2: Campaign Finale Ow
itical Finan
nd ror aT the
' CPF ID¢
Form CPF M 10:
office of Campaign ai
AMHERS
Peried! Beginning: 6/16/2016 Ending: 10/21/2016
tz 2016 Pre-election Report (MUN)
Repor
puilding opportunity for Learning and Diversity
MaryAnn S. Grim
65 Alpine Drive
mm Amherst, MA 01002
Residential Aaaress Tonnicese Aaah
SUMMARY BALANCE INFORMATION
nding balance from previous report: $0.00
‘otal receipts this period: $3,676.00
subtotal: $3,676.00
‘otal expenditures this period: $2,617.53
Ending Balance: $1,058.47
otal inkind contributions this period: '¢1,700.00
$0.00
otal outstanding Liabilities:
Name of Bank Used:
Peoples Bank
(ae
Retsarie of Calan Toho 1 For sav
ec eslestomsines Scere mines 0 an min
ee ee ie55 requires e
ees must keep detailed
lphabe
ords
ver $50 and under may be added
Date Name and Address
(17/2016 Anastasia Ordonez.
1 Dwight Circle
Amherst, MA_01002
10/18/2016 Daily Hampshire Gazette
115 Conz Street
Northampton, MA 01060
10/17/2016 Elizabeth Larson
35 Summerfield Road
Amberst, MA_ 01002
10/11/2016 Kursten Holabird
14 Ash Lane
Amherst, MA_01002
10/15/2016 Stripe
185 Berry Street, Suite 550,
San Francisco, CA_94107
9/20/2016 Sunraise, Inc.
322 Russell Street
Hadley, MA_01035
10/4/2016 Sunraise, Ine.
322 Russell Street
Hadley, MA_01035
Total Itemized Expenditures:
Total Unitemized Expenditures:
‘Total Expenditures:
ecnedule Bi: Expendi pares
Amount Purpose
$348.41 Reimbursement (See R-1)
$606.10 Newspaper Ad
$331.33 Reimbursement (See R-1)
$133.35 Reimbursement (see R-1)
$56.59 Online Donation Fees
$374.00 Rack Cards
$743.75 Lawn Signs
$2,593.53
$24.00
$2,617.53Schedule A: Receipts
bse. $$ requires that the name and re
F $50 in a calendar year. Comm:
temize those receipts over $50, In addition, the
who contribute $20
hd
Date Name and Residential Address
9/122016 Antonowicz, Stefan
1 Dwight Circle
Amherst, MA 01002
10/7/2016 Appy, Christian
60 Red Gate Lane
Amberst, MA_01002
10/7/2016 Appy, Katherine
60 Red Gate Lane
Amberst, MA_01002
10/19/2016 Hamel, Nancy
163 Heatherstone Road
Amherst, MA_01002
10/19/2016 Hamel, Paul
163 Heatherstone Road
‘Amherst, MA 01002
9/17/2016 Hess, Traci
60 Concord Way
Amherst, MA 01002
10/11/2016 Hood, Richard
12 Amity Place
Amherst, MA_01002
4al address be reported,
tees must keep detailed accounts a!
jecupation and emp
or more ina calendar year
Amount Occupation and Employer
$2.00 CTO.
Sportsblog LLC
$100.00
$100.00
$100.00
$100.00
$125.00
$250.00 Web Development
‘Common Media, Ine.
10/6/2016 Larson, Elizabeth $100.00
35 Summerfield Road
Amberst, MA 01002,
10/6/2016 Larson, Nathaniel $100.00,
35 Summerfield Road
Amherst, MA_01002
$100.00
‘9/8/2016 Lindsey, Ellen
‘9 Swallow Farms Road
‘Amberst, MA 01002
‘9/18/2016 Meyer, Amadee
1850 South East Street
‘Amherst, MA_01002
‘9/29/2016 Morse, Richard
51 Mt. Holyoke Drive
‘Amherst, MA_01002
‘9/19/2016 Neumann, Johanna
137 Stanley Street
Amherst, MA 01002
29/2016 Rietkerk, Bart
102 Wildflower Drive
Amherst, MA 01002
8/29/2016 Rietkerk, Pamela
102 Wildflower Drive
Amherst, MA 01002
‘Total Itemized Receipts:
‘Fotal Unitemized Receipts:
‘$200.00 Graduate Student
Umass Amherst
5100.00
100.00
5100.00
$100.00
$125.00
1,802.00
$1,874.00Form CPF M 102: Campaign Finance Report
Municipal Form
Office of Campaign and Political Finance
gus OCT 31 AN 10
7/25/2016 Ending Dat 10/31/2016"!
aan
Sring Period dates: Beginning Dat
sport: (Check one)
preceding preliminary [3] th day preceding election 1} 30 day after election yearend report [2] dissolution
ave Amherst's Small Schools Debt Override Committee
‘Committee Name
Tanda Fal Name (WFapplicale)
Maria Kopick!
Sikes Seaght and Deich ‘Name of Committee Treasurer
65 Country Corners Rd
Rendenal AGGIES ‘Committee Mailing Address
E-mail: amherstSASS@gmail.com
peony Phone # (optional):
‘SUMMARY BALANCE INFORMATION:
‘Line 1: Ending Balance from previous report Ce
Line 2: Total receipt this period (page 3, line 11)
Line 3: Subtotal (Tine 1 plus line 2) 7441.95
Line 4: Total expenditures this period (page 5, line 14)
Line 6: Total in-kind contributions this period (page 6) 4
Line 7: Total (all) outstanding liabilities (page 7) ee
ee
evi ot Commitee Tresarer
T have examined
{oy cdg a et pom inching aah
——-" eae
activity of al receipts, htures, a ‘of my knowledge and belief, a true and,
= nan tt ete en cos een ag
eel
=
acting under the authority or gn behalf
‘pod under the If of
Penalties of : iiee ingaccordance with the requirements of
ee eS (Treasurers atte
signature) Date:
dav of Canahate: lst 16
Reet Toor only)
mean nln eonaat ce myer cents aera
a) ca TON nlding ached
= ty Unt ih ahonty to net ths conmnes im ocrtnce wih he eyrmensof Me
ea re ey athe coe ment of canon fa
Pe bateaived
Ney caeSCHEDULE B: EXPENDITURES
0 in a reporting period. Comm
all expenditures over $
$50. Expenditures $50 and under n
[GL ¢. 55 requires committees to list, in alphabetical order,
ted accounts and records of all expenditures, but need only itemize those over
‘committee records, and reported on line 13.
‘Schedule B: Expenditures" attachment is available to complete, print and attach to this report, if additional pages ar
Fe Fequied
reall expenditures, Please include your committee name and a page number on each page)
To Whom Paid
Yate Paid | (alphabetical listing) Address Purpose of Expenditure Amount
[Pimberst Butetin fis Cone st d ie
\agp2016 jorthampton MA 01061
J
aectve Cones firs Peasant st printing tivers | :
on7/2016 tea ao1002 a
acebook fot wifow Ra avertising |
fags fenlo Park, CA 94025 =
Pre ‘Way Screen Printing +7 East St rd sii
yard signs ||
445.50)
[one Way Screen Printing Fivean se ;
peso Fite xeas peers |
665.50)|
Pre ‘Way Screen Printing 7 East St.
462.50)
[Frm Prine fa03 Giead Ra, Sute j
ead RG, Sute A
nfs
i Russel
87.64
ited States Postal Service com |
Jamerst Ma 01002
876.20)
ied States Postal Senice cam
snerst MA 01002
z 875.4
| =
Line 12: Total Expenditures over $50 (or listed ab J |
above)
isa Te Not listed abov
aa : ne LEXPENI
“ffzuhave itemized expenditures of $50 and under elde them a Te 12 1 peas ee
ie only those 2s
Spendiarer
ot Reise
Pages
orn .—s—. eeDate Received
‘Name and Kesidential Address
(alphabetical listing required)
Amount
‘Uccupation & Employer
(for contributions of $200 or more)
hto/13/2016
[Alex Alvarez
[451 Montague Ra
jamherst MA 01002
100.
30/2016
[Syivia Brandt
11286 South East St
lAmherst MA 01002
5000.
FF requested
l10/7/2016
firene Dujovne
1161 Pine St
Amherst MA 01002
100.00,
9/1/2016
[Marla Jamate
1105 Glendale Ra
\mherst MA 01002
100.
bprt/2016
ffom Jamate
1105 Glendale Rd
[Amherst, MA 01002
100.
y7/27/2016
[Maria Kopicx’
[65 Country Corners Rd
|amherst MA 01002
100.
pris/2016
jake Mayfield
lo5 Red Gate Lane
Amherst MA 01002
100.
hto/30/2016
[Laura Quilter’
1101 Red Gate Lane
[Amherst MA 01002
425.02,
[Porarian, UMass.
hno/27/2016
[Eve Voget
35 Harlow Or
jamherst MA 01002
200.
Professor, UMass
1/30/2016
Mary Wentworth
122 Lessey St, 514
[amherst MA 01002
100.
prz2o1s
[kurt Wise
[31 Maplewood Dr
[Amherst MA 01002
200.
Policy Analyst, Massachusetts Budget & Policy Center
Line 9: Total Receipts over $50 (or listed above)
6525.02,
Line 10: Total Receipts $50 and under* (not listed above)
916.91)