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Form CPF M 102: Campaign Finance Report Municipal Form Offlce of Campaign and Political FhuuKe arlNaaearisaata " , ., t l� i 41 1 I f 4S. �_ File with: City or Town Clerk or Election Commission ... ! C `, kwase print or type an mrormauort, except Signatures. Fill in dates: Month Dane Year Monthh oats ran Reporting Period Beginning . L), (\ d C 1 - Ending ('c G i Type of report: (Check one) // 08th day preceding preliminary 08th day preceding election 030 day after election year -end report ❑dissolution Full Name of Candidate (if kpplicable) a ic -w and Dist c g t °^ �,s u Residential Address Tel. No. (optional) U mmt Ve-e- A0 � iglle 6 - W , l ommittee Name \-� . 0-11 t � t v S Name of Committee Treasurer s "y Committee Mailing Address Tel. No. (optional) SUMMARY BALANCE INFORMATION: Line 1: Ending balance from previous report $ I G `1(o , Line 2: Total receipts this period (page 2 line 11) Line 3 : Subtotal (line 1 plus line 2) $ I `t Line 4: Total expenditures this period (page 3 line 14) $_ Line 5: Ending balance (tine 3 minus line 4) $ =� Line 6: Total in -kind contributions this period (page 4) $ Line 7: Total (all) outstanding liabilities (page 4) $ Line 8: Name of bank(s) used Q) �,\ (\e, ?nom Amovit 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, disbutaanarts, it kind contributions and liabilities for this reporting period and represents the campaign finance activity of 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: g) Qk 'reasurer's signature M - -�> i- FOR CANDIDATE FMINGS ONLY (CANDIDATE MUST SIGN BELOW) Atndavit of Candidate: (check 1 box only) O Candidate 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 and belie& a true and complete statement of all campaign finance activity, of all persons acting under the authority or on behalf of this committee in accordance with the requirements of M.G.L. e. 33. 1 have not received any contributions, incurred any liabilities nor made any expenditures on my behalf during this reporting period. 0 Candidate without Committee OR 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 knowledge and belief; a true and complete statement of all campaign finamce activi contributions, loans, receipts, expeditu is, disbunnenats, in -kind contributions and liabilities for this reporting period and represents the carnpaig<t f 7&vi of all person acting under the authority or on behalf of this committee in accordance with the requirements of M.G.L. c. SS. Signed under the penalties of perjury: Date Candidate si[ru (in'