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Fill in dates MWA We Yaw I x + awh Dats Year <br />Reporting Period Beginnin Q J 00 1 Q Ending <br />Type of report: (Check one) <br />08th day preceding preliminary 08th day preceding election 030 day after election year -end report ❑dissolution <br />4,J tic. M A z.- <br />Full Name of Candidate (if applicable) <br />L)-Mu r6,J <br />Office Sought and District <br />iq e u..isn,_3 RzyvJ <br />. Residential Address <br />LF- Y.) -34r�, m/ + 0z , 4zi 79 863 -r7. <br />Tel. Na (optional) <br />Committee Name <br />(-2f r=- t-.) <br />Name of Committee Treasurer <br />Committee Mailing Address <br />LJS ) A ) x. T COQ Y OZq 781 -863 -$ <br />Tel. No. (optional) <br />SUMMARY BALANCE INFORMATION: <br />Line 1: Ending balance from previous report I, 4,;7(o.74 <br />Line 2: Total receipts this period (page 2 line 11) $ � <br />Line 3: Subtotal pine 1 plus line 2) $ i (o7 l'-.7 G <br />Line 4: Total expenditures this period (page 3, line 14) $ <br />Line 5: Ending balance pine 3 minus line a) $ I b7�•.7 <br />Line 6: Total in -kind contributions this period (page a) $ <br />Line 7: Total (all) outstanding liabilities (page a) $ <br />Line 8: Name of bank(s) used <br />2. <br />AIVAavit of Comuditee Treamwer: <br />I certify that I have examined this report including attached schedules and it it, to the bed of my knowledge and belief, a true and complete datemant of all campaign <br />finance activity, including all contributions, loans, receipts, expenditures, disbursements. in -kind cor:tributioru and liabilities for this reporting period and represents the <br />campaign firmwe activity of all acting under the authority or on bel"of this ommnittes in accordance with the requirements of M.G.L c. 33. <br />Signed wrier the penaldes of perjury: <br />(CANDIDATE MUST SIGN BELOW) <br />Altldavit of Canritdater (cheek 1 box owb) <br />Cl Candidate with Committee and no activity independent *rib* committee <br />I ce tify that I have examined this report including attad:ed scha& to and it is, to the bed of my knowledge and belief a true and complete statemant of all campaign <br />finance activity, of all persona acting under the authority or on behalf of this eonmtittae in accordance with the requiranents of M.0,L a 33. 1 have not received any <br />contributions, incurrod any liabilities nor nude any oVetditures on my behalf during this reporting period. <br />0 Candidate without Committee 2E Candidate with independent activity Aging separate report <br />I certify that I have examined this report including attached schedules and it is, to the bed of my knowledge and belie& a true and complete statement of All campaign <br />finance activity, including contributions, loans, receipts, expenditures, disbursements, is -kind contributions and liabilities for this reporting period and represents the <br />campaign f n&= ac#vity <br />G persons acting under the authority or on behalf of this omnmittee in accordance with the requircroeuts of M.O.L. c. 33. <br />Signed under the penalties of perjury: <br />Candidate dgnatmre (in Ink) Dale <br />