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Form CPF M 102: Campaign Finance Report - - Municipal Form Office of Campaign and Political Finance Commonwealth of Massachusetts File with: Citv or'I'own Clerk or Electron Commission Fill in Reporting Period dates: Beginning Date: 1 I i Q Ending Date: "U ( � AL1 kj (g Type of Report: (Check one) ❑ 8th day preceding preliminary 08th day preceding election ❑ 30 day after election ❑ year-end report ❑ dissolution �i�'f1(4\ S(\-WVAivS Candidate Full Name (if applicable) Scttaot (oeMRJltJ! r�t�M( ) ie,wt.� rv1� EitivLi 6 Once Sought and District f )(�_T L LAO\JI�X(NCz-Tul�i Residential Address E-mail: SC V3 InV.e-- r d e e f 1 Ice"Oc GI'WaA(• (,D M Phone # (optional): -U (ZAN11tTL-7. Tot (CtT DL 1 Spt JHt ( Committee Name JA -Ne DUSH[.NtGRe' Name of Committee Treasurer ��TCl2 t fryj (,r X(�E�7U�1 NA tl-LLJ Committee Mailing Address E-mail: Phone # (optional): SUMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous report Line 2: Total receipts this period (page 3, line 11) Line 3: Subtotal (line 1 plus line 2) Line 4: Total expenditures this period (page 5, line 14) Line 5: Ending Balance (line 3 minus line 4) Line 6: Total in-kind contributions this period (page 6) Line 7: Total (all) outstanding liabilities (page 7) Line 8: Name of bark(s) used: ff. 7 C t� V__ 20 / 9 111(01,34 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 ofall campaign finance etivity, including all contributions, loans, receipts, expenditures, disbursements, in-kind contributions and liabilities for this reporting period and represents the campaign mance 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. 'igned under the penalties of perjury: ",/ e'-"�, e > e , L 1, "<<-uo (Treasures signature) Date: R CANDIDATE PILINGS ONLY: Affidavit of Candidate: (check t box only) lVandidate with Committee and no activity independent of the committee I certify that I have examined this report including attached schedules and it is, to the best of my knowledge had belief,a true and complete statement ofall campaign finance activity, of all persons acting under the authority or on behalf of this committee in accordaqCa with the requirements of M.G.L. c. 55. I have not received any contributions, incurred any liabilities nor made any expenditures on my behalf during Uris reporting period - __.. arss_ .Candidate without Committee DR Candidate with independent activity filing separate report I certify that I have examined this report including attached schedules and it is, to the best of my;G vledgd and belief, a true and complete statement of all campaign finance activity, including contributions, loans, receipts, expenditures, disbursements, in-kind contiibufionsand liabilitiesfor tris reporting period and represents the campaign finance activity of at persons acting under the authority oron behalfofthis committee in accordance with the requirements of M.G.L. c. 55, under the penalties of perjury: -�"--1`^��'' ��"'"`I'_—�"'\ (Candidates signature) Date: 1-r:6 1 �\�%((