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Form CPF M22: REPORT OF BALLOT QUESTION EXPENDITURES <br />BY CORPORATION, ORGANIZATION OR INDIVIDUAL <br />MUNICIPAL FORM <br />Commonwealth Office of Campaign and Political Finance <br />of Massachusetts , _1 <br />File with: Local Election Official Filing Date: ❑ 8" day preceding elp-clion <br />❑ 30" day afters election- <br />El January 20' <br />C0 <br />Please print or type, except signatures. <br />I Name of Corporation/Organization <br />or Individual: <br />2. Address: <br />3. Reporting Period: to & 13 o <br />Month I Day I Year Month Day Year <br />4. The expenditures below were made to (check one) support �V oppose <br />(-e e (A <br />question number relating to A 1 me�,A <br />( <br />(if applicable) (Describe question briefly) t esukkwk <br />submitted to the voters in 13L <br />I )A on <br />(Nam "f City/Town) (LIectidn Date) <br />S. Expenditure(s) (attach additional pages if necessary): <br />Amount or <br />Date Paid To Whom Paid Address Purpose Value* <br />L W eek , <br />Total expenditures on this report <br />Total expenditures previously reported <br />Total expenditures to date <br />M <br />*In-kind contributions should be included here, <br />OVER <br />