arnie levinson campaign finance report 2011-07-24
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8/6/2019 Arnie Levinson Campaign Finance Report 2011-07-24
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If )J [E IE ~ _ j l __ EM 102 C
. F" t . . . _ ,Form CPF : ampa1gn m a ~ e ~ 1 - K e p o r t iii
Municipal Form U 'l JUL 2 5 _j2011:.:
Commonwealth
of Massachusetts
Office of Campaign and Political Finance .
File with: Ci or Town Clerk or Election Commissi
Fill in Reporting Period dates: Beginning Date: Ending Date: j:ru.cy ~ . 1 . , ~ D i f
Type ofReport: (Check one)
0 8th day preceding preliminary ~ 8 t h day preceding election 0 30 day after election 0 year-end report 0 dissolution
I JCifJ.../-.(0 t. v LEI/ f . l ~ t J I Y I lco Ill 1'»117Te e -ro T ! t . . ~ c . r I : U ~ I ' ( I ! ! t..EVI N.$01-/
Candidate Full Name (if applicable) Committee Name·
I c.rt't t : . o v ~ v i ~ ! L tvKIP- 0 3 I I FRtlNI\.. ;:L Wt?fl..f31NS'klOffice Sought and District · Name of Committee Treasurer
I''"'H :/1-/LtJ<:..-k:. ST. /t./ )fl.T H I 4 " 1 P T ! J ~ l , . 14-l 1351 Pl. C.f'\tiPNT '5T. 'PPI13 'J.
Residential Address O ID 6 0 Committee Mailing Address
Telephone Number (optional): I ..f13 ostf- 'JoJ ~ . - , I Telephone Number (optional): 11-..J /J 5 7 ~ - 3 3 - 1..{3
SUMMARY BALANCE INFORMATION:
Line 1: Ending Balance· ront previous report
Line 2: Total receipts this period (page 3, line II)
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)
Line 7: Total (all) outstanding liabilities (page 7)~ ~ ~ ~ - - ~ = = ~ ~ = = = = ~ Line 8: NrulJ.e ofbank(s) used: I FJ. 0 R(;NC/'3. S,l.l. v f l l { ty1 BA 1.1k.
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 bel ief: a true and complete statement of all campaign finance
activity, including all contributions, loans, receipts, expenditures, · ments, in-kind contributions and liabilities for this reporting period and represents the -campaign
fmance activity of all persons acting under the autho · th · onun . in accordance with the r equirementsofM.G.L. c. 55 .
Date: I ' 7 / ~ ' - 1 / ( (I
Candidate with Committee and no activity i n d e p e n d ~ n t of the committee
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 his committee in accordance with the requirements ofM.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 Committee .QR Candidate with independent activity filing separate report
0 I certifY that I have examined this repor t including attached schedul and it is, to the best of my knowledge and belief: a t rue and complete statement of all campaign
finance activity, including contributions, loans, receipts, expendi es, ilisbursements, in-kind contributions and liabilities for this reporting period and represents the
campaign fmance activity of all persons · g under the authori or on behalfof his committee in accordance With the requirements of M.G.L. c. 55 .
Signed unde,r the penalties of perjury:
I I
nate: I ~ z a Y tiliJu
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8/6/2019 Arnie Levinson Campaign Finance Report 2011-07-24
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SCHEDULE A: RECEIPTS (continued)
Occupation & Employer
Date Received
Name and Residential Address
(alphabetical listing required) Amount (for contributions of$200 or more)
1 "h'"
I f/fJ 'I/o
I t./ J-/n
I '1/to/11
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I"T.F.!VII<l$ t>/'{ -f ' l 1'1'1"-l1.. y /</tl( 1 - I ! I N ~ " ~ h . . 5'T.
f \(Pflt"t .f lq ""f ' l t?N MA tJ(Pi&
fl.. I f ~ s"" 111 J..l N, i["OH '! r.J MG. ti L
lBO P P I ~ ~ T . - /3XT.I l lo fl.1' H VI- ""f'7o 1-1 m "'- t:J1()6 c.
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f \ f ( ) ' / l . " t " J + i 4 , . , _ f T ~ f l . / t"'/11 OleJGO
F_t. Iii !IS tl'1 r-1-Nt- ( vo1-f19TiiA;.(I f'o FAt R !> r: .{1 K. '7".
1 - / I J f l . i t ~ i t l l " f [ > T P M ~ - 1 1 OIP6o
f< r: t F_e r<J . J"C::MP135'1 Pl. t : ! f . I S I ! / ~ T '57. ?lltG '),')...1..
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, G o C J T ( - { 4 / I C f C ~ 'OON#I.'{? .
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S ~ y M f . l . L - 7 i F J ~ " ~ t : . ~ ~ T N e L I I I H 7 l i fA.{p. '"! 6 7 .N O f 2 . 1 H R ~ ~ t ( J ' r P I ' - l M/.11 01060
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pvf3L1"7/-llt-.16-j Wlill/1111-16-W '/< l i 6 1 } - ~ ' J : N ~
II ICJJ.Line 9: Total Receipts over $50 (or listed a b ~ v e ) Line 10: Total Receipts $50 and under* (not listed above) I i5"0,ooJ
Line 11: TOTAL RECEIPTS IN THE PERIOD jq fCO.OO Enteronpagel, line2~ - - ~ ~ ~ ~ ~ ~ = - ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ *If you have 1tem1zed receipts of$50 and under, mclude them m line 9. Lme 10 should mclude only those recetpts not Itemized above.
Pa!Te 3
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SCHEDULEB: EXPENDnrrrnESlvf. 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 ofall expenditures, but need oniy itemize those over $50. Expenditures $50 and under may be added together,
from committee records, and reported on line 13.(A "Schedule B: Ex penditures" attachment is available to complete, print and attach to this report, if addi1;ional 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
1 ~ 1 8 / 1 1 1 ~ l ' t ~ T E P 15 .kI o<J
/'Jt:)/110 TeN!. fc ~ I . r ~ - s ' c.&p.o-s l n . e . - z . s > ~t.o((.Gt-.tc.G M 1:1 ,t?A.I 0 1 1 1 ~ 1 L 1/I.IG( : ){061. . -
1 6 ' / ~ B / t r I f!t:;J.l. Ge.il /e. 71 S . 'f"J./3J:l5"A/IIT 57. Co f ' { 7 rt:JL 0 .
lqo.3l!t?Ptt:-'5 A 111 HEP. '57; fV' a s 1 : / Z . / / t ~ C : $ ,CtJ!<
O(e>t>?- F .YE Z."S
5/Dt-//u 0 t.L r;.c.T l v r::. 7l 5. }Jt. r; t : ~ $P.N r c.()Py '! f_P t. 0
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I II c o S ~ L o I
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1 6 / ~ 3 / 1 1 I j'-I0/2. T 414 /*of?7PN '6'f '5/Jf/.Y/Cf:. c:!€A1ft1"2. [2(3!>/TI# L t?F GA '
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;t'/11/ t...!-1'1t P-1 ( " ' " a ~ 141 St:T r l t:11j!{,f!-1
: 0 /CJbo • V ~ 7 " ' 1 & > 1 1 - /
Line 12:: Total Expenditures over $50 (or listed above) I -1
Line 13: Total Expenditures $50 and under* (not listed above) I IEnter on page 1, line 4 -< Line 14: TOTAL EXPENDITURES IN THE PERIOD I I
* If you have ItemiZed expenditures of $50 and under, mclude them m lme 12. Lme 13 should mclude only those expenditures not ItemiZed
above. Pal!e 4
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SCHEDULE B: EXPENDITIJRES (continued)
To Whom Paid
Date Paid (alphabetical listing) Address Purpose of Expenditure Amount
16/JJ/11 IAIa LTIT ;q P1 'P/o ~ < I 5'61( . S C : ~ Y i c . . O . . CGN7li'ff. / ? l i ~ t T ' /148Lil1 r .II,P.Ifl:.
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17/'1/n I::)DAI pl . l l ~ ' S 14? 14N 4/ - , g · o ~ t = l q / ( l . fiT. r< ~ I , . , SCI 12 /':111/.Z;.i/
1300.601t7rL e ~ t ~ f t ~ t : f i N 0 fl..t I+ A./I-\ i ~ t ~ r l t : f i b ~ o ' P P N R n ~ ~ P r f l l )
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Line 12: Expenditures over $50 (or listed above) I'
Iine 13: Expenditures $50 and under* (not listed above)
Enter on page 1, line 4 -7 Line 14: TOTAL EXPENDITURES IN TH E PERIOD I* Ifyou have Itemized expendrtures of$50 and under, mclude them m !me 12. Lme 13 should mclude only those expenditures not ttemizedabove.
PageS
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SCHEDULE B: EXPENDITURES (continued) 'P4f1,e. f;
To Whom Paid
Date Paid (alphabetical listing) Address PurposeofExpendnure Amoun
1 b / ~ 3 / 1 1 1IS T O P ~ ~ SHt>P
I::. tNt'.r '$/. rt:JC)C> t=of2.
I GM/3\/(?(lTI-IA,p'f""/"1 11?14 ~ I l l /1'1 ,#IL 4-,_;.(
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i " ~ / 1 8 / 1 1 1 1 v p-; 'r()(Z. 1?-
I
'3 6"1 Pt.. ! 3 / J S n l f i T S ~ po B / ) ~ i4"ro
1 1 ~ . < > 0ll 0 J. T I+ , : l r . 71"oN ITt:.'/"5Y'l? 1tl 0 / P ! J ~
., /!28/1111 u 7?5 '$7"/Z-1;.
I35"1 ' P J . E ~ . S A I & I T -sr, I P "8&?< Fe,?r="'"t.
16N P ' P r i + J 4 , . ~ r ~ " '
-- f1111 OlD60 .
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I j7£q8ine 12: Expenditures ~ v e r $50 (or listed above)
.1· 317,6aine l3: Expenditures $50 and under* (not listed above)
Enter on page 1. line 4 -4 Line 14: TOTAL EXPENDITTJiffiS IN THE PERIOD l1773,b* If you have Itemized expenditures of$50 and under, mclude them m !me 12. Lme 13 should mclude only those expenditures not ItemiZed
above.Page
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ITEMIZE EXPENDITURES IN EXCESS OF $50
~ P a i d Vendor Name Vendor Address Purpose ofExpenditure Amou
&./:z'hlNo 2.'11+" 1 ' 1 ~ 7 '"'I 5£f.2j/tc.r;. C/:H'TI$fi 72 t :Nr r ~ t " - ns s;
11-'1'1-1 - 1 J H 1 ' ~ J . . {tN7!1 f l- PO c. J/17t1Z '""1- e e- T ,,·f..(tJf2.11{AI"'JPJt;/ll ~ f J ~ r 1 ~ f 2 . f ? . G 7 ' FVNl. ' t " f ( ) 1"[
q/111I FFI'-fl. P ~ ' f t J r
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~ i ~ ~ ~ ~ i I
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t;s/11 1
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IN J..IRI::. tprlf'LLR11'5l;.. / '101 Jr. ¥/NO t J . P . . P - f Z ' T I / ' 1 ~ 1 " ~ 7 314./k.IW,OFflt...it-(}!1Pti!: 4P11 ~ J t : } f l - t / J ?
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Page 2 Total (add to Line 1 on Page 1):
II,-30
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ITEMIZE EXPENDITURES IN EXCESS OF $50
DatePa:id Vendor Name Vendor Address Purpose ofExpenditure Amou
If{ I 1'17/--11?. /3V1/t7N !)1 ~ ( ( ) 1 ' / t i / t l C . k 51. I A P.O rr;;..tf'11/6 /:Z.t.o rz. fi- M c. 7l- 111
Dt06'Z-
r / ~ ' II ON TH r: 8V1f'ON I "'f f\10 J- ( } T v ~ K s-1. I 319 )./ -C/? t2- 1 1 ~ 6 ~ 6 .t? f2.. ff/'Y , VJ
0 / 0 6 1 -
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foN
p 13 {6./. Ofl/?"1-{C (2 ;H A 5 / 1 ~ lct2fL7. 0/0b ' t -
1f5j;,lS!3.f2.to6 , . , 1912 /r IJ7 6 5'"" ITA' i "S 7: r-/')of) Ftnz. ,.., r: r : r I?'f.\ . { :) P 7 /rllfi. ""p 7 t>8 A',. r'tJ.P 12e r r-vNcru:'"''~ r o c . o
II~ / 3 7 2 1 < > ' ? , . , "fr<lr ;.r] bs 6719TI? '5/. 'fooo ft/77. , n ~ l 2 T
1'130.6/ II :Jfi--T If,; 1tf fP ;. { p, Yf- f J.f1(111r p v N ' i l t ~ , . . l C>ld6U
¥fob;,,tI 7"PLr.s I
1.- ' l - t-{P1LTN fr tM(, '7T 13'- ~ ~ ' l i e "P"1T C IfillDS I& ~ . B tNP f2;WA"'fJ' i"N , . . ~ a , t ) / t /60
(tB/"11t./?s r;.7 ) 7Z f2_ I f"'/ ft.. R . I ¢ ~ A , . I i !' ' i "Ft> '8t0< 11"' 0 .
17:-.oo 12.1H 14."'f"t"oH "" ' l: l tcey;t){()tft:J
61'"1" II wiUD e.L.ufl I e p r - ~ - z . . . . - s 1 '{2!?N7.A/.. RF- l .f4L 1- I~ " ' ~ ·' ( p 'fl.T 17Flmpt- ;t-f F 1L- /f/11#\f f.-/4> tt..\
~ , # - . lr£Cic P(-1-
l II I IDl II I Dl II I Dl I I Dl .. .. "I . ' I II, Dl I II Dl I II DPage 2 Total (add to Line 1 on Page 1): I P
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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 Front Whom Received* Residential Address Description of Contribution Value
I N D H ~ i II ; II IDD l II II IDD l H II IDD I ll II .. IDD l , . . II II IDD l ·.. II II IDD l . - II II IDB l . - · . ·
II II IDD I' . II II ID. , ..
D l II II .. ID'
EJI II II '- ' ID-
D l II " II ID.
' •I -ine 15: In-Kind Contributions over $50 (or listed above)
Line '16: In-Kind Contributions $50 & under (not listed above) IEnter on page 1, line 6 Line 17: TOTAL IN-KIND CONTRIBUTIONS I
* If an m-kind contributiOn IS received from a person who contnbutes more than $50 m a calendar year, you must report the name and address
of the contributor; in addition, i f he contribution is $200 or more, you must also report the contributor's occupation and employer.I
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SCHEDULED: LIABILITIESM G.L. c. 55 requires committees to reportALL liabilities which have been reported previouslyand are still outstanding, as we
as those liabilities incurred during this reporting period.
Date Incurred ToWhomDue Address Purpose Amount
1 &/ll"l/11119- f2 " I J l. D I t . { H , q f . . l ~ e : ; e k_ S'T t... 111ft. I ,..,- :' l50oo.co.r ; 1/ 11'-} $0/1./ N t ) ! < I H t r ~ f > T z ; J . . ! t H ~ t: /'11'h?AI6-I--{
OIIJ6t> . ·
11111" 1
tl471 M 7)Y ft. f3. 1
II# 1':1 (2. I f 11 'T -sr. ' ! < E ~ or- oc: f't>-6 t r
[ J5ao9\ { ) fl.7' J-1 f9 ;l"!t'l/ rotz .ifoP4t:.li
S V 'Z. /!fN V r:. r"1 01"6-o t I 11'111Pfrr?1 'S 'T.
D l II II IDD l II II IDD l II II IDD l II II · IDD l II II IDD l II II IDD l ' II II IDD l II II IDD l II II IDD l II II IDD l , I II' IDD l II II ID
Enter on page 1, line 7 Line 18: TOTAL OUTSTANDING LIABILITIES (ALL) l ~ t ~ o . o ~Page7
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Form CPF R 1: Itemization of Reimbursements
Office of Campalgn and Political Finance
of Campaign and Political Finance
Ashburton Place, Room 411
, MA 02108
ze any reimbursements by detailing the date, payee, address, purpose and amount for each expenditure made by the person be
ursed. The total amount reimbursed to the individual (which must be by committee check) should be the same as the amount shown
Date ofReimbursement: I 7/'ZLtt
oflndividual Being Reimbursed: I -:['()AI 7J J..I47S fVI ;tiNA(
Iep"'M' ,.,..e J" TO c ~ r : : e . r F l ~ N f ' / Z . . t . ~ f ' / A I ' S ~ i 1 - L _ ID Number (i f applicable): I I TelephoneNumber (optional): I ./ /3 I ' : J J 0 - 1 ~ ' 1 $
ITEMIZE EXPENDITURES IN EXCESS OF $50
ate Paid Vendor Name Vendor Address Purpose of Expenditure Amoun
1IoN ' P L J : l ~ M , : l ; v _ , . r I F ~ l ! < S T t:XT. f21311h/3U{l.SeM6Nf
IJoa.ol/ J2.T ffJ9 11t/d ~ ( f Jt11 .11FtJ 'R elf-51! DO!ol»rtc){
I t1 ; ~ " >
II II IDII II IDII II IDII II ID
(Include items listed on Page 2) -+ Line 1: Expenditures in excess of$50 (itemized above): 1 3oo.o.Line 2:' Expenditures $50 or under (not itemized): ILine 3: TOTAL AMOUNT REIMBURSED: l3t>O. o
under the penalties of perjury:
Signature of C ~ d i d a t e I Treasurer/1·:
nate: 1 1 / o . ~ z , l
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ssachusetts
Form CPF R 1: Itemization of Reimbursements
Office of Campaign,and Political Finance
f Campaign and Political Finance
Ashburton Place, Room 411
, MA 021 08
979-8300
g the date, payee, address, purpose and amount for each expenditure made by the person be
ed. The total amount reimbursed to the individual (which must be by committee check) should be the same as the amount shown
reimbursement form.
Date ofReimbursement: I 7Z'3 (_;I
e oflndividual Being Reimbursed: I ;::f 'DJ4m eo N / 3 ~ ' - - L
I .oM , 1 rr-£?13 r() ct.r::cr /4-R 1'-I/•T=. Lc VI 1--lSo1'-/
(i f applicable): I I Telephone Number (optional): I {/3 5 ' " 7 0 - " 5 ~ ' 1 3
ITEMIZE ExPENDITURES IN EXCESS OF $50
ate Paid Vendor Name Vendor Address Purpose of E:x:penditure Amoun
S/:.lb/111e'tJt.. L / ; ' - ( I V'l?. 7 l S. f>t.O"I'ISII " ' T eoP'/ _.f r"LD
I C f ~ $ {optr::f I?M1-1erzsr ,,.
S"'I?IZYI&C"7 F4f l
0/00P- F t . . y c f 1 . ~
lo.'i/'tlCPL 1.. (5<!1'! Y'e ? I P t . . ~ , t J S ~ / ' o r r -:>T C : o ~ y Ftt:)t I?
lt%.ot ! ~ ' f l 1::1 ~ , . , . , we t z ~ ""11 F ~ ~ ;r:,_t" IIA.r/()1'1/7O ( P O ~
J-&.fn I
t!.Ot. t.CC../1 y( : . '11 7 J J . ; 3 ' 1 ~ ~ ~ T '>7- C. E > ~ { ! ' O L ()
I , .., 6 . 6e ~ t G j ,.il P'f IT r:-fl. f f IV\ n- Fofl- ft..Y!:l25fJ()?-
If)OT,'J...NC S O L £ / 1 1 0 / ' ( ~ ?t:> ~ t 1 J 1 - '3 wee !7rrr::
117£®~ I V ' - ~ 1 - / ~ t f } J . £3.'( 111JI. O IP J r m/Q/IV{ . V f ' O.Q7C5
HFiflLe'"l D K I Y t ; ~ 3 3 5 p ( / ~ r:-/. (.. ST. Bt:YePJtlb-c'1 FoR
I q b . oP'P4 ,cJII/f} fp" f :. l I'{ r /Af)L ! : -( , ll'\fJ maer "t <:P-ea.:rO l t > 1 ~ f i / L{C.77o Ja.,l
(Include items listed on Page 2) -+ Line 1: Expenditures in excess of$50 (itemized above): 1·I5""30'
Line 2,: Expenditures $50 or under (not itemized): l17er ..Line 3: TOTAL AMOUNT REIMBURSED: II ~ q o . o
of perjury:WA Date: I ' ) . / ~ '-f/ ft
Please prepare a separate report for each reimbursement check issued by the committee.
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assachusetts
Form CPF R 1: Itemization of Reimbursements
Office of Campaign and Political Finance
and Political FinanceAshburton Place, Room 411
ston , MA 021087) 979-8300
The total amount reimbursed to the individual (which must be by committee check) should be the same as the amount show
form.
Date ofReimbursement: I 7/sZ 11 A ~ l ( } ? Z ~ ( );
ividual Being Reimbursed: j /4 f?.l'-1 I E. L e P t , . . , 1 ~ / l l
I .a '11 It-? ITTE6. (tJ ( i t r ;c . r 11 Z}..( {e. '-13vi i \ /So1'/
ID Number (i f applicable): I I Telephone Number (optional): I -// J 5"7t/- " ! ~ ' i ~
ITEMIZE EXPENDITURES IN EXCESS OF $50
Date Paid Vendor Name Vendor Address Purpose of Expenditure Amou
II e o s 7 ~ oI
I I c:r D q.G,(;.G"TT FooD 'Fof1.- l u 5 ../. S'f{Lif ' . f trFtet.C> ,.,,_ k t ~ r . : . oF r- Fo!?-O/tPB9 epg,rR,c:." r
11 e o § T ~ o
I
11c:r v,qct!. f i o P. FPo-p F""'. ! 'F f2 tMC,FICUJ ,..14- lfttJG7" t C,/Z-I!GI
01081
1/ttll"lFJ. IJ(l. t:fl't{C /Z. s, ' ,..,(;,. t> t J11 Irol S 7- o pe,...r ~ l f i . * " / ' " ' ' ~ A /
1/PO.A"Ic:. "/tP l. "r H fTTP1t-t /It fQ. t : / - / t : t ~ l t l ~ & , ~ ~ l / A I rt>IP6o
b / ~ 3 / u 1 Al0fZ7H A"' f7RJ.( 'Sefl-1/IC. f2 CeNf/:1 12cl'/719 '- CJr- ,s.#S I t 3 G :f Z t : f ' o l t ~ L . i ! f : ~ i 0 / 2 . . PV &11-1/.L FPP... / " ' C t : : r ~ ' N ()fl. J-1 I !JM(ry / ) ; I , /4 c
OttJ6o (1.(2 IZ67 rVNC.'1" lc 1'-/
1j;r/tj1\lt/fl-TJ.+JII,.,FTPI ' f ?q SEP/I't.t..-1'?- e c ~ t : " '(2f:"'7n.t- op T I I I ~ J . f 1 S
117F.Sl. r:Jt./'111/1- A ~ r c tzt-.IPP.111..,_,.F''f"7«( f:. lt"ll? ~ H A l f ? ' ?
&Jl1J6P
(Include items listed on Page 2) -+ Line 1: Expenditures in excess of$50 (itemized above): 13'167.
Line,2: Expenditures $50 or under (not itemized): l/b3.'15
Line 3: TOTAL AMOUNT REIMBURSED: l3b>t•.
Please prepare a separate report for each reimbursement check issued by the committee.
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Massachusetts
Form CPF R 1: Itemization of Reimbursements
Office of Campaign and Political Finance
of Campaign and Political Finance
411
MA 02108
7) 979-8300
The total amount reimbursed to the individual (which must be by committee check) should be the same as the amount show
Date of Reimbursement: J f;/ I!'/.. {{
idual Being Reimbursed: I t .J. s y 0 I l l r:; -.{_ S7eAA./
I :..OPI/11.1 1/13. G. ro et.rzc..r / f fRNt/3 L. 13Yt lrStt? L{
ID Number (i f applicable): I I Telephone Number (optional): II..//3 57 :J- 3; L/:9
ITEMIZE EXPENDITURES IN EXCESS OF $50
Date Paid Vendor Name Vendor Address Purpose of Expenditure Amou
.>/H;/u I/\!0/27 N /111'1 f ' T61--/ {3P.tDtJ.E G7.
Ip o ~ r P ~ ~ r : ~ 7 1 9 , . . , , ' 5
IBB.MfPf /T ~ F F t c e . I'll'{ 2 ( -114 " ' ~ ~ ' - ~ 11fl9- 01oto - ~ q q s
l II II Dl II II Dl II II Dl II IID
(Include items listed on Page 2) -+ Line 1: Expenditures in excess of$50 (itemized above): I BB,
Line 2: Expenditures $50 or under (not itemized): I ;73 .1
Line 3: TOTAL AMOUNT REIMBURSED: I I//.7
Date: I 7/'J'f/11
Please prepare a separate report for each reimbursement check issued by the committee.
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Form CPF R 1: Itemization ofReimbursements
Office of Campaign and Political Finance
of Campaign and Political Finance
Ashburton Place, Room 411
MA 021 08
979-8300
itemize any reimbursements by detailing the date, payee, address, purpose and amount for each expenditure made by the person bei
sed. The total amount reimbursed to the individual (which must be by committee check) should be the same as the amount shown
reimbursement form. '
Date of Reimbursement: Ib!J7L /
Being Reimbursed: j m 14 rz.,L to v Tt t. ~ " N Name: I t ! ()/ '? f f l IT(c i- "'("P [ ! I . E ~ r 1'1PM1(J. L ' ~ V I1--15 d/t-(
ID Number (i fapplicable): I Telephone Number (optional): I .; /3 '7tt;-3P-'i3
ITEMIZE EXPENDITURES IN EXCESS OF $50
Date Paid Vendor Name Vendor Address Purpose of Expenditure AmounII I D
II I DII I DII I DIII
ID(Include items listed on Page 2) -+ Line 1: Expenditures in excess of$50 (itemized above): I
Line 2: Expenditures $50 or under (not itemized): I 1-/J·L,
Line 3: TOTAL AMOUNT REIMBURSED: I L L ~ · tunder the penalties of perjury:
Please nrenare a senarate .renort for P . ~ ~ h rP.imhnr<:P.mP.nt "h""lc ;.,.,,.,rl h" th . """"""itt ...
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Massachusetts
Form CPF R 1: Itemization of Reimbursements
Office of Campaign and Political Finance
of Campaign and Political Finance
Ashburton Place, Room 411
021 08
itemize any reimbursements by detailing the date, payee, address, purpose and amount for each expenditure made by the person b
. The total amount reimbursed to the individual (which must be by committee check) should be the same as the amount shown
t form.
Date ofReimbursement: I 7l'3/ILl-
ividual Being Reimbursed: I FR. r-1 I l l c. W e ~ (3/AtSir; l
Ie J"" ,., -rt ;..·e -ro 731-/ECT /4 f2.N 1/5. Lci/!NSc::;N
ID Number (i f applicable): I I Telephone Number ( o p t i ~ n a l ) : I~ / / . 3 ~ 7 P - 5J. 1
ITEMIZE EXPENDITURES IN EXCESS OF $50
Date Paid Vendor Name VendorAddress Purpose of Expenditure AmouII I IDI I DI I DI I DI I D
(Include items li sted on Page 2) -t Line 1: Expenditures in excess of$50 (itemized above): ILine 2: Expenditures $50 or under (not itemized):
' . I G, 1
Line 3: TOTAL AMOUNT REIMBURSED: I 6:3
Date: I 7/'J-'1/{