Professional Documents
Culture Documents
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CHANGED
FROM
PREVIOUS REPORT
NAME oFTREASURER
'
MATLTNGADDRESS;
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NOTE: This filing schedule does not include pre-election or post-election reports. ln the case of a June or November candidate or ballot question election, participating committees will be required to file additional pre-election and post-election reports. Please contact the municipal clerk for up{o-date filing information Type of Report
Due_Qalq
Date of Registration
-___.i
tr il n tl n n E il
Initial
Date of Registration
April
'1,
January 15,2014
No Activity Report: Use only if the committee had no contributions and no expenditures and did not incur any unpaid debts or obligations during the reporting period. Check the appropriate report above as well.
Termination Repoft: lf the committee will have no further activity. Check the appropriate report above as well.
I CERTIFY THAT I HAVE EXAMINED THIS REPORT AND TO THE BEST OF MY KNOWLEDGE IT IS TRUE,
1o
Treasurer's Signature
lrs I tJ
Date
s . E
For contributors who gave more than $50, the committee must report the contributor's name, address, occupation anc i: irii;r.r'./::j lf employment information has been requested from the contributor and the contributor has not provided it, indicate "rnformatror' reguested" for the occupation and employer. For cash contributions totaling $50 or less, please enter "unitemized contributions" as the contributor and the total amount and ihe appropriate key code on a line on this page Once a contributor has given the committee more than $50 in a report pedod, yoLr must list that contributor separatelv
TYPE (use key code)
DATE
RECEIVED
AMOUNT
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Totalcash contributions (this page only) :* (combined totals from all schedule A pages must be tisted on schedule Fl
Key Codes:
1
= Indivrduals
4 = Party Committee
5 = Candidate Committees
pAC Name
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SCHEDUI-E A (continued) CASH CONTRIBI,JTIONS
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DATE
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TYPE
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Total cash contributions (this page only) :* {cambined totats from ail schedute A paEes must be tisted an Scfiedule F)
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Key Codes:
1
= Individuals
4 = Party Committee
5 = CanCidate Committees
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00/10
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SCI.IEDULE A (continued) CASH CONTRIBUTIONS
^t
DATE
RECEIVED
TYPE
{use
key code)
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Totalcash contributions (this page only) 3 {conbined totals from all schedute A paEes rnusf be listed an schedule F}
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Key Codes
1 = individuals
4 = Parly Committee
5 = Candidate Committees
Duplrcate as needed
05i13
PAC Name
W,\q*&uffikM_
SCHEDULE A-1 IN.KIND CONTRIBUTIONS
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I
.
$sl^cclrrit-'
In-kind contributions are goods and services (including facilities) that a committee received at no cost or at a cost less ihrrr .l ,.. fair market value. They include all goods and services purchased for the committee by others if the committee does not expect ro rermburse the person who made the purchase. For contributors who gave more than $50 in value, the committee musi report the contributor's name, address, occupation. anr employer
' c
lf employment information has been requested from the contributor and the contributor has not provided it, indicate "information
requested" for the occupation and employer.
For contributions totaling $50 in value or less, please enter "unitemized contributions'' as the contributor and the total amount and the appropriate key code on a line on this page. Once a contributor has given the committee more than $50 in a report period,
{ua:t3ns-?r,ru,crll'''
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Total in-kind contributions {this page only) 3 (combined totals from all schedule A,'l pages must be listed on schedute F)
Key Codes:
1 = Individuals
PAC Name
?tutM
SCHEDULE B EXPENDITURES TO SUPPORT OR OPPOSE
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actton commlttee, ballot question committee, or party committee Enter all expenditures made to support or oppose a ballot question, referendum, or citizen initiative, irrcluciing ihose in ;igti..,. ture-gathering phase Enter the name of the candidate, ballot question, or committee supported or opposed by the expenditure and indicate r,vheth er the expenditure was made in suppori or opposition
Enter all expenditures, including cash contributions from ihis committee, made to supporl or oppose a candidate,
polriri,..,i
must be itemized by the amount spent per candidate, committee. or question, not as a single expenditure, and each candidate, committee, or ballot question rnust be identified.
EXPENDITURE TYPES coN
CNS EQP FND FOD LIT MHS OFF OTH PHO
lf a single expenditure is made to support or oppose multiple candidates, committees, or ballot questions, the expenditure
Contribution to candidate, party or committee Campaign consultants Equipment (office machines, furntture, cell phones)
Fundratsang events Food for campaign evenls, volunteers
POL
POS PRO PRT
Polling and survey research Postage for U.S. Mail and mail box fees Professional services
Print media ads only (newspapers, magazines, etc.) Radio ads. produclion costs
RAD SAL
TRV TVN
ry
WEB
DATE
REMARKS
TYPE
AMOUNT
Mvtrhstm*
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or to oppose
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8,75o ' oo
or to oppose
I'/-xl15 ForerasW ' 5 Fqvd\ Rrad (arluortl,q, Ma,ru.c. o*to} Payment to supportp or to oppose I
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11b8.01
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pAC Name
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SCHEDULE B (continued) EXPENDITURES TO SUPPORT OR OPPOSE
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ii.,,',:,
DATE
REMARKS
TYPE
.AMOUNl'
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{ $ge+8
Payment to support
[:
Total expenditures this page only :$ (combined totals from all schedule B pages musf be tisted on schedule F)
vno .t+K
Duplicate as needed.
PACName
?fOWM
SCHEDULE B (continued) EXPENDITURES TO SUPPORT OR OPPOSE
PAYEE'S NAME AND ADDRESS REMARKS TYPE
pase
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DATE
AMOUN-I
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or to oppose
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F\sn/twren
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15
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support{or to oppose n:
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P.o.OoX 1894
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fl
5lE'2
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Payment to support
{or
to oppose
tr
Payment to support
fl
or to oppose [J:
Total expenditures this page only ::) {combined totats from all schedule B pages must be listed on schedule F)
fu ,5vD . b:-
DuDlicate as needed
05/1 3
PAC
Name
?nk,+Movi*4,
SCHEDULE B - 1 OPERATING EXPENSES
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List all operational and other expenditures not made on behalf of a candidate, committee or campaign Multiple expenditures ior bank fees and vehicle travel may be aggregated provided that the time period of the expenditures is identified in the remarks section All other expenditures must be separately ttemized.
Contribution to candidate. party or commiftee Campaign consultants Equipment (office machanes, furniture, cell phones)
Fundrai$ing events Food for campaign events, volunleers Printing and graphics (ftyers, signs, palmcards, Mail house (all services purchased)
POL
POS PRO PRT
Polling and survey research Postage for U.S. Mail and mail box fees Professional services Print media ade only (nerae,papers, megazirce, etc
Radio ads, production cosls
)
RAD
LIT
MHS
lshirts, etc.)
SAL
TRV TVN
Campaign workers' salaries and personnel costs Travel (fuel, mileage. lodging, etc.) TV or cable ads, production costs
OFF nru
v'rr utrrsr
PHO
I I
I WEB I
Anly thg?e expendilure typw rcguirs a rermrk ClrtS, OTll, pRO AN SAL.
REMARK (if the expendlture typs requiros a remark, describ all goods and oervices purchased)
DATE
TYPE
AMOUNT
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Total expenditures {this page only} (combined-totals from ail schedute B-1 pages must be tisted on schedute Fl
Duplicate as needed
1lI.bt
PAC Name
1-age (
.".
Scheii'r1'
DATE
AMOUI{T
1"/r I m
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Totalexpenditures (this page onty) :) lcombined totals from all schedule B-1 pages must be listed on schedure F)
Duplicate as needed
11oa)
PAC ltlame
,-l !'aoe
'S;cii,:lilte
COLUMN
COLUMN 2
COLUMN
coLUtVtN 4
COLUMN 5
(1+2)-3-4
Schedule A also)
l--
DATE
olle ol616
AMOUNT
DATE
t?'.o
ag
SWQ*
DATE
+15o
DATE
DATE
\IVOUNT
\MOUNT
\MOUNT
DATE
DATE
DATE
\MOUNT
qMOUNT
CMOUNT
DATE
DATE
DATE
\MOUNT
qMOUNT
\MOUNT
DATE
DATE
DATE
AMOUNT
AMOUNT
CMOUNT
DATE
DATE
DATE
\N4OUNT
\MOUNT
\MOUNT
Enter on
Schedule F, Line 7
Enter on
Enter on
Schedule F, Line 3a
Schedule F, Line 14
15o
1qo
c
0a/1 J
Duplicate as needed
PAC Name
PrA*"t
^tl i'alle
Qnnar!r111:r ir
-(
"1,
' c o r
A debt or obligation ,s incurred if a committee places an order for a good or service without making a payment; makes a ilr,rr:-. rse or agreement to pay for a good or service; signs a contract foi'a good or service; or receiles delivery of a good o[ sr"vrcc:; for which the committee has not paid. This schedule is a list of all debts and obligations of the committee as of the end of this reporting period. When the obligation has been paid the expendiiure (i.e , the actual payment) must be reported on Schedule B or B-1
lf the committee has not received a bill for goods or services, contact the vendor to obtain the amount owed. !f it is impossible to verifo the amount of the debt, enter an estimated amount and indicate that the amount is estimated in the purpose section
lf obligations from a previous campaign finance report still remain unpaid, you will need to continue to report them on
Total unpaid debts and obligations (this page onty) :> (combined totals from all schedule D pages must be listed on schedu/e F)
Dunlicate as needed
00/14
PAC Name
%*nPowtdd*-Ilpfut
Receipts
Period
Year-to-Eate Toiai
)5,1o9. by'
)3, 1n> . b1
IY i-/
I,5oo ' oo
o)
)9, 9o8.t"v
Total for This
,1o>. 97
Expenditures
5. Expenditures to Support or Oppose (Schedute B) 6. Operating Expenditures (Schedule B-1) 7. Loan Repayment (Schedule C, column 3) 8. Total Payments (lines 5 + 6 + 7)
Period
?.t,y41
.ti
'1.t,T51.1'5
cl 1
t ?14.t4
19o.oo
)o ,1.3>. >9
CASH SUMMARY
Total for This Period
vt .V,
L 5 oo .oo
) 4. 1t"o 'zo
Year-to-Date Total
/-tA.74
)5 ,5o7
4br.7+
)? ,?ol- .11
14 fuo.5o
. b).'
. o1
- )o , ?g). yg
2,11L
5,9o).81
OTFIER ACTIVITY
Total for This Period
13. In-Kind Contributions (Schedute A-1)
| 14. Total Loan Balance at End of Perio,
Year-to-Date Total
(1>5e
J"," '-'
154t. o t
ii;
D
D
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!1oo' oo
I t S.
i
b)l
.*t"
05/13
Duplicate as needed