HomeMy WebLinkAbout2013-02-25-Alessandrini-OCPFForm CPF M 102: Campaign Finance Report
Municipal Form p
Office of Campaign and Political Finance ..
File with:
City or Town Cleric or Election Commission L
riease print or type an tniorinatton, except signatures. f tw N, H ¢I
Fill in dates: Month Date Yaw M«ue Date year
Rep Period Beginnin .__0 '1 01 7- 0 t -3 Ending 4 _ - I
Type of report: (Check one)
08th day preceding preliminary gth day preceding election 030 day after election 0year -end report ❑dissolution
Committee Name
Name of Committee Treasurer
Tel. No. (optional)
Committee Mailing Address
Tel. No. (optional)
SUMMARY BALANCE INFORMATION;
Line 1: Ending balance from previous report
Line 2: Total receipts this period (page 2, line 11)
Line 3: Subtotal (line 1 plus line 2)
Line 4: Total expenditures this period (page 3, line 14)
Line 5: Ending balance (line 3 minus line 4)
------------------------------- -- -
Line 6: Total in -kind contributions this period (page 4)
Line 7: Total (all) outstanding liabilities (page 4)
Line 8: Name of bank(s) used
Affidavit of Committee Treasurer.
I cer* that I have examined Oda report including ansd►ed sc!"les and it is, to the best of my knowledge and belief, a true and complete statement of all campaign
finance activity, including all contributions, loans, roceipts, expenditures, disbumanans. 41-W d contributions and liabilities for this reporting period and represents the
campaign finance activity of all persons acting under the suUnoity or on behalf of this committee in accordance with the requirements of M.G.L c. SS.
Signed under the penalties of perjury:
Treasurer's signature (in ink) Date
FOR CANDIDATE FILINGS ONLY: (CANDIDATE MUST SIGN BELOW)
Affidavit of candidate: (check t box only)
❑ Candidate with Committee and no adh* Independent of the committee
I outify that I have examined this report including afadud schedules and it is, to the best of my knowledge and belief a true and complete datemKUt 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 a 55. 1 have not received any
butions, incurred any liabilities nor nude any expenditures on my behalf during this reporting period.
Candidate without Committee OR Candidate with Independent activity Ming separate report
I certify that I have examined this report including attadned schedules and it is, to the best of my knowledge and belief awe and complete statement of all campaign
finance activity, including contributions, loam, receipts, expenditures, disbursements, in-kind contributions and liabilities for this reporting period and repreacnts the
campaign finance activity of all Persons acting under the authority or on behalf of this comnuttee in accordance with the requirements of M.G.L c. 55.
ed undeohe penalties of perjury:
S
signature (in ink)