II r)1 l l!n [ !

i j,'; II;<\
I" ! ,- - c -- - -- ::c,' I I '
Form CPF M 102: Campaign 3 2011 'i))
Municipal Form L_ _ _ _ _ __ J
Office of Campaign and Political Finance I r!R0

of Massachusetts
Fill in Reporting Period dates:
Type of Report: (Check one)
Beginning Date: [/ /!_L_ f /.
{
.
---- -- --- --
File with: Citv or Town Cledi or.Election Commission
I Ending Date: I; 1/J I/ I
.
0 8th day preceding preliminary [}?I 8th day preceding election 0 30 day after election 0 year-end report 0 dissolution
II
Jltr{)/ 0 n ..fC 'itJ y-
L
Full Name (if applicable) Committee Name
'
I[
fA)q vd. .:1 ({) L{ U{ //
'2_ </. tl/
r:Ps:J Af, AJL4t. "" L..
Name of Committee Treasurer
I IL
C'' h /' I I
.,
II
Address Committee Mailing Address
Telephone Number (optional): !
tj1 ?r a.}; tJ - s-d..J.. t
I
Telephone Number (optional): J
SULVlNIARY BALANCE INFORiW-ATION:
Line 1: Ending Balance from previous report
Line 2: Total receipts this period (page 3, line 11)
Line 3: Subtotal (line I plus line 2)
Line 4: Total expenditures this period (page 5, line 14)
Line 5: Ending Balance (lint< 3 minus line 4)
SCHEDULE A: RECEIPTS
1t-i 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
11
Schedule A: Receipts
11
atiachment 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 contribcrtions of $200 or more)
/1/11/;J
I
fq u/ r f
7 9' MctSJ ctSd; f
/
I I LJ
I I LJ
I I LJ
I I LJ
l I LJ
I I LJ
I I
n
SCHEDULE B: EXPENDITURES
}vf.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 e.:r:penditures, but need only itemiie those o-ver $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
renort 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
1/rr
/o.a:<)i'k ((ylPJ
Cou2- fl
;t0 vf1 /J k V)
/ F/'jevJ

LJI I LJ
LJ/ II I LJ
LJI II
-11
ILJ
LJI ll ll ILJ
LJI II II ILJ
LJI II I LJ
LJI
II II 1n