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Form CPF M 102: Campaign Finance Report <br /> Municipal Form <br /> y Office of Campaign and Political Finance <br /> Commonwealth <br /> of Massachusetts 'KIM "< „ <br /> ' f`i j-:1 -4 PH ' File with: City or Town Clerk or Election Commission <br /> Fill in Reporting Period dates:, Beginning Date: 14 Ending Date: 01q <br /> /.._ L] <br /> Type of Report: (Check one)., <br /> ® 8th day preceding preliminary ® 8th day preceding election ]J30 day after election ® year-end report dissolution <br /> G a& L_ 1�G 0 ebJ_ YQ!a C-{SCC,`(-- Ga -r(-.&- To G C-C7 t-42rUa— r-L. <br /> Candidate Full Name(if applicable) Committee Name <br /> y°L/�.-►a' •QCs AaAyc. L.C—JG�r-s4`rd�S C �.t.—•.-�Ey A P4ra A­ <br /> Office Sought and District Name of Committee Treasurer <br /> Co a-r Go,&4 A J% L»C-A;r,, -r i a FA?�, <br /> ,z _.. <br /> Residential Address Committee Mailing Address <br /> E-mail: k%T=GIJ oo G L ,5 C.la.o L,Ca E-mail: GNN rOk as A- Cs y-�.��L. Ga v'-L <br /> Phone#:2 1 N G 1.3 3 Phone#: $ —7 23 1 1 3 9 $ <br /> SUMMARY BALANCE INFORMATION: <br /> Line 1: Ending Balance from previous report <br /> Line 2: Total receipts this period(page 3, line 12) S , <br /> Line 3: Subtotal(line 1 plus line 2) <br /> Line 4: Total expenditures this period(page 5,line 15) <br /> Line 5: Ending Balance(line 3 minus line 4) E i 5 . S O <br /> Line 6: Total in-kind contributions this period(page 6,line 18) <br /> Line 7: Total(all)outstanding liabilities(page 7, line 19) <br /> Line 8: Total out-of-pocket expenses this period(page 8,line 22) f0' <br /> Line 9: Name of bank(s)used: 6 m,4 K O tG <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,expenditur ,disbursements,in-kind contributions and liabilities for this reporting period and represents the campaign <br /> finance activity of all persons acting under the authority o on ehalf of this committee.n accordance with the requirements of M.G.L.c.55. <br /> Signed under the penalties of perjury: (Treasurer's signature) Date: y "I <br /> FOR CANDIDATE 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 knowledge 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,re cei t ,ex enditures,disbursements,in-kind contributions and liabilities for this reporting period and represents the <br /> campaign finance activity of all persons acting un de a parity or on behalf of this candidate in accordance with the requirements of M.G.L.c.55. <br /> Date: ),601,7 U)Signed under the penalties of perjury: (Candidate's signature) <br /> i <br />