2022-02-15-Bokun-EOY2021-DIS-OCPF

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Fore CPF M 102: Camp FJnance Deport Municipal Form Office of Campaign and Fic lAae Commonwealth of Massachusetts t t s File with: City or Town Clerk or Election Commission Fill in Reporting Period dates: Beginning Date: i 1 � Type of Report: (Check one) ❑ 8th day preceding preliminary ❑ $th day preceding election ❑ 30 day after election ❑year-end report ("`dissolution Candidate Pull Name(if applicable) € Committee Name 74.__. 2 r ! - y ..d. t Office Sought and District Name of Committee Treasurer itIA gg .. p /61 044 Residential Address,J Committee Mailing Address E-mail: `` /�'�E `�"C, .,, ,{ .= "f . -LL E-mail: .:'ate .°`g i :�mw` t.airy .,- Phone#(optional)_ �` Phone#(optional): SUMMARY BALANCE INFORMATION: Line l: 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 S,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: 13. Affidavit of Committee Treasurer: I certify that I have examined this report including attyt>ed schedules and it is,to the best of my knowledge and belief,a true and complete statement of all campaign finance ` disburse!prnts.in-kind contributions and liabilities for this reporting period and represents the campaign Y P g d behalf pfthis committee m accordance with the requirements of M.G.L.c.55. Date; ; activity,including all contributions,loans,recetp�s;expe ditures, finance Activit of all arsons actin under the utho -or an Signed under the penalties of perjury. s r a% (l reasurers signature) ' , `; �� -''z t""."_" f FOR CANDIDATE FILINGS ONLYt,,,Afpdavlt of Candidate:(check 1 box only) irndidate with Committee 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 ��JJJ 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 that are not otherwise disclosed in this rcport. Candidate without 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 El 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 behalfof is can date in accordance with the requirements of M.G.L.c.55. —. Date: ,c Signed under the penalties of perjury: 1' (Candidate's signature)