Laserfiche WebLink
Breadcrumb Navigation:
Comm .wealth <br />of Massachusetts <br />Form CPF M 102 -0: Campaign Finance Report <br />Municipal Form <br />Office of Campaign and Political Finance <br />City or Town of: / e *IA <br />Please print or type all inforvnation, except signatures. <br />Reporting Period: Beginni <br />2.0 CO <br />(MM /DD /YYYY) <br />Ending: <br />Lek '3 1(( /DD /YYY 4 <br />� <br />Type of Report: (Check One) <br />8th day preceding preliminary /primary C 8th day preceding election © 30th day following election (town or special) Otlr day of January (Year -End report) <br />Pursuant to M.G.L. Chapter 55: <br />1. I certify that I am a candidate for or currently hold Municipal Office. <br />2. I certify that I have not received any contributions, made any expenditures, or incurred any obligations during this reporting period, and do not have a campaign fund in existence. <br />3. I certify that I do not have a political committee. <br />SIGNATURE RESIDENTIAL ADDRESS <br />DATE PRINT NAME Signed un der the penalties of perjury (Street and Number) OFFICE SOUGHT <br />II/'3b1241 <br />Gt'c,. -1 rew,n <br />(PILL CI) <br />P-2- -- -, <br />l--/7 icobiaso-- ,/C€cl(. <br />i MocIeraivr <br />I <br />