2012-02-27-Kelley-OCPF - Laserfiche WebLink

Browse Search

M Form CPF M 102: Campaign Finance Report Municipal Form. office of Campaign and Political Finance Ali P� File with: l '' City or Town Clerk or Election Commission [J" . 1 `�� Please print or type all information, except signatures. Fill in dates: Month DW Yar Mach Dots Yea Rep Period Beginnin i O) Ending Type of report: (Check one) 08th day preceding preliminary 48th day preceding election 030 day after election 0year - end report ❑dissolution Full Name of Candidate (if applicable) Office Sought and District 3 re c'-"A ' " — Residential Address � 1- Lt 1 Tel. No. (optional) Tel. No. (optional) SUMMARY BALANCE INFORMATION: Line 1: Ending balance from previous report $ —I - _ ; r Line 2: Total receipts this period (page 2 line 11) $_, ; Line 3: Subtotal pine 1 plus line 2) $ Line 4: Total expenditures this period (page 3 line 14) $ C Line 5: Ending balance pine 3 minus line 4> $ t " ---------------------------------- 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 z Affidavit of Committee Treaaarer. I certify that I have examined this report including attached schedules and it is, to the bat of my knowledge and belief, a true and complete atatemen of all campaign finance activity, including all contributiom, loam, receipts, expenditures, disbunar ants, irrkind contributions and liabilities for this reporting period and represents the carpaign finst nce activity of all pecan acting under the authority or on behalf of this committee in accordance with the requirements of M.G.L c. 55. Signed under the penalties of perjury: (in ink) — Data FOR CANDIDATE FILINGS ONLY (CANDIDATE MUST SIGN BELOW) Affidavit of candidate: (check 1 box only) ❑ Candidate with Committee and no activity independent or the committee I catify that I have examined this report including attached schedules and it ice, to the best of my knowledge and belied a true and complete statement of all campaign finance activity, of ail persons acting under the authority or on behalt'of this committee in accordance with the requirements of M.O.L c. 55. 1 have not received any contributions, incurred any liabilities nor made any expenditures on my behalf during this reporting Period. O Candidate without Conunklee OR Candidate with independent activity filing separate report I army that I have examined this report including attached schedules and it is, to the best of my knowledge and belief; a true and compile statement of all campaign finance activi , including contributions, loam, rcceipts, expenditures, disburser rats, in -kind contributions and liabilities for this reporting period and represents the campai f activity of all persons acting under the authority or on behalf of this co nmittee in accordance with the requirements of M.G.L a 55. Signed under the penalties of perjury: Ahran/, 1 Committee Name Li -r. tLU7 _ S Name of Committee Treasurer Committee Mailing Address -) v ` 4o i f, Date