2015-12-31-Kelley-OCPF - Laserfiche WebLink

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Commonwealth of Massachusetts 1' Ur 1111 lit 1' 111 JAIL/ • kiallllla1g11 1'1llan•G 1\Gt1V1 u Municipal Form Office of Campaign and Political Finance File with: City or Town Clerk or Election Commission Fill in Reporting Period dates: Beginning Date: 3assn 1 -2n I � gliding»aiei '' L1, ZQsF1 Type of Report: (Check one) LI 8th day preceding preliminary ❑ 8th day preceding election ❑ 30 day after election Y't year -end report ❑ dissolution Cie.% t' Q • 3 , ( 4� Candidate Full Name (if applic ble) Office Sought and District Telephone Number (optional): Residential Address 2 -Flo\ -I54L NIERMIMINIPMI Committee Manic Q Imo ♦L�f�lSti1i� " Name of Committee Treasurer utL•MTh The Commi 'e Mailing Address Telephone Number (optional): 1-$1-01- SUMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous report Line 2: Total receipts this period (page 3, line 11) Line 3: Subtotal (line I plus line 2) Line 4: Total expenditures this period (page 5, line 14) Line 5: Ending Balance (line 3 minus line 4) /0176, '7Ij Line 6: Total in -kind contributions this period (page 6) Line 7: Total (all) outstanding liabilities (page 7) Line 8• Name of bank(s) used: U 7q 10 / r -)( lie, 0 O 1�CcckCL 1 t.1 e.. QX*■sltit<, 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 all campaign fmance activity, including all 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�--� j this committee in accordance with the requirements of M.G.L. c. 55. Signed under the penalties of perjury: L Cq \ • w e t& QLC.l,W -.Q (Treasurer's signature) Date: FOR CANDIDATE FILINGS ONLY: Affidavit of Candidate: (check I box only) Candidate with Committee and no activity independent of the committee 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, 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 Committee OR 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. Date: 1 Signed nn er th pnenaltipc nfnerinrv: Gndidatn's sipnannef �Gw, 4)2.0( (0