting and r the authority or on half of this committee in accordance with the requirements of M.G.L . c. 55 .
U11 ISigned under the penalties of perjury: 1 (Candidate's signature) Date ,
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)
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Line 9 : Total Receipts over $ 50 (or listed above)
Line 10 : Total Receipts $ 50 and under * (not listed above)
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Line 11 : TOTAL RECEIPTS IN THE PERIOD ,: F- 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 , j
Page 2
SCHEDULE Be. EXPENDITURES 6M91LjD6D / 6 b , 'T
M. G. L. c. 55 requires connnittees to list in alphabetical order, all expenditures over $50 in a repor•tingperiod Committees must keep
detailed accounts and records of all expenditures, but need only itemize those over $50. Expenditures $50 and under pray be added together,
from committee records, and reported on line 13.
(A " Schedule Bs 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
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Line 12 ; Total Expenditures over $ 50 (or listed above)
Line 13 : Total Expenditures $ 50 and under* (not listed above) I
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Enter on page 1 , 1ine 4 -4 Line 14 : TOTAL EXPENDITURES IN THE PERIOD ', 73
* 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 Be EXPENDITURES (continued)
To Whom Paid
Date Paid (alphabetical listing) Address Purpose of Expenditure Amount
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Line 12 ; Expenditures over $ 50 (or listed above)
Line 13 ; Expenditures $ 50 and under* (not listed above)
Enter on page 1 , line 4 Line Me TOTAL EXPENDITURES IN THE PERIOD
* If you have itemized expenditures of $ 50 and under, include them in line 12 . Line 13 should include only those expenditures not itemized I
above .
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SCHEDULE Co. " IN-KIND " CONTRIBUTIONS Ani cA) vo
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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
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Line 15 : In-Kind Contributions over $ 50 (or listed above) f
Line 16 : In-Kind Contributions $ 50 & under (not listed above)
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Enter on page 1 , line 6 Line 17 : TOTAL IN-KIND CONTRIBUTIONS13
* 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
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SCHEDULE D : LIABILITIES
M. G. 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 reportingperiod
Date Incurred To Whom Due Address Purpose Amount
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Enter on page 1 , line 7 -> Line 18 : TOTAL OUTSTANDING LIABILITIES (ALL)
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