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jL11 Form CPF M 102: Campaign Finance Report <br />Municipal Form <br />Office of Campaign and Political Finance <br />l <br />Commonwealth _ <br />File with: City or Town'Clerk or Election Commission <br />Fill in Reporting Period dates: Beginning Date: ( i U 12. 1 Ending Date: 2 C7 ` .:2_ 19 ,T i <br />Type of Report: (Check one) <br />❑ 8th day preceding preliminary 8th day preceding election ❑ 30 day after election ❑ year -end report ❑ dissolution <br />�et & ol1 ( A <br />Candidate Full Name (if applicable) <br />L i �m VlousfIL' A . <br />Office Sought and bistrict <br />l e %E eet LQY,i toA , MA 02lf2 <br />Residential Address <br />Telephone Number (optional): <br />FG lwil T fee 4 -e ,J VUe , W vu A <br />4- <br />Committee Name <br />Wetj' -(? kenC <br />Name of Committee Treasurer <br />C 1evr av(aj , Le& X11 I M . Q2 4 2 <br />Committee Mailing Address <br />Telephone Number (optional): <br />SUMMARY BALANCE INFORMATION: <br />Line 1: Ending Balance from previous report <br />Line 2: Total receipts this period (page 3, line 11) <br />Line 3: Subtotal (line 1 plus line 2) <br />Line 4: Total expenditures this period (page 5, line 14) <br />Line 5: Ending Balance (line 3 minus line 4) <br />Line 6: Total in -kind contributions this period (page 6) <br />Line 7: Total (all) outstanding liabilities (page 7) 0 <br />Line 8: Name of bank(s) used: 6ca. b A%Ae Y; tr y <br />Affidavit of Committee Treasurer: <br />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 <br />activity, including all contributions, loans, receipts, expenditures, disbursements, in -kind contributions and liabilities for this reporting period and represents the campaign <br />finance activity of all persons acting under the authority or on behalf of this committee in gpcordapith the requirements of M.G.L. c. 55. <br />Signed under the penalties of perjury: 1 /C ce w (Treasurer's signature) Date: / 212 ! 2 1 �� <br />FOR CANDIDATE FILINGS ONLY Affidavit of Candidak�(tck 1 box only) <br />Candidate with Committee and no activity independent of the committee <br />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 <br />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, <br />��, \\ \ incurred any liabilities nor made any expenditures on my behalf during this reporting period. <br />Candidate without Committee OR Candidate with independent activity riling separate report <br />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 <br />❑ finance activity, including contributions, loans, receipts, expenditures, disbursements, in -kind contributions and liabilities for this reporting period and represents the <br />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. <br />under the penalties of perjury: <br />(Candidate's signature) Date: 2 - .2 C) L <br />