HomeMy WebLinkAbout2015-12-31-Hornig-OCPFpwvaxum
irMW thuto
Form CPF M 102 -0: Campaign Finance Report
Municipal Form
Wee of Campaign and Polities! Finance
City or Town of 1-.- fXtni 10h
Candidate (- Livle_s
Please print or type all Information, except signatures.
rtile Off icefIShnto
Fill in dates: Month Day Year Month
Reporting Period Beginning :TG ry �i)f' //P
Ending r
Day
31
Year
aIS
Type of Report: (Check One)
8th day preceding 0 8th day preceding election
preliminary/primary
30th day following election 20th day of January
(Year -End Report)'
(Town or Special)
Pursuant to M.G.L., Chapter 55:
1. I certify that 1 am a candidate for or hold Municipal Office.
2. 1 certify that 1 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. I certify that 1 do not have a political committee.
DATE
I. SIGNATURE
Signed under perjury
11. RESIDENTIAL ADDRESS
(Street and Nutnher)
III. OFFICE SOUGHT
(�
/%-0I/"
tthheeg /�naltiieeess�off
_7�.i' �
7
qt Regal ST
��,- (/ /%
(Yt sv ) �O 7"°I
C. ■
11/97
1J