2015-12-31-Brodner-OCPF - Laserfiche WebLink

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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: I ctn)m I,-to15 Ending Date: I� �t�ol5 Type of Report: (Check one) ❑ 8th day preceding preliminary ❑ 8th day preceding election ❑ 30 day after election 'year -end report ❑ dissolution - 0,1n1 e— Committee Name Candidate Full Name (if applicable) Name of Committee Treasurer ct,00t CDMWI+Q—eL Committee Mailing Address Office Sought and District 11{.,,A g �1rOktiFb\ Fca- ( , Le-tc- o `✓ , AA 02A %! Residential Address 6 Telephone Number (optional): I 1 1,5;w e rcy twee 5clnc (zMMi 4 -1-2e- Committee Name 1 Jeaao_ Klie5er- Name of Committee Treasurer L tf (66-4eg Re. L&I f µl- O: z1 Committee Mailing Address Telephone Number (optional): 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) 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: A D0 tti 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 finance 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 this committee in accordance with the requirements of M.G.L. c. 55. Signed under the penalties of perjury: �tt�ut� IGiteCz (Treasurers signature) Date: 1 ti Tiot6 FOR CANDIDATE FILINGS ONLY: Affidavit of Candidate: (check 1 box only) Candidate with Committee and no activity independent of the committee m 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 altcarnp&ign finance !<xm 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. w i. Candidate without Committee C 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 ofalt-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 ofM.Gt. c 55. Signed under the penalties of perjury: / if lArLe"" i //f Y" "w// (Candidate's signature) Date: /117o)14