2024-01-17-McBride-OCPF - Laserfiche WebLink

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�. Form CP M1.01: STATEMENT of ORGANIZATION v CANDIDATE'S COMMITTEE r MUNICIPAL FORM ' CommonwealthOffice.o Campaign a 'd P di al.Finance of Ma:s8achusetts - File +ifli:`City 1 To'wn C10k or Election Commission N TI ISHEREBGIVEN in ac.cordancewith the pro isions of Geheral Laws.'Chapter 5 5, as amended,.of the.organi atian.of a candidate's committe6 as follows: CANDIDATE: ' ��1 Name: leidenti�l Address: .'VILA .,� City[State Zip: Ph -Mail Address:. �.� � � � `�� ony#�: 24- . �� Party Alf kation: p�icablc OFFICE S UGHT PURP S ... . . r � Title: � kk�. Atub" District:. vs I o� TT :: arae of- o mitte : - � 0.0�(z-(A Then a o� committee must iDclude tliD eaodidate's last itarrxe). orii.mittee Mailing Address:. city./StAte/Zip: OFFICERS: Chairman. .'Treasurer*: Residential ' :rens:��F �� . . Residential Address: . � city f tat } 4ii .'J rtiF1. city ate Zip: ew l ho11 � '7 Y ;jflione Email:' I; `A.public employee ine not Serve as treasurer6f X11 0liii orr�rn it a see reverse). �` Other erfritle;. ' tlt�r ffierl�'"-itle: ��{-� � -r�� . jResidential Address: keside ntial Address: city 1 Mate Zip: city I State 1 Zip: Phone#: Phone (Complete and attach a Form CPF M A t01,if necessary,vii.tli other officers and finance committee,if any. I hereby consent to the filing of this-committee. I understand that a-candidate shale not give.consent t6 the organization of more than one committee on his/leer behalf. I am a ware that candidate's are required.to keep detailed accounts and records of al l carnpaign finance activity for a period of sic years fir o the date of the r le9ant election, SIGNED BINDER.THE PENALTIES DP PERJURY: � Candidate's signature I hereby accept the office of Treasurer of the above-named committee.I affinn that I am not a pub.lic employee as defined by M.G.L.c.55,s. 1.3.1 understand that: 1)I am subject to certain duties and H abi lilies under M. c, , including the timely filing of ca�rnpaign finance reports and keeping detailed accounts and records of all car paign finance activity for a period of six years from the date of the relevant election; if after my acceptance o this office I became an appointed public employee,f must resign this position 'and notify OCPF of my resignation;and a candidate may not serge as treasurer of the political committee organized on hisser behalf: SIGNED UNDER TBE PENALTIES OF PERJURY: �.�.. Date. ►~ � Trasurer' .signature I hereby accept the office.of Chairman of the above-named committee. SIGNED LNDER THE PENALTIES OF PERJURY: h irman's signature Date: