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,�, <br />{v a <br />Form CFF M 102: Campaign Finance Rd#"dftF Pry 3:1 <br />Municipal Form <br />Office of cam and Political Finance `� t� s <br />Camp aign L XIr"JC o s9 <br />c..r..e..ea� <br />r <br />File with: <br />City or Town Clerk or Election Commission <br />Please print or type all information, except signatures. <br />Fill in dates: Marsh Date Yew Month Date Yew <br />Reporting Period Beginnin Sam lk cxv a% a o l Ending A W "x ®13 <br />Type of report: (Check one) <br />88th day preceding preliminary 08th day preceding election 030 day after election Clyear -end report Odissolution <br />• ( N0.MG�/ CC N- e004—C X \h 3 . 0A C f% — k 1 t <br />All Name of Candidate (if applicable) <br />�l�ev,w 1 v 0 Lev -�v~ tin <br />Rice Sought and District <br />3L1 `-1 1- ca w e.\\ <br />Residential Address <br />Tel. No. (optional) <br />^ ` ckv\ cL C OY- CwrCk K 04 -k't e "'k -F o r <br />Y��W1n� V1Pn t� <br />V Committee Name <br />S v - e-LA. Vwi <br />Name of Committee Treasurer <br />za Jou\Ac, %ft ., Ley,%.�c-rov\, uU t _oaujZ& <br />Committee Mailing Address <br />Tel. No. (optional) <br />SUMMARY BALANCE INFORMATION: <br />Line 1: Ending balance from previous report $ - ® - <br />Line 2: Total receipts this period (page 2 line 11) $ - G <br />Line 3 : Subtotal pine 1 plus line 2) $ -- <br />Line 4: Total expenditures this period (page 3 line 14) $ 1 ' <br />Line 5: Ending balance pine 3 minus line 4) $ GcJJ <br />---------------------------------- <br />Line 6: Total in -kind contributions this period (page 4) $ VAI- (a <br />Line 7: Total (all) outstanding liabilities (page a) $ <br />Line 8: Name of bank(s) used u�- otcco -k* V. ci <br />Affidavit of Committee Treasurer <br />I certify that I have examined this report including attached schedules and it is, to the bat of my knowledge and belief, a true and complete statement of all campaign <br />finance activity, including all contributions, loans, receipts, expenditures, disbursements. in -kind contributions and liabilities for this reporting period and represents the <br />campaign £mane activity of all persgas acting under the authority or on behalf of this cornmittes in accordance with the requirements of M.G.L. c. 35. <br />\ Signed under the penables of perjury: 1 <br />Treasurer's siputure (in ink) e <br />FOR CANDIDATE FILINGS ON (CANDIDATE MUST SIGN BELOW) <br />Affidavit of Candidate: (check I box only) <br />❑ Candidate with Committee and to activity independent of the committee <br />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 <br />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. 35. 1 have not received any <br />contributions, incurred any liabilities nor nude any expenditures on my belaifduring this reporting period. <br />O Candidate without Committee OR Cardldate with Independent activity filing separate report <br />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 <br />finance activity, including contributions, loans, receipts, expenditures, disMrrsernents, in -kind cwrtributiams stud liabilities for this reporting period and represents the <br />campaign Stance activity of all acting under the authority or on behaWoff thiss committee in accordance with the requirements of M.G.L. a 53. <br />Sign ! / 1 on <br />