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 LCX /NI c-r-01\/ <br />(-1 s S c l-{-v SE -WS <br />Please print or type all information, except signatures. <br />Reporting Period: Beginning: <br />Ending: <br />a. /2Z / 2 0) <br />(MM/DD/YYYY) <br />Type of Report: (Check One) <br />❑ 8th day preceding preliminary/primary ❑ 8th day preceding election ❑ 30th day following election (town or special) X.20th 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 under the penalties of perjury (Street and Number) OFFICE SOUGHT <br />IMMEM�E SSA-D2a frcEss 1- ^lb'arr <br />2 Mare <br />SirOCot'( 2_04 b <br />Sc$ooi Conn 17Er . <br />r <br />