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Form CPF M 102: Campaign Finance Report Office of Campaign and Political Finance Reporting Period: Beginning: 8/29/2021 Ending: 10/15/2021 Type of Report: 2021 Pre-election Report 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 true and complete statement of all campaign finance activity including all contributions, loans, receipts, 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 under the penalties of perjury: Treasurer's signature (in ink) Date Affidavit of Candidate (check 1 box only) : Candidate with Committee and no activity independent of the committee I certify that I have examined this report, and 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 this committee in accordance with the requirements of M.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 OR candidate with independent activity filing separate report. I certify that I have examined this report and attached schedules and it is, to the best of my knowledge and belief, a true and complete statement of all campaign finance activity including contributions, loans, receipts, expenditures, disbursements, 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 under the penalties of perjury: Candidate's signature (in ink) Date Commonwealth of Massachusetts File with: Director Office of Campaign and Political Finance One Ashburton Place Rm. 411 Boston, MA 02108 (617) 979-8300 CPF ID# 17855 Malstrom, Chris Malstrom Committee Full Name of Candidate Committee Name Municipal, Local Filer Bonnie Massie Office Sought/ District Name of Committee Treasurer 45 Essex Street #1 Salem, MA 01970 22R West Avenue Salem, MA 01970 Residential Address Committee Address SUMMARY BALANCE INFORMATION Ending balance from previous report: $1,157.30 Total receipts this period: $55.00 Subtotal: $1,212.30 Total expenditures this period: $169.41 Ending Balance: $1,042.89 Total inkind contributions this period: $0.00 Total out of pocket spending this period: $0.00 Total outstanding liabilities: $0.00 Name of Bank Used: DocuSign Envelope ID: 0B9AD833-C83E-4EC8-AA3C-D4D1509A9A68 10/25/2021 10/25/2021 X ---PAGE BREAK--- Schedule A: Receipts M.G.L. c. 55 requires that the name and residential address be reported, in alphabetical order, for all receipts 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 Total Itemized Receipts: $0.00 Total Unitemized Receipts: $55.00 Total Receipts: $55.00 DocuSign Envelope ID: 0B9AD833-C83E-4EC8-AA3C-D4D1509A9A68 ---PAGE BREAK--- 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 Address Amount Purpose 9/16/2021 Malstrom, Chris $35.53 45 Essex Street #1 Salem, MA 01970 9/8/2021 My Print and Copy, LLC $133.88 Door Hangers 100 Cummings Center, Ste 2100 Beverly, MA 01915 Total Itemized Expenditures: $169.41 Total Unitemized Expenditures: $0.00 Total Expenditures: $169.41 DocuSign Envelope ID: 0B9AD833-C83E-4EC8-AA3C-D4D1509A9A68 ---PAGE BREAK--- 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 Reduction Loan Amount Purpose 8/28/2021 Malstrom, Chris $35.53 45 Essex Street #1 Salem, MA 01970 9/16/2021 Malstrom, Chris ($35.53) 45 Essex Street #1 Salem, MA 01970 Outstanding Liabilities: $0.00 DocuSign Envelope ID: 0B9AD833-C83E-4EC8-AA3C-D4D1509A9A68