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::o:;,oonwe_alth Massacl:usetta Form CPF M 102: Campaign Finance Report Office of Campaign an d Political Finance le with: ' i 1) i " y or Town clerk o r Election Connisaion (I·· \• 'J II . ,1<j/27/2011 .! I ' '! \ \ ,i : I ~ ~ \ ' . \ ,! . , } I e;o11 I I \ u \ Ul.l L 'f '.'1 . Reporting Period: Beginning: 1/1/2011 Ending: 10/27/2011 J .. ' ,, i i ;'.,!' (' ll \' ' .. ,:, •"" ~ ~ ~ (_] ': ''I' " ' " ., ' I <1 I · - · Type o f Report: Pre-election "----- ---- Michael Janik Committee t o Blect Michael Janik Full Name o f Cdndidate Committee Name Kenneth Gazda i ty Councilor a t Large Office Sought/ District 44 Pencasal Drive Florence, MA 01062 Name o f Committee Treasurer Residential Address P.O Box 60355 Florence, MA 01062 committee Address SUMMARY BALANCE INFORMATION Ending balance from previous report: Total receipts this period: Subtotal: Total expenditures this period: Ending Balance: Total inkind contributions this period: Total outstanding liabilities: N ~ e o f Bank Used1 Florence Savings Bank ffidavit o f Committee Treasurert $0.00 $5,440.00 $5,440.00 $4,902.10 $537.90 $0.00 $2,500.00 r certify that r have examined this report, including attached schedules an d i t i s , to th e best o f my knowledge an d belief, a true an d complete statement of a l l campaign finance activity including a l l contributions, loans, receipts, expenditures, disbursements, inkind contributions an d liabilities fo r this reporting period an d represents th e campaign finance activity of a l l persons acting under th e authority o r on behalf of this committee in accordance with the requiretnents of fof.G.L. c. SS. igned under th e penalties o f perjury1 ICJ/:n '/1 Date v i t o f Candidate (check 1 box only} t didate with Committee an d no activity independent o f th e committee I certify that I have examined this report, an d attached schedules an d i t i s , to th e best o f my knowledge and belief, a true and complete statement of a l l campaign finance activity, of a l l persons acting under th e authority o r on behalf o f this committee in accordance with th e requirements o f M.G.L. c. 55 . I have no t received an y contributions, incurred any liabilities no r made an y expenditures on my behalf during this reporting period. Candidate without Committee OR candidate with independent activity filing separate report. Jr certify that I have examined this report and attached schedules an d i t i s , to th e best of my knowledge an d belief, a true and complete statement of a l l campaign finance activity including contributions, loans, receipts, expenditures, : : : 1 ~ : · . : e ; ; : r J J c : ~ a b i l . i t i e s .<or, this report;:: : i; ~ ~ · ; r ~ s e n t s the campaign .... ·· ....

Michael Janik Campaign Finance Report November 2011

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::o:;,oonwe_alth

Massacl:usetta

Form CPF M 102: Campaign Finance Report

Office of Campaign and Pol i t ica l Finance

le with:

' i 1) i "y or Town clerk or Election Connisaion(I · ·

\• 'JII

. ,1<j/27/20.! I ''! \

\ ,i

: I ~ ~ \ ' . \ ,!.,} I

e;o11 I I \

u \

Ul.l L 'f '.'1 .

Reporting Period: Beginning: 1/1/2011 Ending: 10/27/2011

J..

' ,, i i ; ' . , ! '(' ll \' ' .. ,:,

•""~ ~ ~ (_] ':

' ' I '" ' " .,

' I <1 I · -·Type of Repor t : Pre-election "----- ----

Michael Janik Committee to Blect Michael Janik

Full Name o f Cdndidate Committee Name

Kenneth Gazdaity Councilor a t Large

Office Sought/ Distric t

44 Pencasal DriveFlorence, MA 01062

Name o f Committee Treasurer

Residential Address

P.O Box 60355Florence, MA 01062

committee Address

SUMMARY BALANCE INFORMATION

Ending balance from previous repor t :

Total receipts th is period:

Subtotal:

Total expenditures this period:

Ending Balance:

Total inkind contr ibut ions this period:

Total outstanding l i ab i l i t i e s :

N ~ e o f Bank Used1 Florence Savings Bank

of Committee Treasurert

$0.00

$5,440.00

$5,440.00

$4,902.10

$537.90

$0.00

$2,500.00

r cert i fy that r have examined this report, including attached schedules and i t is , to th e best of my knowledge and

bel ie f , a true and complete statement of a l l campaign finance activity including a l l contr ibutions, loans, receipts,

expenditures, disbursements, inkind contributions and l i ab i l i t i e s fo r this reporting period and represents th e campaign

finance act ivi ty of a l l persons acting under th e authori ty or on behalf of this committee in accordance with the

requiretnents of fof.G.L. c. SS.

under th e penalt ies of perjury1

ICJ/:n '/1Date

v i t of Candidate (check 1 box only} t

didate with Committee and no activity independent of th e committee

I cert i fy that I have examined this report, and attached schedules and i t is , to th e best of my knowledge and belief, a

true and complete statement of a l l campaign finance ac t iv i ty , of a l l persons acting under th e authori ty or on behalf of

this committee in accordance with th e requirements of M.G.L. c. 55. I have no t received any contr ibutions, incurred

any l i ab i l i t i e s no r made any expenditures on my behalf during th is reporting period.

Candidate without Committee OR candidate with independent activity fi l ing separate report .

cert i fy that I have examined this report and attached schedules and i t is , to th e best of my knowledge and bel ief ,

a true and complete statement of a l l campaign finance act ivi ty including contr ibutions, loans, receipts , expenditures,

: : : 1 ~ : · . : e ; ; : r J J c : ~ a b i l . i t i e s .<or, this report;:::i;~ ~ · ; r ~ s e n t s the campaign

.... ·· ....

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Schedule A: ReceiptsG.L. ·c . 55 requires that th e name and residentia l address be reported, in alphabetical order, for a l l receipts

er $50 in a calendar year. Committees must keep detai led accounts an d records of a l l receipts , but need onlyemize those receipts over $50, In addition, the occupation and employer must be reported fo r a ll personso contribute $200 or more in a calendar year.

Date Name and Resident ia l Address

9/7/2011 Borel , Nancy10 0 Myrtle Stree t

Ragley, LA 70657

8/3/2011 Brocklesby, Phi l l ip50 3 Bridge Rd

Florence, MA 01062

10/14/2011 Brocklesby, Phi l l ip50 3 Bridge Rd

Florence, MA 01062

6/4/2011 Cohen, Adam

35 1 Pleasan t S t r ee tNorthampton, MA 01060

6/4/2011 Duarte, James85 Morgan Stree tGranby, MA 01033

5/14/2011 Gazda, Kenneth21 Stoney Brook Rd.Becket, MA 01223

5/14/2011 Janik (Loan), Michael44 Pencasal DriveFlorence, MA 01062

10/6/2011 Janik (Loan), Michael44 Pencasal DriveFlorence, MA 01062

7/23/2011 Janik (Loan), Michael44 Pencasal Drive

Florence, MA 01062

6/4/2011 Levison, Arnold G.

14 Hancock Stree tNorthampton, MA 01060

6/4/2011 Plassmann, Jon180 Fai r S t r ee t ExtNorthampton, MA 01060

7/11/2011 Rei ter , Jendi13 4 North S t r ee tNorthampton, MA 01060

5/17/2011 Riddle , Bob

47 Walter StLeeds, MA 01053

9/7/2011 Walker, Alice52 Gi l r a in TerraceFlorence, MA 01062

8/10/2011 Werbinski, Frank374 Bridge Stree t

Northampton, MA 01060

Tota l I temized Receip ts :

Tota l Unitemized Receip ts :

Amount

$100.00

$100.00

$50.00

$500.00

$100.00

$100.00

$1,000.00

$500.00

$1,000.00

$75.00

$100.00

$500.00

$100.00

$100.00

$50.00

$4,375.00

$1,065.00

Occupation and Employer

Business Owner

Publishing-Winning Wri

Data Processing Mgr.The Lenox National Ba n

WriterSelf Employed

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Schedule B: Expendi turesG.L. c. 55 re qu i re s committees to list, in a lphabe t i c a l o r d e r ~ a l l expendi tures over $50 in a re por t ing pe r iod .

mmittees must keep detai led accounts and records of a l l expenditures, but need only itemize those over $50.penditures over $50 and under may be added together from committee records, and reported on l ine 13 .

Date Name and Address Amount Purpose

5/14/2011 Bj ' s Wholesale650 Memorial DriveChicopee, MA 01013

5/31/2011 Col lec t ive Copies93 Main s t .Florence, MA 01062

5/27/2011 Dai ly Hampshire Gazet teMain StNorthampton, MA 01060

7/6/2011 Florence Civic CenterMain StFlorence, MA 01062

10/21/2011 Janik,MichaelP.O. Box 60355Florence, MA 01062

10/21/2011 Janik,MichaelP.O. Box 60355Florence, MA 01062

7/14/2011 Jim Madden/on The Button59 Nonotuck S t.Florence, MA 01062

8/3/2011 On Th e Button59 Nonotuck St

Northampton, MA 01062

9/8/2011 Stap les

12 2 North King S t.Northampton, MA 01060

9/1/2011 Stap les

12 2 North King S t.Northampton, MA 01060

9/27/2011 Staples

12 2 North King S t.

Northampton, MA 01060

9/29/2011 Stap les

12 2 North King S t.Northampton, MA 01060

8/9/2011 Staples12 2 North King S t.

Northampton, MA 01060

8/18/2011 Stap les122 North King S t .Northampton, MA 01060

8/3/2011 Stap les

12 2 North King S t.Northampton, MA 01060

7/6/2011 Stap les

12 2 North King St.

Northampton, MA 01060

5/24/2011 sunr ise Inc .

$160.64 Kick-Off PartySuppl ies

$165.28 Pr in t ing Services

$210.40 Paper Add

$75.00 Hal l Rental

$316.10 Reimbursement (See R1)

$240.40 Reimbursement (See R1)

$1,144.84 Lawn Signs

$116. 88 Magnetic CampaignSigns

$273.68 Pr in t ing/suppl ies

$164.69 Pr in t ing/suppl ies

$172.92 Pr in t ing/suppl ies

$44.18 Pr in t ing/suppl ies

$101. 99 Copies of Invi tes

$390.75 Pr in t ing/suppl ies

$211.43 Pr in t ing /envelopes

$93.16 Suppl ies

$276.25 Lawn Signs

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8/12/2011 USPS $220.00 PostageFlorence Stat ionFlorence, MA 01062

8/15/2011 USPS $44.00 PostageFlorence Stat ionFlorence, MA 01062

8/20/2011 Walmart $47.61 Food/party Supplies

Northampton,MA 01060

9/27/2011 Walmart $28.56 Meet and GreetSupplies

Northampton, MA 01060

6/4/2011 World War 2 Club $150.00 Kick-Off PartyConz St. suppliesNorthampton, MA 01060

Total Itemized Expenditures: $4,648.76

Total Unitemized Expenditures: $253.34

Total Expenditures: $4,902.10

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Schedule D: Liab i l i t i e sG.L. c. 55 requires committees to report ALL l iab i l i t i e s which have been reported previously and are s t i l l

ts tanding, as well as th e l iab i l i t i e s incurred during this reporting period.

Date To Whom Due

10/6/2011 Janik (Loan), Michael44 Pencasal DriveFlorence, MA 01062

7/23/2011 Janik (Loan), Michael

44 Pencasal DriveFlorence, MA 01062

5/14/2011 Janik (Loan), Michael44 Pencasal DriveFlorence, MA 01062

Total Liabil i t ies:

Amount Purpose

$500.00 Loan from candidate

$1,000.00 Loan from candidate

$1,000.00 Loan from candidate

$2,500.00

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Date Reimbursee

10/21/2011 Janik,Michael

10/21/2011 Janik,Michael

Schedule R: Reimbursements

Amount

$316.10

$240.40

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:OF_.mon..,.ealth

Massachusetts

le with;

Form CPF Rl: I temizat ion of Reimbursements

Office of Campaign and Pol i t ica l Finance

ty o r Town Clerk o r Election C'Ol'n.ission10/27/20

Janik,Miohael Committee to Elect Michael Janik

Individual Being Reimbursed Committee Name

$316.10 10/21/2011

Amount o f Reimbursement Date o f Reimbursement

Date Name and Address Amount Purpose

5/7/2011 Collective Copies $96 .16 Printing Services

93 Main St.Florence, MA 01062

5/6/2011 Collective Copies $88.19 Printing Services93 Main s t .Florence, MA 01062

5/6/2011 sunraise $131.75 Campaign Sign Banner322 Russell StHadley, MA 01035

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:o!':!Monw(J.lth

Massachusetts

For;m CPF Rl: Itemization of Reimbursements

Office of Campaign and Pol i t ica l Finance

le with:ty o r Town Clerk o r Election Corrnisaion

Janik,Michael

Individual Being Reimbursed

$240.40

Amount o f Reimbursement

Date Name and Address

3/8/2011 Godaddy

14455 N. Hayden Rd.scotsdale , AZ 85260

Committee to Elect Michael Janik

Committee Name

10/21/2011

Date o t Reimbursemetlt

Amount

$112.20

Purpose

Website

10/27/20

4/27/2011 USPS $102.00 Post Office Box RentalFlorence Stat ionFlorence, MA 01062

3/27/2011 Vistapr in t

95 Hayden Ave.Lexington, MA 02421

$26.20 Business Cards