HomeMy WebLinkAbout2014-04-03-Hornig-OCPFl
Form CPF M 102 -0: Campaign Finance Report
Municipal Form
0m, of Campaign and Political Finance
Cammennullh '
of AlwuhuNll
CityorTownof, LeXln%�dn Candidate C�t1_^ V'+t Offlcer wl
Please print or type all information, except signatures.
F n dates: M``onth Da Year Month Day Year
rting Period Beginning i'� Ending �h�.cY 24 ZS 1
Type of Report: (Check One)
El 8th day preceding 8th day preceding election 30th day following election ❑ Yeah End of January
preliminary/primary (Town or Special) ( P )
Pursuant to M.G.L., Chapter 55:
1. I certify that I am a candidate for or hold Municipal Office.
2. 1 certify that I have not received any contributions, made any expenditures, or incurred any obligations during this
reporting period, and do not have a campaign fund in existence.
3. 1 certify that I do not have a political committee.
DATE
I¢
I. SIGNATURE
Signed under t penalties of perjury
11, RESIDENTIAL ADDRESS
,,((�� rT (Stree((t and Number)
11
�S eo
11I, OFFICE SOUGHT
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04)% q dA rZ
i
—t r.
N
11197
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