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Form CPF M 102: Callipai n Finance Report <br /> � p <br /> lipMIlInicipal Farm <br /> Office ofCampnign and Political finance <br /> Cnusmnuwcnldt �. :. „ <br /> of hlassachusctts <br /> 2919 APR _ ( AM 10: 58 <br /> Fill til i�C17t3I tin Period dates: Beginning _ I'ilc w'fh Cit a own Cltik or niece lin Csri E li�.tiosi <br /> Beginning Date: a 0��4 Ending Date-, T() t� i< ; <br /> Type of Report; (Check one) <br /> ❑ 8th day preceding preliminary ❑ gill day Preceding election EZ30 day after election ❑ycar•t; d report <br /> dissolution <br /> C(nldidatc l=ull game(if applicable) Committee Nnine <br /> Office 3nuolsl and District Name of Commil(cc Treasurer <br /> Itcsidep a1 Addrcas J� Cammilitt Mailing Address i f <br /> Teleplirsne Number(optiontti): !/ Telephone Number(optional): <br /> SUMMARY BALANCE INFORMATION. <br /> Line 1: Ending Balance from previous report <br /> t, <br /> Line 2: Total receipts this period(page 3, line 1 1) DLA <br /> r� <br /> Line 3: Subtotal (line l plus line 2) <br /> Line 4: Total expenditures this period(page 5, line 14) F00 <br /> Line 5: Ending,Balance(line 3 minus line 4) 1 �4 0 <br /> Line 6: Total in-kind contributions this period(pale b) <br /> Line 7: Total (all)outstanding liabilities(page 7) <br /> Line 8: Name of bank(s)used: <br /> ArRdsAt orCommiflec Trtasurrr: <br /> I certify that I have examined this report includimfmd-niwWcs and it is,to(he bcs(of my knowtcdge anal belief,a trut and complete sta(aucrit of all campaign fi=wc <br /> nctivlty,including all contributions,lumis,recef SS,C,podicums,d15 SCIttCnIS,ni 151Fid Ct7ntrlbtittQnS arid habllille5 for(hi Tepnitlrt&pC1EQd and re prcarnrt the campaign <br /> finance nctivity orilt persons acting under tho a lhority or on bth f o s committee in wordance with the requirements or M.01.c,55. <br /> 5iencd undrr the ptaattles orptrluryt (Trcnsurci a signature) Dtite; <br /> F�1R( �_ AfCdavit of Candidrtle:(rbrcit I ]Eon only) <br /> Candldutr with Commlrtte bnsf nv artivily Indrprndtut of tltt conlml(tro <br /> "certify that I hate exnnsined(his rcport including attached schedules and it is,to the best oruty knusslcdge and bcliel;a Inic wed"niplete stsltmrnJ o!'all came-Bels finance <br /> activity,of all persons acting under the atllliority or on behalf orlhis COrnntiltcc in accotdan.-c wilh diCrequirelncittS[rr M.fi,i.,C.55- 1 Ilavo not yviceived any crintr1411tions, <br /> Inawod Any liabilities rwr made any expenditures on my behalydurjng IN%reporting period. <br /> Gnrtdidiile without Contnliiite',Candidate with independent aclivify filing stlinrnit report <br /> I certify that I have cxamined this rcport including attached schr4ulcs and it it,to the hell ormy knQtsicdgc and tlel jef,u true and complete statemcni of all camlmign <br /> ❑ finanw activity,including contributions,lonns,receipts,cxpendilures,disbisrserrten(s,in-kind contributions and liabilities for this topontng period and represents the <br /> l,'g(ripaJ(�rl finance activity orale persons ricking undcr the:nt/INIfil}'or on behalf Or Illi Immincc in accordance wide the ftrt{;j,erpCFltS of hI.G.L.c.55. <br /> Date: <br /> FJttdtt•fife vtnaltics of prrjury: {Candidates iign]ll1rC} f <br />