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 ie55 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 $2,617.53Schedule 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 $1,874.00Form 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 caeSCHEDULE 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—. eeDate 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)