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z <br />Camino wealth <br />of Massachusctts <br />Form CPF M 102-0: Campaign Finance Report <br />Municipal Form <br />Office of Campaign and Political Finance <br />r R:r w Y u{ ' (V <br />781-16.i -227S1 <br />Please print or type all information, except signatures. <br />City or Town of: Lex l n 1-1D rl <br />Reporting Period: Beginning: <br />of f6 2-ol <br />r .. <br />Ending: <br />02 0 -;;ti_iha.C3 <br />Type of Report: (Check One) <br />8th day preceding preliminary/primary Q 8th day preceding election LIZicath day following ele <br />coon (town or special) D 20th day of Jannary (Year -End report) <br />Pursuant toM.G.L. Chapter 55: <br />I. I certify that I am a candidate for or currently hold Municipal Office. <br />2. I certify thatI have not received any contributions, made any expenditures, or incurred any obligations <br />3. I certify that I do not have a political committee. <br />during this reporting period, and do not have a campaign fund in existence, <br />DATE <br />PRINT NAME <br />4(&po <br />Nte-y a. -T. <br />SIGNATURE <br />Signed under the penalties ofperjwy <br />a_ <br />RESIDENTIAL ADDRESS <br />(Street and Number) <br />3o A rnes Ave_, Loc( <br />nn <br />OFFICE SOUGHT <br />ScJ,oc i Cates rn4-fte <br />