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Commonwealth of Massachusetts Form CPF M 102: Campaign Finance Report Municipal Form Office of Campaign and Political Finance File with: City or Town Clerk or Election Commission Fill in Reporting Period dates: Beginning Date: Ending Date: -3/- 9,04 Type of Report: (Check one) ❑ 8th day preceding preliminary ❑ 8th day preceding election ❑ 30 day after election year -end report ❑ dissolution Mhp,wis- Corr-6 Candidate Full Name Of applicable) 3c.HQO(e eOM1k1fTT AO Office Sought and District to 13 o- -9 oft- A) CZIt Residential Address Telephone Number (optional): '7 g) -'6 D. — d-b3 Telephone Number (optional): 0n Di 5 e 63 %' 3 SUMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous report Line 2: Total receipts this period (page 3, line 11) Line 3: Subtotal (line 1 plus line 2) Line 4: Total expenditures this period (page 5, line 14) Line 5: Ending Balance (line 3 minus line 4) I M 11-12_60s Co PPe- gl- suodc. co) M yt& E Committee Name 1 ei-e6t) C WWI) `z4-L -tsK Name of Committee Treasurer (ig( .rr %r Committee Mailing Address Telephone Number (optional): 0n Di 5 e 63 %' 3 0 SUMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous report Line 2: Total receipts this period (page 3, line 11) Line 3: Subtotal (line 1 plus line 2) Line 4: Total expenditures this period (page 5, line 14) Line 5: Ending Balance (line 3 minus line 4) 53 6 , c 9 0 S 3 6 , g 9,0 D / p 0 3 3 & / . / Line 6: Total in -kind contributions Line 7: Total (all) outstanding Line 8: Name of bank(s) used: this period (page 6) liabilities (page 7) 0 0 -p Bol-P- - 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 al[mpaign-finance activity, including all contributions, loans, receipts, expenditures, disbursements, in -kind contributions and liabilities for this reporting period and representslhe cahrip'aign 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. -' 0 I fit!? LS Signed under the penalties of perjury: r A `I /e __J/ If C (Treasurers signature) Date: FOR CANDIDATE FILINGS ONLY. Affidavit of Candidate: (cheek 1 box only) andidate with Committee and no activity independent of the committee MI1 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, of all persons acting corder the authority or on behalf of this committee in accordance with the requirements of M.G.L. c. 55. !have not received any contributions, incurred any liabilities nor made any expenditures on my behalf during this reporting period. Candidate without Committee DS Candidate with independent activity filing separate report ❑ 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 contributions, loans, receipts, expenditures, disbursements, in -kind 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. ''igned under the penalties of perjury: S Ek -'±-'C (Candidate's signature) Date: t ,�