Laserfiche WebLink
Breadcrumb Navigation:
Form CPF M101: STATEMENT.OF ORGANIZATION <br /> CANDIDATE OR CANDIDATE'S COMMITTEE <br /> MUNICIPAL FORM <br /> `F <br /> Commonwealth Office of Campaign�and Political Fu>rcc <br /> ofNlassachusetts <br /> file with: City/Town Clerk or Election Commission <br /> NOTICE IS HEREBY GIVEN in accordance with the provisions of General Lfu <br /> tiamended,organization of a candidate or <br /> candidate's committee as follows: <br /> CANDIDATE: Full Name: Cynthia Arens <br /> Residential Address: 7 Kitson Park Dr. <br /> City/State/Zip: Lexington MA 02421 <br /> E-Mail Address: cindy4lex@gmail.com Phone#: 781-354-3806- <br /> Party <br /> 81-354-3806-Party Affiliation: (If applicable) <br /> OFFICE SOUGHT/PURPOSE: <br /> Title: Select Board District: <br /> Candidate without committee(check if applicable).If checked,do not complete committee or officer sections:sign as candidate, <br /> 0 date and file with clerk or local election official. <br /> COMMITTEE: Name of Committee: Committee to Elect Cindy Arens <br /> (The name of the committee must include the candidate's last name) <br /> Committee Mailing Address: 7 Kitson Park Dr. <br /> City I State/Zip: Lexington MA 02421 Phone#: 781-354-3806 <br /> OFFICERS: <br /> Chairperson: Diane Pursley Treasurer*: Jeanne Krieger <br /> Residential Address: 21 Turning Mill Rd. Residential Address: 44 Webster Rd.. <br /> City I state/Zip: Lexington MA 02420 City 1 State/Zip: Lexington MA . 02421 <br /> Phone#: 781-266-7679 Phone#: 781-718-5742 Email: kr1egerjk440gmai1.com <br /> *A public em to ee may not serve as treasurer of any political committee see reverse). <br /> Additional officers may be listed on page two. <br /> Check applicable box before signing: <br /> N Candidate with committee:I hereby 1)consent to this filing',2)understand that a candidate.shall not consent to the organization of more than one account <br /> or committee on their behalf;3)am subject to certain duties and liabilities under M.G,L.c.55,including the timely filing of campaign finance reports and <br /> keeping detailed accounts and records of all campaign finance activity for a period of six years from the date of the relevant election;and 4)may not serve as <br /> treasurer of a political committee organized on my behalf. <br /> 0 Candidate without committee:I hereby 1)consent to this filing;2)understand that a candidate shall not consent to the organization of more than one <br /> account or committee on their behalf;3)acknowledge if I become a public employee I must organize a committee and may not serve as treasurer;and 4)am <br /> 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 <br /> all campaign finance activity for a period of six years from the date of the relevant election. <br /> Date: ) )5 U O <br /> SIGNED UNDER THE PENALTIES OF PERJURY: — D— -- <br /> Candidate's signature <br /> 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. 13.1 understand <br /> that: 1)I 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 <br /> 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 <br /> appointed public employee,I must resign this position and notify OCPF of my resignation;and 3)a candidate may not serve as treasurer of the political <br /> committee organized on their behalf. <br /> SIGNED UNDER THE PENALTIES OF PERJURY: Date: <br /> Treasurer's signature <br /> I hereby accept the office of Chairperson of the above-gamed committee. <br /> SIGNED UNDER THE PENALTIES OF PERJURY: Date: <br /> Chairperson's signature <br />