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6. Liabilities and promises to pay: <br /> s Dme Matte or <br /> r Incurred* To 'Whom Due Adt. reqs Purpose Amount" <br /> ._ 3 <br /> A <br /> Total liabilities on this report <br /> Total halfilities previously reg-orted and currently outstanding <br /> i <br /> %'Dotal outstanding liabilities 1 <br /> * A promise to pay exists and must be reported if the corporation, organization or individual has(I) made an express or implied <br /> promise to give,pay; expend or contribute money or anything of value, or(2)knows or reasonably should know that they will <br /> be responsible for paying for a good or service. A liability exists and must be reported if the corporation,organization or <br /> individual has received a good or service which has not been paid for even if the corporation,organization or individual has <br /> not received a bill or invoice. <br /> ** If the amount of the liability has not been determined or is in dispute,the liability should be estimated or reported as"to be <br /> determined"or"in dispute." <br /> I certiFy that this report is a true statement of the amount or value of every gift, payment, expenditure or contribution or promise to <br /> give, pay,expend or contribute in order to influence-or affect the vote on the question referenced on the front of this report, <br /> together with the date,purpose,and full name and address of the person to whom it was made. I make this report in accordance <br /> with the requnt f Massachusetts General Laws,Chapter 55, Section 22, as amended. <br /> thd nd ep I ies of perjury: <br /> Signature of eorporationlorgsnization Treasurer or Individual Print Name Date <br /> M.G.L.Chapter 55,Section 22 states in part: <br /> Any person or the treasurer of a corporation, ussoclation,organization or other group of persons, other than it political coinntittee organized <br /> tinder section S,which has given,paid, expended or contributed, or promised to kite.pen•. expend or cortlribtne, arty money or other thing of <br /> value in order to influence or affect the vote on any question submitted to the voters shall file reports,setting larNu Nie arnount or value of every <br /> gift,payment, expenditure or contribution or.prontise to give,pay, expend or contribute. together with the elate,purpose undfidl name and <br /> address of the person to whom it was made. <br /> Any person who makes an expenditure of 5250 or more other than a contribution to a ballot question committee or incurs a liability of 3250 or <br /> more to influence or affect the vote on any question submitted to the voters shall file reports setting forth the amount or value of the expenditure <br /> or liabililty, together►With the date,purpose and fill name of the person to whom the expenditure was made or the liability incurred. <br /> 1J the question appears on ballots at a city or town election or appears on ballots for use in a city or town at a state election,such report shall <br /> be filed with the city or lows clerk as follows:(1)the eighth day preceding a preliminary or primary, including a caucus, the eighth day <br /> preceding a city or town election and, tf a city election, as a final report, the twentieth day o0anuary in the following year,complete as of rhe <br /> thirty-first dcry-of Dec•ember of the prior year and, if a town election, cis a final report, the thirtieth dqy following such election;(2)the eighth <br /> day preceding a special primary, including a caucus, the eighth flay preceding a special election and, cis a final report, the thirtieth day <br /> following a special election;and(3)the twentieth day of January of each year,complete cis of the thirty-first day of December of the prior year, <br /> :until all declared liabilities of such person or corporation, association, organi:aeon or other group ofpersons have been discharged.fl vicept <br /> Jar the Jan.20 report, all reports roust be complete as of the preceding tenth day J <br /> Any person or corporation, association, organization or other group of persons, other than a political committee organized under said section <br /> 5, violating any provision of this section shall be punished by a fine of not more than 550,000 and any weer, director or agent of any such <br /> Person 01'C or'por(tlion,association, organization or other group ufpersons violating(in),provision hereofor au trpri=ing an),such violation or <br /> any person who violates or in tiny wqv knowingly aids or abets fire violation of any provision hereofshall be punished by a fine of not more than <br /> 810.000 or by imprisonment for not more than one year or by both such fine and imprisonment. <br /> � ,inn <br />