2010-02-26-Burnell-OCPF - Laserfiche WebLink

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Form CPF M 102: Campaign Finance Report Municipal Form oftlet of Campaign and p6Udcai ea c or Ma:rarl�resetta File with: City or Town Clerk or Election Commission Please print or type all information, k s Fill in dates: M tea Dais Year mor& GV4 Yo► Reporting Period Beginning__ s l 1 Ending I g Type of report: (Check one) ��,,r.� I 08th day preceding preliminary 0 th day preceding election 030 day after election. Oyear-end resort ❑dissolution Fu) N ame of Candidate (if applicable) Office Sought and District Residential Address Tel No. {optional) ley t g i i v r. 7 Committee Name Name of Committee Treasurer Committee Mailing Address . ha Ct L-1 Tel. No, (optional) AMdavitofCommittet Treassurer. I catify 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 activity, including all contributions, loans, receipts, expenditures, dsbutsttrmentt, in dnd contributions and liabilities for this reporting period and represents the campaign Pawnee activity ail persons acting under the authority or on behatfof this commines in accordw= with the requirements of X0.1- o. 33. 11 11 Signed under the penalties of perjury. l d Trta+urees signature FOR CANDMATE FILINGS Qn "Y-. (CANDIDATE MUST SIGN BELOW) vet of Candidate. (cheep box only) dldste 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 bat of my knowledge and belieg a true and complete statement of all campaign, finance activity, of all persons acting under the authority or on behalf of this oommince in with the requirements of NLGI. a 33. 1 have not received any contributions, incurred any liabilities nor made any expenditures on my behalf during this reporting period. 1] Candidate without Committee OR Candidate with independent activity niing **paste report 1 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 activity, including contributions, loam, receipts, expenditure, disbutsem u6 in kind contributions and liabilities for this reporting period and represents the campaign finance activity of all g under the au n nbehaif of this committee in accordance with the requirements ofM.G.L. c, 35. Slgn the penaltles of perjury: Candidate signature { ) Date