unde)' - Melrose MA
21
Commonwealth of Massachusetts File with: Form CPF M 102: Campaign Finance Municipal Form Office of Campaign and Political Finance City or Town Clerk or Election Commission Reoo-' ii Y OF ·· u. Gl S t, r: S 0 F V 0 T E R s AN 9: 24 10/20/2015 Reporting Period - Beginning : 1/1/2015 Ending : 10/16/2015 Type of re p ort : Pre - election Yes for Melrose Committee Name Gemma Martin Na me of Committee Treasurer 12 Sears Ave Melrose, MA 02176 Committee Ad dress SUMMARY BALANCE INFORMATION Ending Balance from previous report: $0.00 Total receipts this period: $10,965 . 28 Subtotal: $10,965.28 Total expenditures this period: $6,151 . 52 Ending Balance: $4,813 . 76 Total inkind contributions this period: $1,162.50 Total outstanding liabilities : $0.00 Name of bank(s) used: Citizens Bank 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 be lief , a t rue and complete statement of all campai gn finance activity including all contributions , loans , re ceipts , expenditures , disbursements , inkind contributions and liabilities for this reporting period and represents the campaign finance activity of all p ersons acting under the authority or on behalf of this committee in accordance with the requirements of M. G . L . c . 55 . Signed unde)' Eury' ' .. o::;::; Treasurer's s1gnature (1n 1nk) Date
Transcript of unde)' - Melrose MA
Commonwealth of Massachusetts
File with:
Form CPF M 102: Campaign Finance Municipal Form
Office of Campaign and Political Finance
City or Town Clerk or Election Commission
Reoo-'ii Y OF !~HR OSE ··u. Gl S n~ t, r: S 0 F V 0 T E R s
AN 9: 24
10/20/2015
Reporting Period - Beginning : 1/1/2015 Ending : 10/16/2015
Type o f rep ort : Pre- election
Yes for Melrose Committee Na me
Gemma Martin Na me of Committee Treasurer
12 Sears Ave Melrose, MA 02176
Committee Address
SUMMARY BALANCE INFORMATION Ending Balance from previous report: $0.00 Total receipts this period: $10,965 . 28 Subtotal: $10,965.28 Total expenditures this period: $6,151 . 52 Ending Balance: $4,813 . 76
Total inkind contributions this period: $1,162.50 Total outstanding liabilities : $0.00 Name of bank(s) used: Citizens Bank
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 belief , a t rue and complete statement of all campaig n finance activity including all contributions , loans , r e ceipts , expenditures , disbursements , inkind contributions and liabilities for this reporting period and represents the campaign finance activity of all persons acting under the authority or on behalf of this committee in accordance with the requirements of M. G. L . c . 55 .
Signed unde)' ~ Eury' ;o/3cJ~-' @~ . . o::;::;
Treasurer's s1gnature (1n 1nk) Date
Schedule A: Receipts M.G.L . c. 55 requires that the name and residential address be reported, in alphabetical order , for all recei pts 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.
Date Name and Residential Address Amount Occupation and Employer
9/30/2015 Audet , Erin Hobin $35 . 00 80 Park St Melrose , MA 02176
9/1/2015 Baab, Molly $25 . 00 52 Sears Rd Melrose , MA 02176
7/30/2015 Bach , Kristi $75 . 00 111 Vinton St Melrose , MA 02176
8/18/2015 Bakey, Julie Finn $25 . 00 23 Albion St Melrose , MA 02176
9/1/2015 Barber , Elizabeth $50 . 00 32 Irving St Melrose , MA 02176
6/10/2015 Bell & Izzi , LLC $500 . 00 Contribution 70 w. Foster St Melrose , MA 02176
9/1/2015 Bernard , Brendan $25 . 00 52 Sears Ave Melrose , MA 02176
9/15/2015 Blesso , Jr , Francis J . $75 . 00 22 Albion St Melrose , MA 02176
6/10/2015 Blumenthal , Daniel $75 . 00 50 Stillman Rd Melrose , MA 0217 6
6/10/2015 Blumenthal , Rebecca $75 . 00 50 Stillman Rd Melrose , MA 02176
Yes for Melrose A-1
Date Name and Residential Address
8/18/2015 Bookman , Charles 338 W Emerson St Melrose , MA 02176
9/1/2015 Bortinger , Ilana 54 Goss Ave Melrose , MA 02176
9/1/2015 Bortinger , Jonathan 54 Goss Ave Melrose , MA 02176
9/30/2015 Brocklesby, Karen 36 Boardman Ave Mel r o s e , MA 02176
6/10/2015 Brodeur , Elizabeth 125 Trenton St Melrose , MA 02176
6/10/2015 Brodeur , Paul 125 Trenton St Melrose , MA 02176
6/10/2015 Brown , Ellen 84 High St Brookline , MA 02445
7/15/20 15 Brown , Ellen 84 High St Brookline , MA 02445
9/30/2015 Burnaham , Maureen 72 Damon Ave Melrose , MA 02176
9/30/2015 Burton , Susan Curley 50 Albert St Melrose , MA 02176
9/30/2015 Cantin , Jason 57 Clifford St Melrose , MA 02176
9/30/2015 Carlson , Anne 25 Pilgrim Rd Melrose , MA 02176
Yes for Melrose
Amount
$25.00
$25 . 00
$25 . 00
$25 . 00
$50 . 00
$50 . 00
$250 . 00
$500 . 00
$100 . 00
$25 . 00
$25 . 00
$100 . 00
A- 2
Occupation and Employer
Retired Retired
Retired Retired
Date Name and Residential Address
7/8/2015 Casey , Joseph 60 Cochrane St Melrose , MA 02176
9/30/2015 Cassavoy , Liane 6 Virginia Ave Melrose , MA 02176
6/10/2015 Cassidy , Joan 61 Clifton Park Melrose , MA 02176
9/1/2015 Christopher , Elizabeth 81 Prospect St Melrose , MA 02176
8/18/2015 Ciulla , Kerri Lynn 24 Ardsmoor Rd Melrose , MA 02176
8/18/2015 Ciulla , Michael 24 Ardsmoor Rd Melrose , MA 02176
10/16/2015 Clark, Katherine 64 Prospect St Melrose , MA 02176
9/15/2015 Cogs Construction and Design Inc 11 Lebanon St Melrose , MA 02176
9/30/2015 Coleman , Tracy 85 Richardson Rd Melrose , MA 02176
6/10/2015 Costello , Alison 21 Orchard Ln Melrose , MA 02176
9/15/2015 Cronin , Bonnie 83 North Cedar Park Melrose , MA 02176
10/16/2015 Denning , Mark 56 Glendale Ave Melrose , MA 02176
Yes for Melrose A- 3
Amount
$50 . 00
$50 . 00
$500 . 00
$100 . 00
$50 . 00
$50 . 00
$125 . 00
$50 . 00
$50 . 00
$200 . 00
$35 . 00
$25 . 00
Occupation and Employer
Retired Retired
Contribution
Sr VP Wcm Advertising
Date Name and Residential Address
10/16/2015 Denning , Nancy 56 Glendale Ave Melrose , MA 02176
6/10/2015 Dennison , Leanne 39 Bancroft Rd Melrose , MA 02176
7/8/2015 Donnelly , Timothy 79 Sheffield Rd Melrose , MA 02176
6/10/2015 Donohue , James 31 Gooch St Mel ros e , MA 02176
10/16/2015 Dowell , Rodney 64 Prospect St Melrose , MA 02176
6/10/2015 Drago , Amy 9 Sherwood Rd Melrose , MA 02176
6/10/2015 Drago , Paul 9 Sherwood Rd Melrose , MA 02176
7/30/2015 Dudley, Dorothy 71 Walton Park Melrose , MA 02176
9/15/2015 English , Kelly 195 W Emerson St Melrose , MA 02176
9/30/2015 Federico , Adam 104 Cochrane St Melrose , MA 02176
9/30/2015 Federico , Beth 104 Cochrane St Melrose , MA 02176
7/30/2015 Flynn , Katherine 26 Nowell Rd Melrose , MA 02176
Yes for Melrose A-4
Amount Occupation and Employer
$25 . 00
$50 . 00
$25 . 00
$50 . 00
$125 . 00
$25 . 00
$25 . 00
$25 . 00
$25 . 00
$25 . 00
$25 . 00
$25 . 00
Date Name and Residential Address Amount Occupation and Employer
10/16/2015 Fogarty , Stephen $50 . 00 Asst . Principal 15 Sunset Rd Melrose Schools Melrose , MA 02176
10/16/2015 Fogarty , Suzanne $50 . 00 15 Sunset Rd Melrose , MA 02176
8/ 1 8/2015 Freeman , Jennifer $25 . 00 338 W Emerson St Melrose , MA 02176
7/30/2015 Gagliano, Christina $75 . 00 30 Upland Rd Melrose , MA 02176
9/30/2015 Gal ego , Aimee $50 . 00 1028 Main St Melrose , MA 02176
9/30/20 15 Gal ego, Michae l $50 . 00 1028 Main St Melrose , MA 0217 6
10/16/2015 Garipay , Andrea $50 . 00 71 Mooreland Rd Melrose , MA 02176
6/10/2015 Garipay , Andrea $50 . 00 71 Mooreland Rd Melrose , MA 02176
10/16/2015 Garipay , Mark $50 . 00 71 Mooreland Rd Melrose , MA 02176
6/10/2015 Garipay, Mark $50 . 00 71 Mooreland Rd Melrose , MA 02176
6/10/2015 Gentile , Paule $50 . 00 16 6th St Melrose , MA 02176
6/10/20 15 Gentile , Robyn $50 . 00 16 6th St Melrose , MA 02176
Yes for Melrose A- 5
Date Name and Residential Address
6/10/2015 Good, Erin-Marie 34 Bancroft Rd Melrose , MA 02176
6/10/2015 Good , Frederick 34 Bancroft Rd Melrose , MA 02176
7/30/2015 Goodnow- Ji , Susan 29 Dyer Ave Melrose , MA 02176
10/14/2015 Gracilieri , Jason 26 Hillside Rd Melrose , MA 02176
9/15/2015 Graham , Maura 95 Clifford St Melrose , MA 02176
6/10/2015 Gray , Rebecca Merino 157 Beech Ave Melrose , MA 02176
6/10/2015 Grigoraitis , Jennifer 419 Lebanon St Melrose , MA 02176
6/10/2015 Grover , Martha 31 Gooch St Melrose , MA 02176
9/15/2015 Grymek , Lauren 19 Morgan St Melrose , MA 02176
6/22/2015 Gvalidate 11956 Bernardo Plz Dr San Diego , CA 92128
6/22/2015 Gvalidate 11956 Bernardo Plz Dr San Diego, CA 92128
9/30/2015 Hamilton , Jacqueline 128 Pearl St Melrose , MA 02176
Yes for Melrose A- 6
Amount Occupation and Employer
$25 . 00
$25 . 00
$50 . 00
$50 . 00
$35 . 00
$25 . 00
$75 . 00
$50.00
$25 . 00
$0 . 10 banking test
$0 . 18 banking test
$50 . 00
Date Name and Residential Address
9/30/2015 Hampson , Elizabeth 45 Harold St Melrose , MA 02176
10/14/2015 Healy , Wendy 17 Cranmore Ln Melrose , MA 02176
9/1/2015 Infurna , Gail 198 Boston Rock Rd Melrose , MA 02176
9/30/2015 Interbartolo, Rebecca 33 Woodland Ave Melrose , MA 02176
10/16/2015 Izzi , Kimberly 45 Damon Ave Melrose , MA 02176
10/16/2015 Izzi , Louis 45 Damon Ave Melrose , MA 02176
9/1/2015 Jenkins , Matthew 51 Lovell Rd Melrose , MA 02176
9/1/2015 Jenkins , Meghan 51 Lovell Rd Melrose , MA 02176
6/10/2015 Keefe , Jennifer 17 Beverly St Melrose , MA 02176
6/10/2015 Keefe , William 17 Beverly St Melrose , MA 02176
10/16/2015 Kelley , Frederick 86 Damon Ave Melrose , MA 02176
10/16/2015 Kelley , Lauren 86 Damon Ave Melrose , MA 02176
Yes for Melrose A- 7
Amount
$25 . 00
$40 . 00
$200 . 00
$50 . 00
$100 . 00
$100 . 00
$25 . 00
$25 . 00
$50 . 00
$50 . 00
$50 . 00
$50.00
Occupation and Employer
Marketing Director Epoch Senior Healthcar
Attorney Bell & Izzi
Date Name and Residential Address
6/10/2015 LaFontana , Kimberly 75 Hillside Ave Melrose , MA 02176
9/30/2015 Lehman , Donald 72 Lincoln St Melrose , MA 02176
9/30/2015 Leitz , Jessica 11 Chestnut St Melrose , MA 02176
7/30/2015 Lemay , Mimi 1 Chipman Ter Melrose , MA 02176
7/30/2015 Lippman , Andrea 1 0 Ell wood Rd Melrose , MA 02176
8/18/2015 Loveland, Lisa 188 Florence St Melrose , MA 02176
7/15/2015 Lowe , Nicholas 53 Ferdinand St Melrose , MA 02176
6/10/2015 MacDonald , Christopher 164 First St Melrose , MA 02176
6/10/2015 MacDonald , Eric 25 Marmion Rd Melrose , MA 02176
6/10/2015 MacDonald , Karla 25 Marmion Rd Melrose , MA 02176
6/10/2015 MacDonald , Marley 164 First St Melrose , MA 02176
9/1/2015 Manning , Jennifer 200 W Wyoming Ave Melrose , MA 02176
Yes for Melrose
Amount Occupation and Employer
$50 . 00
$50 . 00
$50 . 00
$100 . 00
$50 . 00
$50 . 00
$100.00
$50 . 00
$50 . 00
$50 . 00
$50.00
$50.00
A-8
Date Name and Residential Address
6/10/2015 McAllister- Grande , Jaime 22 Tappan St Melrose , MA 02176
10/14/2015 McAndrew, Jen 12 Sears Ave Melrose , MA 02176
10/16/2015 McAteer - Margolis , Mary E . 22 Stowecroft Rd Melrose , MA 02176
9/30/2015 McCarthy , Ann 72 Lincoln St Melrose , MA 02176
8/18/2015 McClory , Paul 69 Orris St Melrose , MA 02176
10/14/2015 McGillicuddy, Jaye 27 Damon Ave Melrose , MA 02176
6/10/2015 McGlynn , Ellen 127a Vinton St Melrose , MA 02176
9/30/2015 McKeown , Amyjean 52 Thurston Rd Melrose , MA 02176
6/10/2015 McLaughlin , Constance 40 Orchard Ln Melrose , MA 02176
6/10/2015 McLaughlin , John 41 North Ave Melrose , MA 02176
6/10/2015 McLaughlin , Patricia 41 North Ave Melrose , MA 02176
6/10/2015 McLaughlin , Sr , John 40 Orchard Ln Melrose , MA 02176
Yes for Melrose
Amount
$20 . 00
$100 . 00
$25.00
$50 . 00
$50 . 00
$100 . 00
$50 . 00
$25 . 00
$50 . 00
$50 . 00
$50 . 00
$50 . 00
A-9
Occupation and Employer
Corns Manager Tufts University
Date Name and Residential Address Amount Occupation and Employer
6/10/2015 Minton , Christopher $100 . 00 Vice Pesident 33 Waverly Pl Shore light Melrose , MA 02176
6/10/2015 Minton , Emily $100 . 00 33 Waverly Pl Melrose , MA 02176
6/10/2015 Mol way , Craig $25 . 00 58 Goss Ave Melrose , MA 02176
6/10/2015 Mol way , Sarah $25 . 00 58 Goss Ave Melrose , MA 02176
10/14/2015 Mongeau , Joan Ford $250.00 Executive Director 80 Sheffield Rd Chamber of Commerce Melrose , MA 0217 6
10/14/2015 Mongeau , Joan Ford $250 . 00 Executive Director 80 Sheffield Rd Chamber of Commerce Melrose , MA 02176
7/15/2015 Morig , Stacy $25 . 00 69 Argyle St Melrose , MA 02176
9/1/2015 Mujalli , Joanne $25 . 00 103 Ashland St Melrose , MA 02176
9/1/2015 Mujalli , Joseph $25 . 00 103 Ashland St Melrose , MA 0217 6
6/10/201 5 Newman , Charlotte $100 . 00 299 Swains Pond Ave Melrose , MA 02 176
6/10/2015 Newman , James $100.00 VP of Sales 299 Swains Pond Ave Smarterer Melrose , MA 02176
7/15/2015 O' Koniewski , Linda $1,000.00 Realtor 40 S Cedar Park Remax Leading Edge Melrose , MA 0217 6
Yes for Melrose A-1 0
Date Name and Residential Address Amount Occupation and Employer
9/30/2015 Oldham, Eileen $25 . 00 21 E . Highland Ave Melrose , MA 02176
9/30/2015 Orlandella , Sarah $50 . 00 74 Hawes Ave Melrose , MA 02176
9/30/2015 Ormond, Karolyn $25.00 25 Arlington Rd Melrose , MA 02176
9/15/2015 Paulson , Kelly V. $50 . 00 42 Lynde Ave Melrose , MA 02176
7/15/2015 Pechulis , Kristina $40.00 46 Reading Hill Ave Melrose , MA 02176
7/30/2015 Piantedosi , Amy $50 . 00 211 Bay State Rd Melrose , MA 02176
6/10/2015 Pollica , Laura $25 . 00 179 Trenton St Melrose , MA 02176
9/15/2015 Rasner , Mary $50 . 00 23 Ardsmoor Rd Melrose , MA 02176
10/16/2015 Riley , Christopher $100 . 00 41 Damon Ave Melrose , MA 02176
8/18/2015 Ripley , Melissa $25.00 36 East Wyoming Ave Melrose , MA 02176
9/30/2015 Rynak , Alison $25 . 00 105 Beech Ave Melrose , MA 02176
9/30/2015 Sestito , Amy $50 . 00 76 Morgan St Melrose , MA 02176
Yes for Melrose A- ll
Date Name and Residential Address Amount Occupation and Employer
6/10/2015 Sestito , Amy $50 . 00 76 Morgan St Melrose , MA 02176
9/30/2015 Sestito , Anthony $50 . 00 76 Morgan St Melrose , MA 0217 6
6/10/2015 Sestito , An t ho n y $50 . 00 76 Morgan St Melrose , MA 02176
8/18/2015 Sterling , Justine $30 . 00 22 Warwick Rd Melrose , MA 02176
10/16/2015 Sterling , Justine $25 . 00 22 Warwick Rd Melrose , MA 02176
8/18/2015 Sterling , Will i am $30 . 00 22 Warwick Rd Melrose , MA 02176
7/15/2015 Sulahian , Brooke $25 . 00 58 Albion St Melrose , MA 02176
9/30/2015 Sullivan , Kym $50 . 00 19 Stowecroft Rd Melrose , MA 02176
9/1/2015 Sullivan , Marcia $25 . 00 53 Nor man Rd Melrose , MA 02176
10/16/2015 Sullivan , Timothy $100 . 00 36 Arlington Rd Melrose , MA 02176
7/30/2015 Swan , Amy $50 . 00 52 Clifton Park Melrose , MA 02176
6/10/2015 Taylor , Katherine $100 . 00 95 Hillside Ave Melrose , MA 02176
Yes for Melrose A-12
Date Name and Residential Address
9/15/2015 Thorp , Bryan 77 Wentworth Rd Melrose , MA 02176
9/15/2015 Thorp , Kristin 77 Wentworth Rd Melrose , MA 02176
9/30/2015 Truesdale , Kenneth 85 Richardson Rd Melrose , MA 02176
9/30/2015 Viola , Hilary Roscoe 134 Howard St Melrose , MA 02176
7/8/2015 Wildman , Eric 33 Norman Rd Melrose , MA 02176
9/15/2015 Wilkins , Elizabeth 88 E Foster St Melrose , MA 02176
9/1/2015 Zwirko, Daniel 15 Vine St #7 Melrose , MA 02176
7/8/2015 Zwirko , Michael 100 Derby St Melrose , MA 02176
9/4/2015 Zwirko, Michael 100 Derby St Melrose , MA
Total Itemized Receipts Total Unitemized Receipts Total Receipts
Yes for Melrose
02176
A-13
Amount
$75 . 00
$75 . 00
$50 . 00
$25 . 00
$200 . 00
$100 . 00
$25 . 00
$100 . 00
$200 . 00
$10 , 965 . 28 $0 . 00
$10,965 . 28
Occupation and Employer
Human Resources Manage WCRIBMA
Director Fidelity Investments
Schedule B : Expenditures M.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 expenditures , but need only itemize those over $50. Expenditures over $50 and under may be added together from committee records , and reported on line 13.
Date Name and Ad dress
9/27/2015 Cambridge Offset Printing 56 Creighton St Cambridge , MA 02140
10/1/2015 Chick Montana Group 202 Bonham Rd Dedham, MA 02026
7/30/2015 Chick Montana Group 202 Bonham Rd Dedham, MA 02026
10/1/2015 Chick Montana Group 202 Bonham Rd Dedham, MA 02026
7/9/2015 Chick Montana Group 202 Bonham Rd Dedham, MA 02026
9/30/2015 Citizens Bank 1 Citizens Dr Providence , RI 02870
8/31/2015 Citizens Bank 1 Citizens Dr Providence , RI 02870
7/31/2015 Citizens Bank 1 Citizens Dr Providence , RI 02870
9/18/2015 Independence Communications Campaigns 10 Canal St , Ste 228 Bristol , PA 19007
9/18/2015 Independence Communications Campaigns 10 Canal St , Ste 228 Bristol , PA 19007
9/27/2015 McAndrew, Jen 12 Sears Ave Melrose , MA 0217 6
Yes for Melrose
Amount
$266 . 53
$348 . 75
$126 . 00
$2 . 85
$193 . 50
$3.00
$3 . 00
$3 . 00
& $3,000 . 00
& $196 . 45
$159.00
B-1
Purpose
Printing
Accounting & Compliance Services
Accounting & Compliance Services
Postage
Accounting & Compliance Services
Service Fee
Service Fee
Service Fee
Printing
Postage
Reimbursement (See Rl)
Date Name and Address
9/15/2015 McAndrew, Jen 12 Sears Ave Melrose , MA 02176
7/16/2015 Melrose Chamber of Commerce 1 West Foster St Melrose , MA 02176
9/23/2015 Melrose K of C 23 West Foster St Melrose , MA 02176
10/14/2015 Potter ' s Printing 56 Creighton St Cambridge , MA 02140
10/1/2015 Wakefield Item Co. 26 Albion St Wakefield , MA 01880
Total Itemized Expenditures Total Unitemized Expenditures Total Expenditures
Yes for Melrose B-2
Amount
$113 . 98
$160 . 00
$100 . 00
$405 . 46
$1 , 070 . 00
$6 , 151 . 52 $0 . 00
$6 , 151 . 52
Purpose
Reimbursement (See R1)
Victorian Fair Booth
Pancake Breakfast Ad
Printing
Advertising
Schedule C : "Inkind" Contributions Please itemize contributors who have made inkind 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. An exception to this is that all contributions (under or over $50) given by persons who have contributed more than $50 in the calendar year must be itemized . Please report the names and addresses of contributors. Also give the occupation and employer of any contributor who has given an aggr egate amount of $200 or more in the calendar year .
Date Na me a nd Resi den tia l Address
9/3/2015 Committee to Elect Rob Dolan 14 Heywood Ave Melrose , MA 02176 16096
9/20/2015 Evervolve 15 Lodge Ave Melrose , MA 02176
6/4/2015 Lewis , Lisa 18 Pine St Melrose , MA 02176
6/2/2015 McAndrew, David 12 Sears Ave Melrose , MA 02176
5/14/2015 McAndrew, David 12 Sears Ave Melrose , MA 02176
7/23/2015 McAndrew, Jen 12 Sears Ave Melrose , MA 02176
10/14/2015 McAndrew, Jen 12 Sears Ave Melrose , MA 02176
7/18/2015 Saragosa , Kate 78 Walton Park Melrose , MA 02176
7/1 9/2015 Saragosa , Kate 78 Walton Park Melrose , MA 02176
Total Itemized Inkind Contributions Total Unitemized Inkind Contributions Total Inkind Contributions
Yes for Melrose C-1
Value
$324 . 06
$208 . 20
$159 . 28
$130 . 50
$107 . 28
$43 . 92
$39 . 97
$68 . 53
$80 . 76
$1 , 162 . 50 $0 . 00
$1 , 162 . 50
Description Occupati o n / Employer
Printing
T- Shirt Printing
Food for event
Printing Engineer Prysm, I nc .
Web hosting engineer Prysm, Inc .
Banner printing Corns Manager Tufts University
Facebook Advertisements Corns Manager Tufts University
Catering
Catering
Schedule D: Liabilities M.G.L. c. 55 requires committees to report ALL liabilities which have been reported previously and are still outstanding, as well as the liabilities incurred during this reporting period.
Date To Whom Due Amount Purpose
Total Outstanding Liabilities $0 . 00
Yes for Melrose D- 1
Schedule R: Reimbursements
Date Reimbursee
9/15/2015 McAndrew, Jen
9/27/2015 McAndrew, Jen
Yes for Melrose R-1
Amount
$113 . 98
$159 . 00
Commonwealth of Massachusetts
File with:
Form CPF Rl: Itemization of Reimbursements Municipal Form
Office of Campaign and Political Finance
City or Town Clerk or Election Commission
McAndrew, Jen Individual Being Reimbursed
Yes for Melrose Committee Name
$113 0 98 Amount of Reimbursement
9/15/2015 Date of Reimbursement
Signed under the penalties of~perjury:
10/20/2015
~----" ;tJ/zu!tJ--7 Candidate's/Treasurer's signature (in ink)
Date Vendor Name and Address
9/11/2015 Staples 444 Broadway Saugus , MA 01906
Date
Amount Purpose
$84 . 00 Printing
Commonwealth of Massachusetts
Form CPF Rl: Itemization of Reimbursements Municipal Form
Office of Campaign and Political Finance
File with: City or Town Clerk or Election Commission
McAndrew, Jen Individual Being Reimbursed
Yes for Melrose Commit tee Name
$159 .00 Amount of Reimbursement
9/27/2015 Date of Reimbursement
Sign~;~A·:e:• of pe~jury
Cand~'s/Treasurer's signature (in ink)
Date Vendor Name and Address Amount
9/25/2015 Jotform , Inc $159 . 00 1750 Montgomery St San Francisco , CA 94111
10/20/2015
10 zc!J, J--Date
Purpose
Website/email Subscription
