Repo ILE. 5678Tel.No. No optional SUMMARY BALANCE INFORMATION Line 1Ending. C 0.00 Line 7Total
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1 . i I C ir,,,. Mrirv Commonwealth of Massachusetts File withcity or Town Clerk Reporting Period Beginning Form CPF M 102 Campaign Finance Repo ILE COPY Municipal Form, Officeof Campaign and c s C Political Finance or Election Commission rvc ,n ending f r.type of report Year end cni Margaret DonnellyThe Elect Margaret Donnelly ofcandidate Committee Name Committeeto Full Name Waltham School Committee Terence Maguire Once Sought District Name ofcomrnittee Treasurer 6C,5 SouthSt., Waltham, MA South St., Waltham,MA Residential Address CommitteeAIailing Address Tel.No optional Tel. No optional SUMMARY BALANCE INFORMATION Line 1Ending balance from previous report 3, Line2 Total receipts this period ScheduleA Line 3 Subtotal line 1plus tine 23, Line 4 Total expenditures this period Schedule B2, Line 5 Ending balance line 3 minus line 4 1, Total in kind contributions this period Schedule C 0.00 Line 7Total all outstanding liabilities ScheduleD 6, Line 8 Name of bank s used Watertown SavinsBank AIT davrtoi Committee Treasm certrfy Y rathave examined JJris rerxut inc llding at7ac red sc aedules andit is, Jotae best ofnry knowledge and be ief, a true arrd compjeie.siaterneni ofalj campargn finance activity includingall contributions, loans and receipts, expenditures, disbursements,mkind contributrons and liabilitiesfor thisreportingperiod and represents theaign finan aetr6jtyof all Signed under the penalties of under the authority oron behalfof this committee in accordance 2ththe requirements of M.G.L. c.55.,ar6,, persons acting perjury asurer signatureinink Date
2 Affidavit of Candidate check 1 box only Candidatebilhtgs Only Candidatewith Committee and no activity independent of the committee. I certify that I haveexamined this report, and attached schedules and it is, to thebrst of myknowledge and belief, a taste and complete statement of all campaign finance acxivity, of all pergans acting underthe authority oron behalfofthis committer inaccordancewith the requirements of.g.t Ihave not receiveda.y contributions, incurredany liabilites nor made arty expenditureson my behalf during this reporting period.u Candidate withoutcommitteeor Candidatewithindependent activity filing separate report. I ucrrify MtatI have eranrirred ttris nport, and attached schedules azrditv,ro tlrc best ufrnytitovviedge and relief,a tnre and cotrrplete sfaternetrt ofa11 campaign fianace activity, including contributions,loans, receipts, ex7rertdihtres, disbursements,inkind contributionsand liabilitiesforthis reporting period and represents athe campaign finance activityof all persons acting under theauthorityor on behalfof this conunitteeinaccordancewith the requirementsof M.G.L. a55. Signed wider the penalties of perjury QCandidate s ink llate gnature
3 Schedule A Receipts M.G.L. c. 55 requires that the name and residential addressbe reported, in alphabetical order,for all receipts over50 in a calendar year. Committees must keepdetailed accounts and records of all receipts,but need only itemize those receipts over 50. In addition, the occup and employer must be reported for all persons who contribute 200or more ina calendar year. Date Name and Residential Address1024 and Employer Antico, Louis J 56 Charles River Rd. Waltham, MA Carpenters Union, Local Lexington St. Newton, MA Line The Total Receiptsin excess of 50or listed above Line 10 Total Receipts 50 and under Line 11 Total Receiptsin the period Amount Occupation Committee to Elect Margaret Donnelly A 1CPF ID
4 Schedule B Expenditures M.G.L. c. 55 requires committeestolist,in alphabetical order,all expenditures over50 ina reporting period. Committees must keepdetailed accounts and recordsof ail expenditures, but need only itemize those over 50.Expenditures over50 and under maybe added together from committee records, and reported on line 13. Date Name and Residential Address Amount Purpose or less campaign expenses Fulfillment Express 1, mailing 265 Bear Hill Rd. Waltham, MA Wayne McCarthy printing, preparation 28Ellison Park Rd Line 12 Expenditures Waltham, MA over50 Line 13 Expenditures50and under Line 14 Total Expendituresinthe period 2, o.oo 2, The Committee to Elect Margaret Donnelly B 1CPF ID
5 Schedule C In Kind Contributions Please itemize contributors who have made kind contributions of more than S0.In kind contrihutions SO and under may be added together, from the committee s records, and included in line 16. An exception to this is that all contributions under or over SO given by persons who have contributed more than SO in the calendar year must be itemized. Please report the names and addresses of contributors. Also give the occupation and employer ofany contributor who has given an aggregate amount of 200 or more in the calendar year. Date Name and Residential Address Value Description Occupation and Employer 0.00 o.oo Line 15 Totalin kind Listed above 0.00 o.oo Line 16 Total.in kind not listed above The Committee Line 17 Totalin kind in the period to Elect Margaret Donnelly C1 CPFID
6 Schedule D Liabilities ALG.L. a 55 requires conaniittees to reporta7l liabilities ivhicahave been reported pevirn well as Purpose Loan Loan unreimbursed debt as the liabilities incun ed during this r eporting period. llate IncurredTo Whom Due Amount Donnellv. Margaret campaign expense 2001 Donnellv. Margaret unreimbursed Donnellv. Margaret Donnellv, Margaret debtcampaign expense Donnellv. Margaret unreimbursed debt campaign expense Donnellv, Margaret 2, Loan 1, Loan unreimbursed Donnellv. Margaret debt campaign expense Donnellv. Margaret unreimbursed debt campaign expense Donnellv. Margaret 2, Loan 6, The Committeeto Donnellv, Margaret Elect Margaret DonnellyD 1CPF Line 18 Outstanding liahilites ALL ID sly and are still outstanding,
7 ,.i y, Mussachusetts E Disclosure Of Assets Statement OfficeOf Campaign Schedule And Political,c CommonwealthOf Finance Filewith Director CPF ID Officeof Campaign and Political Finance One Ashburton Place Boston, MA This form should be filed by all candidates and committees with each year end and each dissolution report Committee Name The Committee to Elect Margaret Donnelly Dateof report Aiicandidatesand committees must be fillin part or part 8. Part A Noassets were acquired or disposed of by this candidate committee during the period covered bythis statement. Part B Assets acquired List all assets acquired since the committee last filed this statement.if this is thefirst Schedule you have filed, list all assets. Asset Date Present Location Manner Acquired Cost ValueInclude year, model or other identifying information,if applicable. Acquired Assets disposed of Listall assets sold, tradedor transferred during the reported period covered bythis statement Asset Date Disposition todate And Manner of Disposition Value Include year model orother identifyingifisapplicable. OSed PName And DISAddress OSltlon D,information, pattach statement of how valueis tlete rm fined. Assets acquiredby apolitical committee must be used forthepolitical purpose forwhichthe committee is organized and must remain the propertyof that committee. Assets may be disposed of any time, but must be disposed of prior to dissolution. An assetis defined as any one item that hasauseful lifeof mrxa t.ar, arae year, tao.ld be de recibiainanormal business enviroment, and has acost valueof1000 or more at the time of acquisition. Signed under the penalties of perjury Signed under the penalties of perjury Candidate Signature Date Treasurer Signature Attach additional sheets,ifnecessary, to disclose all assets acquired or disposedofin
OCT 30 PH z: 30
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