Laserfiche WebLink
Breadcrumb Navigation:
Form CPF M 102 -0: Campaign Finance Report <br />Municipal Form <br />Office of Campaign and Political Finance <br />Cosa�onwa116 , <br />of l.buuw <br />City or Town of <br />Please print or type all information, except signatures. <br />Fill in dates: Month <br />Day Year <br />Month <br />Day <br />Year <br />f <br />Reporting Period Beginning <br />,✓ <br />Ending <br />/. <br />Type of Report: (Check One) <br />8th day preceding 8th day preceding election a 30th day following election 0 20th day of January <br />preliminary/primary (Town or Special) ( Year -End Report)' <br />Pursuant to M.G.L., Chapter 55: <br />1. I certify that I am a candidate for or hold Municipal Office, <br />2. 1 certify that I have not received any contributions, made any expenditures, or incurred any obligations during this <br />reporting period, and do not have a campaign fund in existence. <br />3. I certify that I do not have a political committee. <br />DATE <br />I. SIGNATURE <br />Signed under the - penalties of perjury <br />I1. RESIDENTIAL ADDRESS <br />(Street and Number) <br />III. OFFICE SOUGHT <br />3 <br />t <br />!!l", <br />CJ <br />