2011-12-31-Hornig-OCPF - Laserfiche WebLink

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Form CPF M 102: Campaign Finance Report Municipal Form Office of Campaign and Political Finance Commonwealth of Massachusetts File with: City or Town Clerk or Election Commission Fill in Reporting Period dates: Beginning Date: April 7, 2011 7 Ending Date: December 3 1, 2011 Type of Report: (Check one) F� 8th day preceding preliminary 8th day preceding election E] 30 day after election ©X year -end report [—] dissolution Charles Hornig Candidate Full Name (if applicable) Planning Board Office Sought and District Charles Hornig for Planning Board Committee Name '!Thomas V. Griffiths Name of Committee Treasurer SUMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous report Line 2: Total receipts this period (page 3, line 11) Line 3: Subtotal (line 1 plus line 2) Line 4: Total expenditures this period (page 5, line 14) Line 5: Ending Balance (line 3 minus line 4) Line 6: Total in -kind contributions this period (page 6) Line 7: Total (all) outstanding liabilities (page 7) Line 8: Name of bank(s) used: 328.98 0 328,98 o 328.9 0 ffidavit of Committee Treasurer: 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 ,tivity, including all contributions, loans, receipts, expenditures, disbursements, iirkin contributions and liabilities for this reporting period and represents the campaign nance activity of all persons acting under the au ity or on be hal f =A�� with the requirements of M.G.L. c. 55. igned under the penalties of perjury: (Treasurer's signature) Date: Jan 19, 2012 : Affidavit of Candidate: (check 1 box only) 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 belief, 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. c. 55. I have not received any contributions, incurred any liabilities nor made any expenditures on my behalf during this reporting period. Candidate without Committee OR Candidate with independent activity filing separate report © I certify that 1 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, loans, receipts, expenditures, disbursements, in -kind contributions and liabilities for this reporting period and represents the campaign finance activity of all persons acting undue authoritty orpn behalf of this committee in accordance with the requirements of M.G.L. c. 55. under the penalties of perjury: (Candidate's signature) Date: j g4 a61,;