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Form CPF M 102: Campaign Finance Report Municipal Form �- Office of Campaign and Political Finance e , VVED Commonwealth of Massachusetts ;} A" 9:F File with: City or Town Clerk or Flection Commission Fill in Reporting Period dates: ,J.TJing Date: Ending Date: 2� 1N31 liq Type of Report: (Check one) ❑ 8th day preceding preliminary ❑ 8th day preceding election ❑ 30 day after election �year-end report ❑ dissolution Candidate Full Name(if applicable) Committee Name Office Sought and District Name of Committee Treasurer 50 i ie 15-Y Residential Address Committee Mailing Address GLS( Telephone Number(optional): Telephone Number(optional): SUMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous report Line 2: Total receipts this period(page 3, line 11) Line 3: Subtotal (line 1 plus line 2) , z/Y• � Line 4: Total expenditures this period (page 5, line 14) LI-2t. 7Z Line 5: Ending Balance(line 3 minus line 4) Line G: Total in-kind contributions this period(page b) Line 7: Total(all)outstanding liabilities(page 7) Line 8: Natne of bank(s)used: e5/714& &v7v l/— a L ay'itro-MAJ Affidavit of Committee Treasurer: I certify that 1 have examined this report including attach de edules and it is,to the best of my knowledge and belief,a true and complete statement of all campaign finance activity,including all contributions,loans,recpipls,expenditures, isbursements,in-kind contributions and liabilities for this reporting period and represents the campaign finance activity of all persons acting under tie autl or n bch f of this committee in accordance with the requirement,-,of M.G.L.c.55. Signed under the penalties of perjury: (Treasurer's signature) Date: /Z f FOR CANDIDATE FILINGS ONLY: Affidavit of Candidate:(check t box only) udidate with Committee and no activity independent of the committee certify that I have examined this report including attached schedules and it is,to the best of my knowledge and belief,a true and complete statement of all campaign finance activity,of all persons acting under the authority or on behaif of this committee in accordance with the requirements of M.G.L.c.55. t have not received any contributions, incurred any liabilities nor made any expenditures on my behalf during this reporting period, Candidate without Committee OR Candidate with independent activity filing separate report {certify that I have examined this report including attached schedules and it is,to the best of my knowledge and belief,a true and complete statement of all campaign ❑ finance activity,including contributions,loans,receipts,expenditures,disbursements,in-kind contributions and liabilities for this reporting period and represents the campaign finance activity of all persons acting under the authority or on behalf of this committee in accordance with the requirements of M.G.L.c.55. Date: Signed under the penalties of perjury: (Candidate's signature) �s i