Year-end Report (PAC)

Local 791 UFCW Union MA PAC (80620)

10/16/10 - 12/31/10

Local 791 UFCW Union MA PAC

Peter Derouen

55 Norfolk Avenue S. Easton MA 02375

Amendment?	Yes
Amendment Reason:	clarification of receipts

Beginning Balance:	$249.42
Total Receipts this period:	$433.34
Subtotal:	$682.76
Total Expenditures this period:	$0.00
Ending Balance:	$682.76
Total In-kind Contributions this period:	$0.00
Total Outstanding Liabilities:	$0.00
Name of Bank(s) Used:

Date	Name	Address	City/State/Zip	Occ./Off.	Emp.	Amount
11/17/2010	Union members contributions					$433.34
			Itemized receipt total:			$433.34
			Unitemized receipt total:			$0.00
			Total:			$433.34