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Form CPF M 102: Campaign Finance eTort <br /> Municipal F®r <br /> Office of Campaign and Political Finance <br /> Commonwealth <br /> of Massachusetts <br /> File with: CjW or Town Clerk or Election Commissis <br /> Fill in Reporting Period dates: Beginning Date: Ending Date: <br /> Type of Report: (Check;one) <br /> ❑ 8th day preceding prelilrtinaty ❑ 8th day preceding election ❑ 30 day after election ear-end report ❑ dissolution <br /> ) IIVO <br /> Candidate Full Name(if applicable) Committee Name <br /> 9cticus Lummiti la Mew?I {2 et ,l~I P/)Er-, �IkNU- �I SAULrNI izS <br /> Office Sought and District Name of Committee Treasurer <br /> Prykc --: LP1�1Wt✓`li-X1NU-11bN NiA 02�+ G� PCSIb (�k ,(tX1NCTQi� MA DMPP <br /> Residential Address Committee Mailing Address <br /> Telephone Number(optional): �`� l �1 [ �Q Telephone Number(optional): <br /> SUMTM ARY BALANCE INFORMATION: <br /> Line l: Ending Balance from previous report _�j , Al <br /> Line 2: Total receipts this period(page 3, line 11) ��� <br /> Line 3: Subtotal(life l plus line 2) I ?� <br /> Line 4: Total expenditures this period(page 5,line 14) <br /> Line 5: Etlditlg Balance(line 3 minus line 4) <br /> Line G: Total in-kind contributions this period(page b) <br /> Dine 7: Total(all)outstanding liabilities(page 7) I <br /> Line 8: Name of bank(s)used: l D b P0t jc— <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-€chid contributions and liabilities for this reporting period and represents the campaign <br /> fiance activity of all persons acting under the authority or on bah€dfof this commit(ee in accordance with the rerluirements of M.G.L.c.55. <br /> Signed under the penalties of perjury: (Treasurer's signature) Date: C90 bac oo'40 <br /> FOR CANDIDATE, FILINGS ONLY. Affidavit of Candidate:(cheep 1 box only) <br /> Candidate with Committee and no activity independent of the committee <br /> I certify that I have examined this reportincluding attached schedules and it is,to the best of my knuwledge and belief,a true and complete statement of all campaign finaw <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. 1 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 Candidatc with independent activity filing separate report <br /> LjI certify that I have cxamined this report including attached schedules and it is,to the best ofmy 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 fill persons ting under.the authority r on bchalfof this committee in accordance with the requirements of M.G.L.c.. <br /> Signed under the penalties of perjury: ��_qr 1hL'+ 1�" �` 1 (Cartdiclate's signahuc) Date: }�Gt.13�t r ?�jp <br />