9
Campaign Finance Report Summary Sheet Part 1 Final Report (Check if you intend to close the account. This cannot be a final report if a cash balance or outstanding obligation remains) Date (Date amendment is being filed Transaction Period This Report covers transactions beginning Date 04/08/2014 02/24/2014 and ending . .) Amendment # Bank Account Name Bank Account Number Bank Account Balance* *As of the report transaction ending date. Total $2,808.10 Part 2 Part 3 Contributions – Schd 1, Col A $3,250.00 Ticket Purchases – Schd 1, Col B $0.00 Federal Committees – Schd 1, Col C $0.00 Political Clubs – Schd 1, Col D $500.00 MD Candidate and Slate Accounts – Schd 1A, Col E $0.00 MD Party Central Committees – Schd 1A, Col F $0.00 MD Political Action Committees – Schd 1A, Col G $0.00 Non-Federal Out-of-State Committees – Schd 1A, Col H $0.00 Other – Schd 1B, Col I $0.00 Loans – Schd 3, Col K $0.00 Enter Total in Part 4 (Total Receipts) Salaries & Other Compensation – Schd 2, Col N $0.00 Rent & Other Office Expenses – Schd 2, Col O $0.00 Field Expenses – Schd 2, Col P $190.20 Media – Schd 2, Col Q $0.00 Printing & Campaign Materials – Schd 2, Col R $642.50 Direct Mailing by Mail House – Schd 2, Col S $0.00 Postage – Schd 2, Col T $9.20 Purchase of Equipment – Schd 2, Col U $0.00 Fundraising Expenses – Schd 2, Col V $0.00 Transfers Out – Schd 2, Col W $0.00 Loan Repayment – Schd 2, Col X $0.00 Other – Schd 2, Col Y $100.00 Returned Contribution – Schd 2, Col Z $0.00 Enter Total in Part 4 (Total Expenditures) Receipts Expenditures Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE. Page of 1 9 Current Amended Deleted Maryland State Board of Elections Report Due Date : Entity Number : Name of Entity : 04/15/2014 01010031 Ciliberti, Barrie Citizens for Filing Period Name : 04/08/2014 Spring Report Gubernatorial

Barrie Ciliberti Finance Report, 4/15/14

Embed Size (px)

Citation preview

Page 1: Barrie Ciliberti Finance Report, 4/15/14

Campaign Finance Report Summary Sheet

Part 1

Final Report (Check if you intend to close the account. This cannot be a final report if a cash balance or outstanding obligation remains)

Date

(Date amendment is being filed

Transaction Period This Report covers transactions beginning

Date

04/08/201402/24/2014 and ending .

.)Amendment #

Bank Account Name Bank Account Number Bank Account Balance*

*As of the report transaction ending date.Total

$2,808.10

Part 2

Part 3

Contributions – Schd 1, Col A $3,250.00

Ticket Purchases – Schd 1, Col B $0.00

Federal Committees – Schd 1, Col C $0.00

Political Clubs – Schd 1, Col D $500.00

MD Candidate and Slate Accounts – Schd 1A, Col E

$0.00

MD Party Central Committees – Schd 1A, Col F $0.00

MD Political Action Committees – Schd 1A, Col G $0.00

Non-Federal Out-of-State Committees – Schd 1A, Col H

$0.00

Other – Schd 1B, Col I $0.00

Loans – Schd 3, Col K $0.00

Enter Total in Part 4 (Total Receipts)

Salaries & Other Compensation – Schd 2, Col N $0.00

Rent & Other Office Expenses – Schd 2, Col O $0.00

Field Expenses – Schd 2, Col P $190.20

Media – Schd 2, Col Q $0.00

Printing & Campaign Materials – Schd 2, Col R $642.50

Direct Mailing by Mail House – Schd 2, Col S $0.00

Postage – Schd 2, Col T $9.20

Purchase of Equipment – Schd 2, Col U $0.00

Fundraising Expenses – Schd 2, Col V $0.00

Transfers Out – Schd 2, Col W $0.00

Loan Repayment – Schd 2, Col X $0.00

Other – Schd 2, Col Y $100.00

Returned Contribution – Schd 2, Col Z $0.00

Enter Total in Part 4 (Total Expenditures)

Receipts Expenditures

Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.

Page of1 9

Current Amended Deleted

Maryland State Board of Elections

Report Due Date :

Entity Number :Name of Entity :

04/15/2014

01010031 Ciliberti, Barrie Citizens for

Filing Period Name : 04/08/2014 Spring Report Gubernatorial

Page 2: Barrie Ciliberti Finance Report, 4/15/14

Part 7

Under penalty of perjury, we declare that we have examined this report, including the accompanying schedules, and to the best of our knowledge and belief they are complete and accurate.

(Date)

(Date)

Signature of Treasurer

Signature of Chairman

Warning

Failure to provide all information required by this form will be regarded as a failure to file.

Kendall, Linda Sue 04/14/2014

04/14/2014

Prior Balance Report calculated cash balance from Part 4 of your prior report.

Total Receipts $3,750.00 Total of Part 3 Receipts

Total Expenditures $941.90 Total of Part 3 Expenditures

Cash Balance $2,808.10 This is your report calculated cash balance. Carry forward this balance to your next report.

+

-

=

$0.00

Part 4

Part 6

Outstanding Loan Balance – Schd 3, Col L $0.00

Outstanding Bills Due – Schd 3, Col M $0.00

Total Outstanding Obligations $0.00

Part 5

Value of In-Kind Contributions – Schd 1B, Col J $0.00

Value of In-Kind Expenditures – Schd 2, Col AA $0.00

Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.

Page of2 9

Current Amended Deleted

Maryland State Board of Elections

Report Due Date :

Entity Number :Name of Entity :

04/15/2014

01010031 Ciliberti, Barrie Citizens for

Filing Period Name : 04/08/2014 Spring Report Gubernatorial

Page 3: Barrie Ciliberti Finance Report, 4/15/14

ContributionsA - Contributions other than ticket purchases from Individuals, Corporations, etc.

SCHEDULE - 1

(see schedules 1A and 1B for other types of Income)

Received From

Date Received

Name and Address of Contributor ADMIN

Aggregate to Date

Paid by Contributions Amount

04/01/2014 Ciliberti, Christopher 19679 Pelican Ct., Ashburn, VA 20147

$100.00 Cash $100.00

Other

04/01/2014 Ciliberti, Steven 3333 University Blvd West, Unit 511, Kensington, MD 20895

$100.00 Cash $100.00

Other

03/20/2014 Cruz, Jose A14022 Natia Manor Drive, North Potomac, MD 20878

$500.00 Check $500.00

Il Porto Other

03/05/2014 Kendall, Richard A2030 Dixon Road, Frederick, MD 21704

$250.00 Check $250.00

Retired

03/13/2014 Mardirossian, Armen 9204 Rose Anne Pl., Gaithersburg, MD 20877

$300.00 Check $300.00

Il Porto Other

03/04/2014 Monocacy Crossing Inc.4424-A Urbana Pike, Frederick, MD 21704

$1,000.00 Check $1,000.00

03/04/2014 Regan, Ronald K3998 Tabler Road, Frederick, MD 21704

$1,000.00 Check $1,000.00

Monocacy Crossing Inc. Other

Total $3,250.00

Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.

Page of3 9

Current Amended Deleted

Maryland State Board of Elections

Report Due Date :

Entity Number :Name of Entity :

04/15/2014

01010031 Ciliberti, Barrie Citizens for

Filing Period Name : 04/08/2014 Spring Report Gubernatorial

Page 4: Barrie Ciliberti Finance Report, 4/15/14

ContributionsD - Contributions from Political Clubs (include ticket purchases)

SCHEDULE - 1

(see schedules 1A and 1B for other types of Income)

Received From

Date Received

Name and Address of Contributor ADMIN

Aggregate to Date

Paid by Contributions Amount

03/06/2014 Hough for Delegate143 Fiona Way, Brunswick, MD 21758

$250.00 Check $250.00

Price Per Ticket: # of Tickets:

03/06/2014 Kathy Afzali-Delegate9820 Fox Road, FREDERICK, MD 21702

$250.00 Check $250.00

Price Per Ticket: # of Tickets:

Total $500.00

Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.

Page of4 9

Current Amended Deleted

Maryland State Board of Elections

Report Due Date :

Entity Number :Name of Entity :

04/15/2014

01010031 Ciliberti, Barrie Citizens for

Filing Period Name : 04/08/2014 Spring Report Gubernatorial

Page 5: Barrie Ciliberti Finance Report, 4/15/14

ExpendituresP - Field Expenses

SCHEDULE - 2

(see schedules 1A and 1B for other types of Income)

Date Check No. Name and Address of Payee (The payee is the person who is the ultimate recipient of campaign funds)

Name and Address of Reimbursee (The reimbursee is the person who received the campaign check as a reimbursement for the expenditure. The reimbursee must be a campaign worker.)

ADMIN

Amount

03/20/2014 0000 Barrie Ciliberti Campaign fund3741 Spicebush Drive, Frederick, MD 21704

$190.20

Expenditure Purpose: Meeting Expenses

Remarks: Gas, toll, meals etc.

Total $190.20

Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.

Page of5 9

Current Amended Deleted

Maryland State Board of Elections

Report Due Date :

Entity Number :Name of Entity :

04/15/2014

01010031 Ciliberti, Barrie Citizens for

Filing Period Name : 04/08/2014 Spring Report Gubernatorial

Page 6: Barrie Ciliberti Finance Report, 4/15/14

ExpendituresR - Printing and Campaign Materials

SCHEDULE - 2

(see schedules 1A and 1B for other types of Income)

Date Check No. Name and Address of Payee (The payee is the person who is the ultimate recipient of campaign funds)

Name and Address of Reimbursee (The reimbursee is the person who received the campaign check as a reimbursement for the expenditure. The reimbursee must be a campaign worker.)

ADMIN

Amount

03/31/2014 101 T.C.C. Printing616 6th Ave. S., Seattle, WA 98104

$642.50

Expenditure Purpose: Printing - Brochures

Remarks:

Total $642.50

Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.

Page of6 9

Current Amended Deleted

Maryland State Board of Elections

Report Due Date :

Entity Number :Name of Entity :

04/15/2014

01010031 Ciliberti, Barrie Citizens for

Filing Period Name : 04/08/2014 Spring Report Gubernatorial

Page 7: Barrie Ciliberti Finance Report, 4/15/14

ExpendituresT - Postage

SCHEDULE - 2

(see schedules 1A and 1B for other types of Income)

Date Check No. Name and Address of Payee (The payee is the person who is the ultimate recipient of campaign funds)

Name and Address of Reimbursee (The reimbursee is the person who received the campaign check as a reimbursement for the expenditure. The reimbursee must be a campaign worker.)

ADMIN

Amount

03/20/2014 US Post OfficeBuckeystown Pike, Buckeystown, MD 21702

$9.20

Expenditure Purpose: Postage

Remarks:

Total $9.20

Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.

Page of7 9

Current Amended Deleted

Maryland State Board of Elections

Report Due Date :

Entity Number :Name of Entity :

04/15/2014

01010031 Ciliberti, Barrie Citizens for

Filing Period Name : 04/08/2014 Spring Report Gubernatorial

Page 8: Barrie Ciliberti Finance Report, 4/15/14

ExpendituresY - Other

SCHEDULE - 2

(see schedules 1A and 1B for other types of Income)

Date Check No. Name and Address of Payee (The payee is the person who is the ultimate recipient of campaign funds)

Name and Address of Reimbursee (The reimbursee is the person who received the campaign check as a reimbursement for the expenditure. The reimbursee must be a campaign worker.)

ADMIN

Amount

04/01/2014 102 Barrie Ciliberti Campaign fund3741 Spicebush Drive, Frederick, MD 21704

$35.00

Expenditure Purpose: Meeting Expenses

Remarks: reimburse gas expense

04/01/2014 102 Lincoln/Reagan DinnerSouth St, Frederick, MD 21701

$65.00

Expenditure Purpose: Meeting Expenses

Remarks:

Total $100.00

Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.

Page of8 9

Current Amended Deleted

Maryland State Board of Elections

Report Due Date :

Entity Number :Name of Entity :

04/15/2014

01010031 Ciliberti, Barrie Citizens for

Filing Period Name : 04/08/2014 Spring Report Gubernatorial

Page 9: Barrie Ciliberti Finance Report, 4/15/14

Amendments Summary

Report No Filed date Report Type

1 04/14/2014 Original

Failure to provide all the information required by this form will be regarded as a FAILURE TO FILE.

Page of9 9

Current Amended Deleted

Maryland State Board of Elections

Report Due Date :

Entity Number :Name of Entity :

04/15/2014

01010031 Ciliberti, Barrie Citizens for

Filing Period Name : 04/08/2014 Spring Report Gubernatorial