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Commonwealth of Massachusetts Form CPF M 102: Campaign Finance Report Municipal Form Office of Campaign and Political Finance Fill in Reporting Period dates: Beginning Date: File with Ending Date: LIR Citv or Tosw;JClerk or Election 1I - Ott =a� ommission� Type of Report: (Cheek one) [J 8th day preceding preliminary ❑ 8111 day preceding election ❑ 30 day after election (g,year -end report ❑ dissolution FT1 cwsa-R C4PP 6 Candidate Full Namo (if applicable) . l}(9aG. Cat( 144. 11—&—E) berK AtkiloP) /A A Office Sought and District s • kE 1 Telephone Number (optional): Residential Address -781 -Cs-ba- 2-631 • P G Sc_ s ' 0 CO Committee Name eci —P &,a2Pb A Name of Committee Treasurer 1 1153 a-Bar St Committee Mailing Address Telephone Number (optional); [n17 — arcs-_ '3 SUMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous report Line 2: Total receipts this period (page 3, line 1 I) Life 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) 0 `3(a,59 Line 6: Total in -kind contributions this period (page 6) Line 7: Total (all) outstanding liabilities (page 7) Line 8: Name of banks) used: 33 (0r59 L D Affidavit of Committee Treasurer: I certify that 1 have examined this report including attached schedules and it is, to the best of my knowledge and belief, a true and completestatensent 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 half of this committee in accordance with the requirements of M.G.L. c. 55. Signed under the penalties of perjury: ' / / Oil a. ! _ (Treasurers signature) Date:) as -_,30 j FOR CANDID/111E FILINGS ONLY: Affidavit of Candidate: (check 1 box only) Wan JIM) le with Committee and no activity independent of the committee certify that t have examined this report including attached schedules and it is, to the best of my knowledge and belief, a into and complete statement of all campaign finance ctivity, of all persons acting under the authority or on behalf of this committee in accordance with the requirements of M.G.L. c. 55. 1 have not received any contributions, incurred any liabilities nor made any expenditures on my behalf during this reporting period Candidate without Committee DR Candidate with independent activity filing separate report I certify that 1 have examined this report including attached schedules and it is, to the best of my knowledge and belief, n 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. 2 Signed under the penalties of perjury: (Candidate's signature) Date: