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Form CPF M 102: Campaign Finance Report k g, Municipal Form I I O of campaign and Political Finance a..a.,rr.ttr ZOi JA -i AM g: 46 .rar..sa...ra File with: K City or Town Clerk or Election Commission LEXI H A Please print or type all information, except signatures. Fill in dates: Month Doe Year Month Due Y ear Reporti Period Beg inning I i ,=�, I. Ending � D3 ( D y 1 y Type of report: (Check one) 08th day preceding preliminary 08th day preceding election 030 day after election [Te year -end report ❑dissolution Full of Candidate (ifs p icable) Office Sought and District Residential Address�`(�� Tel. No. (optional) Tel. No. (optional) SUMMARY BALANCE INFORMATION: Line 1: Ending balance from previous report $ Ll -T , S Line 2: Total receipts this period (page 2 line 11) $ Line 3 : Subtotal (line 1 plus line 2) $ 1 Line 4: Total expenditures this period (page 3 line 14) $ Line 5: Ending balance (line 3 minus line 4) $ t 1 3 . S� ---------------------------------- Line 6: Total in -kind contributions this period (page 4) $ Line 7: Total (all) outstanding liabilities (page 4) $ Line 8: Name of bank(s) use rt" L 'm Afeldavit of Committee Treasurer. 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 activity, including all contributions, loans, receipts, expenditures, disbursements, in -kind contributions and liabilities for this reporting period and represents the campaign finance acti ' all persons acting under the authority or on behalf of this committee in accordance with the requirements of M.G.L. c. 35. Signed under the penalties of perjury: i ",;�1 -fit (I Treasurer's signatum (in ink) Date FOR CANDIDATE FILINGS ONLY (CANDIDATE MUST SIGN BELOW) of CandWate: (clseck 1 box only) 4� C- dictate with Committee and no sctivfty independent of fhe corrunittee certify Wert I I have examined this report including attached sclKdulrx and it is, to the best of my knowledge and belief, a true and complete statement of all campaign -d- activity , of all persons ailing under the authority or on behalf of this committee in accordance with the requirements of M.G.L. a SS. 1 have not received any contributions, ithtahmed say liabilities nhor made any experdiwrea cxh my behalf during this reporting period. (3 Candidate wdthout Committee Candidate with Independent sedvity tilhhg separate report I certify that 1 have examined this report including attached schedules and it is to tlhe best of my knowledge and belief awe and complete statement of all campaign finance activity, including contributions, loans, receipts, expenditures, disbursements in -kind contributions and liabilities for this reporting period and represents the campaign finance activity o It persons acting u audority or on behalf of this committee in accordance with the requirements of .GI–c.55. i SI under the penalties of perjury: 91 (AO m C Candidate sips ' mk) Date lo Pcf Committee Name 4 -14 uV\Q4-,, Name of Committee Treasurer Committee Mailing Address 4-li�l - � S �L -- > , �- LY