2012-04-06-Kelley-OCPF - Laserfiche WebLink

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Form CPF M 102: Campaign Finance Report Municipal Form O m ce of campaign and Political 17hume dMusdwmlb ;r File with: City or Town Clerk or Election Commission Please print or type all information, except signatures. Fill in dates: morA Due Yam Mont Due Yea Reporting Period Beginnin .J I e Ending �f r: c 0 ,- Type of report: (Check one) / 08th day preceding preliminary 08th day preceding election 30 day after election 0year -end report ❑dissolution M Tel. No. (optional) Tel. No. (optional) SUMMARY BALANCE INFORMATION: Line l: Ending balance from previous report $ J�i(� . 7 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) $ Line 5: Ending balance pine 3 minus line 4) $ I C) 1 L ---------------------------------- Line 6: Total in -kind contributions this period (page a) $ Line 7: Total (all) outstanding liabilities (page 4) $ Line 8: Name of bank(s) used Affidavit of Committee Treasurer. I ca* that I have examined this report including attached schedules and it is, to the beat of my knowledge and belief, a true and complete sutement of all campaign finance activity, including all contributions, loans, receipts, expenditures, disbunanana, in-kind contributions and liabilities for this reporting period and represents the campaign finance activity of all persons acting under the authority or on bch&Wof this committee in accordance with the requirements of M.G.L a SS. Signed under the penalties of perjury: Treasurer's signstare (in ink) FOR CANDIDATE FILINGS ONLY (CANDIDATE MUST SIGN BELOW) Atlldsvit of Candidate: (check I box only) O Candidate with cormnitlee and two 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 wrier the authority or on behalf of this committee in accordance with the requirements of M.G.L a 33. I have not received any contributions, incurred any liabilities nor nude any expenditures on my behalf during this reporting pence C Candidate without Committee OR Candidate with Independent activity flung 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 cannpaign finance actt nxsl cotributiau, loans, receipts, expenditures, disbursements, in*ird contributions and liabilities for this reporting period and represents the nxrrtpaign f adi f all ! , acting under the authority or on behalf of this convnittee in accordance with the requirements of M.G.L. o 55, ra � under the penalties of perjury: