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FormCPF M 102: Campaign Finance Report <br /> r <br /> Municipal Form <br /> Office ofCampaign and Political Finance <br /> Commonwealth <br /> of Massachusetts <br /> File with: City or Town Clerk or Election Commission <br /> Fill in Reporting P l d dates: Beginning Date: Ending Date: 0 2 91�t4 <br /> Type of Deport: (Check one) <br /> 8th day preceding preliminary ` tai day preceding election [3 30 day after-election year-end report dissolution <br /> C o "%T-T-7Q-C- -To & LC-CT 14/1 S &L <br /> C/J v-c:>&L C-1,� 8/z�r,-,13 <br /> Candidate Full Dame if applicable) °� <br /> Office Sought and District ame of Committee Treasurer <br /> 0 Pj C'C4 v&-1_0 A '%j&_- -- <br /> e L-q &,&,z &6 <br /> Residential Address Committee Mailing Address ~ <br /> E-mail: 13 J 6,j dfz�6 d3 &01 A , '* E-mail: A P A c�P L/c � <br /> Phone#; 3 ..... <br /> 3 Phone > 9 Ic <br /> SUMMARY BALANCE INFORMATION: <br /> Line I: Ending Balance from previous report �r � <br /> Line : Total receipts this period(page 3,line 1 1 :7, Gso <br /> Lane : Subtotal(line 1p lus lineF. <br /> Line 4: Total expenditures this periodpag a ,line 1 <br /> Line : Ending Balance(line 3 minus line S [ <br /> Line : Total in-bind contributions this period(page 6,line 1 <br /> Line+7: Total(all)outstanding liabilities(page 7,line 19) <br /> Line : Total out-of-pocket expenses this period a 8,line 22 <br /> iR 3.45 <br /> .. .: ; <br /> Line 9:-'Name of bank(s) used. OrNr4 �► °f. . <br /> A. <br /> .i 9 11tt <br /> rii"f'i'rf L • <br /> Affidavit of Committee Treasurer; F It <br /> ■4`4 f <br /> I certify that t have examined this report including attached schedules and it is,to the best of any knowledge and belief,a true and complete statement ofall pai n finance <br /> activity,including all contributions,loans,receipts,expenditures,disbursements,in-kind contributions and liabilities for this reporting period and represen# the campaign <br /> finance activity of all persons acting under the autho .ty n half of this committee in accordance with the requirements of M. .L,c.55. <br /> Signed under the penalties of perjury.- Treasurer's signature) <br /> FOR CANDIDATE AT FILINGS ONLY:: Affidavit of Candidate:(check 1 box only) <br /> Candidate with Committee <br /> I certify that I have examined this report including attached schedules and it is,to the best.of my knowl edge and belief,a true and complete statement of all campaign finance <br /> activity,of all persons acting under the authority or on 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 that are not otherwise disclosed in this report. <br /> Candidate without 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 <br /> finance activity,including contributions,loans,rece p e di tures,disbursements,in-kind contributions and liabilities for this reporting period and represents the <br /> campaign finance activity of all persons actin r rity or on behalf of this candidate in accordance with the requirements oi. r.L.c.55. <br /> Signed under the penalties of perjury: (Candidate's signature) <br />