2010-02-26-Burnell-OCPF - Laserfiche WebLink

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Form CPF M 102: Campaign Finance Repo36 Municipal Form u Office of Campaign and Political Financ** i7 1 E D , p Y Commonwealth of Massachusetts Z a 21AR Election Commission Fill in Reporting Period dates: Beginning Date: Ending Date: 7 Type of Report: (Check one) 8th day preceding preliminary E] 8th day preceding election a!O day after election Q year-end report Q dissolution i Candidate Full Name (if applicable) F Office Sought and District L Residential Ad '6 Telephone Number (optional): ice Committee Name M Name of Committee Treasurer Committee Mailing Addres �4 Telephone Number (optional): 1 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) Line 4: Total expenditures this period (page 5, line 14) Line 5: Ending Balance (line 3 minus line 4) Line 6: Total in-kind contributions this period (page 6) E � 71 - J i-q -, Line 7: Total (all) outstanding liabilities (page 7) L Line 8: Name of bank(s) used: ffidavit of Committee Treasurer: 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 -tivity, including all contributions, loans, receipts, expenditures, disbursements, in-kind contributions and liabilities for this reporting period and represents the campaign nance activity of all persons acting under the authorily6,An behalfafftfunitte! in accordance with the requirements of M.G.L. c. 55. igned under the penalties of perjury: (Treasurers signature) Date. Affidavit of Candidate: (check I box Only) Candidate 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 0 wivity, of all persons acting under the authority or on behalf of this committee in accordance with the requirements ofM.G.L. c. 55. 1 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 Ming separate report I 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, recqAts, expenditures, disbursements , in -kind contributions and liabilities for this reporting period and represents the campaign finance activity of all persons acting tytd'eAppauthority or on beha of this committee in accordance with the requirements 017M.G.L. c. 55. under the penalties of perjury: (Candidates signature) Date: I :1 1