commonwealth of M"ssachusetts Form CPF M 102: Campaign Finance Report [I, Office of campaign and political Financ," File with: Director ott;!.ce of c mp i9'n and Political One Ashburton Place Rm. 411 Boston, MA.02108 (617) 979-6300 Pin,,':'" 17 Ie)" _') c,., ': J\ Reporting Period: Beginning; 5/1/2017 Ending: 10/30/2017 Type of Report: 2017 Pre-election Report (MUN) Full, David Name of Candidate COD'lInit tee committee Municipal, Revere Daniel Smith otfice sought/ District Revere, MA 02151 Residential Address Name Name of committee Treasurer 48 Gorham Street Somerville,MA 02144 Address SUMMARY BALANCE INFORMATION Ending balance from previous report: $0.00 Total receipts this period: $7,917.69 Subtotal: $7,917.69 Total expenditures this period: $1,141.00 Ending Balance: $6,776.69 Total inkind contributionsthis period: $0.00 Total outstandingliabilities: $2.801.69 Name of Bank Used: CitizensBank Affidavit of 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 s;::':73~~; C o:5;.rjury, 1/ / J, J } q. Treas,{rerI S e (in ink) Date Affidavit of Candidate (check 1 box only) : I~~andidate with Co=mdttee and no activity independent of the co=mdttee ~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 OR candidate with independent activity filing separate report. [Jr 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, 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. I (f ~ I I { /f
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. s 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 ca~endar year. Date Name and Residential Address 9/28/2017 Barros, Eneas 2 Briarwood Dr Danvers MA 01923 9/12/2017 Bharadwaj, Raghavan 6 Linwood Dr Monroe NJ 08831 8/11/2017 Bibiana, Medina 35 Roughan St 9/28/2017 Braz, Leandro 35 Bryant St Apt 2 Everett MA 02149 10/6/2017 Brigandi, John 42 Picture Lane Hicksville NY 1180 I 9/23/2017 Bryan, Daniel 175 Dix Hills Rd Dix Hills NY 11746 8/8/2017 Chambers, Ibi J055 Fayette St Uniondale NY 11553 9/28/2017 Citrano, John 133 Emerson St Medford MA 02155 9/28/2017 Erazo, Selene 21 School St Apt 2 Amount Occupation and Employer $250.00 Manager Santander $200.00 Nla Retired $150.00 $500.00 Engineer $25.00 Major League Baseball -3
811712017 Gangemi, Aura 50-52 48th St Flushin NY 11377 8112/2017 Jimenez, Samml 2308 Merrick Dr Pachtree Ci GA 30269 9128/2017 Jimenez, Sammi 2308 Merrick Dr Pachtree Ci GA 30269 9/28/2017 LaCedra, Glen 118 Pearl Ave #2 9114/2017 Levine, Jonathan 41 River Terrace Apt 506 New York NY 10282 9119/2017 Lyons, David 196 Crest Ave 9/1512017 Madhavan, N.A. Sethu 761 Lansdowne Way Norwood MA 02062 10/1212017 Matoga, Zenzo 304 Fellsway West 1st FI Medford MA 02155 7/3112017 Michelen, Jeannith 17-19 215th Street Ba side NY 11360 9112/2017 Mohan, Avik 3155 Fronterra Way Apt 314 Burlin arne CA 94010 9/28/2017 Ngere, Antony 59 Eliot St Billerica MA 01821 9/29/2017 Ortiz, Jose 40 Locke Street Unit #234 Haverhill MA 01830 10/20/2017 Palissery, Narayanan 23 Wildwood Dr Sherborn MA 01770 1011/2017 Pierre-paul, Andree 30 1st St Apt 25 Medford MA 02155 9/2512017 Radonis, RIch 28 Centre Ave East Rockawa NY 11518 10/21/2017, Awiida 591 Garden Lane East Meadow NY 11554 5118/2017, David 69 Leverett Ave $150.00 Retired Retired $75.00 $1,000.00 Pastor Impact Church $250.00 Chief Implementation Officer Nyc Health & Hospitals $150.00 $200.00 Nla Retired $500.00 Sr. Manager of Informatics Aetna committee -4
6/1/2017, David 6/28/2017, David 6/29/2017, David 6/30/2017, David 7117/2017, David 7/31/2017, David 8115/2017, David 8/15/2017, David 8/17/2017, David 8/31/2017, David 91712017, David 9112/2017, David $81.00 $25.00 $50.01 $5.32 $49.99 $22.00 $166.69 $200.00 $49.99 $161.87 $660.32 $175.00 9/16/2017, David $147.00 9/17/2017, David 9118/2017,David 9/30/2017, David 10/17/2017, David $49.99 $500.00 $57.52 $49.99-5
10/23/2017, David 10/24/2017, David 9/29/2017 Sanchez, uuses 3361 Youth Monroe Rd Lo anville GA 30052 9/28/2017 Santiano-mchatton, Deborah 89 Leverett Ave 7/12/2017 Siegel, 'an 1469 Dieman Ln East Meadow NY 11554 7/31/2017 Smith, Daniel 9 Willard Ave Medford MA 02153 8/1112017 Smith, Daniel 9 Willard Ave Medford MA 02153 9/29/2017 Smith, Susan 135 Mill St Foxborou h MA 02035 10/5/2017 Thmopsen, Malasia 50 County Place Deer Park NY 11729 9/26/2017 Travers, Jude 65 Leverett Ave 9119/2017 Turner, Thomas 123 Crest Ave Total Itemized Receipts: Total Unitemized Receipts: Total Receipts: $250.00 $200.00 Digital Enterprise Lead $1.00 Ridley Marketing Programs & Operations Coordmator $40.00 $25.00 $7,917.69 $0.00 $7,917.69 Perfecto Mobile -6
Schedule B: Expenditures M.G.L. c. 55 requires committees to list, in alphabetical order, all expenditures over $50 in a reporting period. s 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 9/23/2017 City of Revere 1 Columbus Day 281 Broadway Revere, MA 02151 1012912017 Claudia 69 Leverett Ave Revere, MA 02151 9/8/2017 Point of Pines Yacht Club Amoun! Purpose $ 100.00 Columbus Day Parade Sponsorship $300.00 Food For Campaign Launch Event $300.00 Renting Hall Space For Two Campaign Events 28 Rice Ave Revere, MA 02151 9/18/2017 Point of Pines Yacht Club 28 Rice Ave 9/9/2017 Rachel Silonski 168 Bayview Dr Oakdale NY 11769 Total Itemized Expenditures: Total Unitemized Expenditures: Total Expenditures: $200.00 Bartender for Two Campaign events $241.00 Campaign branded t-shirts 51,141.00 $0,00 51,141.00-7
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 6/1/2017, David Amount Purpose $81.00 Vistaprint: pa.l~ car~s, business cards and political signage 6/28/2017, David 6/29/2017, David 6/30/2017, David 7/17/2017, David 7/31/2017, David 8/15/2017, David 811512017, David 8117/2017, David 8/3112017, David 917/2017, David 911212017, David 9/16/2017, David 9/17/2017, David 9118/2017, David $25.00 Facebook: ad boost $50.01 Faeebook: ad boost $5.32 Faeebook: ad boost $49.99 Ecanvasser Membership - july $22.00 Faeebook: ad boost $166.69 Vistaprint: campaign print matenals $200.00 Event Ti~kets To Mayor Arrigo's Boat Cruise $49.99 Ecanvasser membership - august $161.87 Faeebook: ad boost $660.32 Staples: printer & print toner $175.00 Lightning Design: campaign srgnege design work $147.00 USPS: stamps to mail event invites $49.99 Ecanvasser Membershipseptember $500.00 ~ssex Media Group: Ad placement m La Voz 9/30/2017, David D-1 $57.52 Faeebook: ad boost
1011712017, David 10/23/2017, David 10/24/2017, David Total Liabilities: $49,99 Ecanvasser membership - october $250,00 Facebook: ad boost Independent Newspaper Group $100,00 LLC: campaign ad in Revere Journal $2,801.69 committee D-2