Laserfiche WebLink
Commonwealth <br />of Massachusetts <br />Form CPF M 102: Campaign Finance Report <br />Municipal Form <br />'Office of Campaign and Political Finance <br />j 1: 23 <br />File with: City or Town Clerk or Election Commission <br />Fill in Reporting Period dates: <br />)3egifpung Patel: <br />I,lo /w1-I <br />Ending Date: 41612t /7 <br />Type of Report: (Check one) <br />❑ 8th day preceding preliminary ,..4< 8th day preceding election ❑ 30 day after election <br />year -end report ❑ dissolution <br />ciec ParCe -Pr ielte -1614 <br />al eon F pa, ker <br />Commikee Name <br />Jeadlu IC 1 toe-- . <br />< � Candidate Full Name (if applicable) <br />Name/ of Committee Treasurer <br />44 I,Jct•we.._ Pct IQSG <br />Office Sought and District <br />1 26 Sp-) &— /-y1CeJw 01-N 0- 9—+D -A <br />E- mail: <br />Phone # <br />(jl pp Residential Addresj <br />a iceriQ74rt71'L:IS LY�Cd. MMLic t, co !Li <br />t t <br />(optional): 7g j E-61._3052.- C) <br />ciec ParCe -Pr ielte -1614 <br />Commikee Name <br />Jeadlu IC 1 toe-- . <br />Name/ of Committee Treasurer <br />44 I,Jct•we.._ Pct IQSG <br />eo i-i 1 <br />/' Committee Ma g Address <br />E -mail: 16^1±12I. -J ICH- J O„Mzticl. Carj <br />Phone # (optional): 7g I g-(o 1-17 30 <br />SUMMARY BALANCE INFORMATION: <br />Line 1: Ending Balance from previous report <br />Line 2: Total receipts this period (page 3, line 11) <br />Line 3: Subtotal (line 1 plus line 2) <br />Line 4: Total expenditures this period (page 5, line 14) <br />Line 5: Ending Balance (line 3 minus line 4) <br />4 <br />0.0 <br />Line 6: Total in -kind contributions this period (page 6) <br />Line 7: Total (all) outstanding liabilities (page 7) <br />Line 8: Name of bank(s) used: <br />YP i5 gq-,C!3 <br />3 4: Aatirti <br />Affidavit of Committee Treasurer: <br />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 <br />activity, including all contributions, loans, receipts, expenditures, disbursements, in -kind contributions and liabilities for this reporting period and represents the campaign <br />finance activity of all persons acting under the author r on behalf of this committee in accordance with the requirements of M.G.L. c. 55. <br />Signed under the penalties of perjury: �tj.t -t re/ 1 (Treasurer's signature) <br />Date: <br />FOR CANDIDATE FILINGS ONLY: Affidavit of Candidate: (check 1 box only) <br />VCandidate with Committee and no activity independent of the committee <br />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 <br />activity, of all persons acting under the authority or an behalf of this committee in accordance with the requirements of M.G.L. c. 55. I have not received any contributions, <br />incurred any liabilities nor made any expenditures on my behalf during this reporting period. <br />Candidate without Committee OR Candidate with independent activity filing separate report <br />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 <br />❑ finance activity, including contributions, loans, receipts, expenditures, disbursements, in -kind contributions and liabilities for this reporting period and represents the <br />campaign finance activity of all persons acting under the author' or �on behalf of this committee in accordance with the requirements of M.G.L. c. 55. <br />i 1124 a"�i441; <br />Signed under the penalties of perjury: <br />(Candidate's signature) <br />Date: 2 —2- 3 _ ZO 17 <br />