2019-02-01-CAAL-OCPF - Laserfiche WebLink

Browse Search

CPF 1D#: Form CPF 101 PC: STATEMENT OF ORGANIZATION (ro, ore Use Only) POLITICAL ACTION COMMITTEE Commonwealth Office of Campaign and Political Finance of Massachusetts File with: Director (617)979-83001(800)462-OCPF Office of Campaign and Political Finance ocpf@cpf.state.ma.us One Ashburton Place,Room 411,Boston,MA 02108 http:/hvww.mass.gov/ocpf NOTICE IS HEREBY GIVEN in accordance with the provisions of General Laws,Chapter 55, as amended,of the organization of a political action committee as follows: 1. Name(See note 1): fi 2. Committee Mailing 43 U /q ratE _ l v rte' s Address: I(AA �2��Cit City/State/Zip: .,........,.,.._... I C q6t,( . t:.-trty, Phone#: �� r 3� Opo Email Address: _ r_ 3ut� � c' ►�L�i.. 7 3. Purpose(See note Z): T-o Sv�L�{6nv1 v � fi cC1� r dkAt rejl re3 a �ti ��J-t"KD ( +mac -gyp Nw�tr� W✓ i /1 �{(rPC rcVCy ,'�t !®tel {�itQ[ !a✓1 . 3a. Specific issues and Z �1 cq w � I�+�C✓,t �o �C�r�,Gr�i[ l.t,� ��i eft ! Y`� 'rh c�� interests: e �. OFFICERS(See note 3): Chairman: VU e t t"A zi VV I Treasurer*: Residential Address: Residential Address: City/State/Zip: L�x,1ti� ►^ AAA J Z<2 City/State/zip: [?.k L% tv" MA 0-�a f Email: Wet"tt!e k,&O, Ctn�� Phone#: 7�S Email: S Weryt ,t..Mphane#: �f Zx G ._. ...._ 1M�'�ctGil'LYl�ta 6)c �3 *A public employee may not serve as treasurer of any political committee(see reverse). (Complete and attach a page,if necessary,with other officers and finance committee,if any.) Tile chairman and treasurer of a political committee should be familiar with all provisions of M.G.L. c. 55,which specifies that each treasurer of a political committee shall keep and preserve detailed accounts,vouchers and receipts for a period of six years from the date of the relevant election;no expenditures shall be made for, or on behalf of,a political committee without the authorization of the chainnan or treasurer, or their designated agents;and,that all funds of a political committee shall be kept separate from any personal funds of any officers,members or associates of such committee. I hereby accept the office of Chairman of the above-named committee. SIGNED UNDER THE PENALTIES OF PERJURY: Date: Chairman's signature I hereby accept the office of Treasurer of the above-named committee. I affirm that I am not a public employee as defined by M.G.L.c. 55,s. 13. I understand that: 1)1 am subject to certain duties and liabilities under M.G.L. c. 55,including the timely filing of campaign finance reports and keeping detailed accounts and records of all campaign finance activity for a period of six years from the date of the relevant election;2)if after my acceptance of this office I become an appointed public employee, I must resign this position and notify OCPF of my resignation;and 3)a candidate or elected official may not serve as treasurer of a political action committee except as authorized by M.G.L. c. 55, is, 5A. SIGNED UNDER THE PENALTIES OF PERJURY: Date: Treasurer's signature