HomeMy WebLinkAbout2024-01-17-McBride-OCPF �. Form CP M1.01: STATEMENT of ORGANIZATION
v CANDIDATE'S COMMITTEE
r
MUNICIPAL FORM '
CommonwealthOffice.o Campaign a 'd P di al.Finance
of Ma:s8achusetts -
File +ifli:`City 1 To'wn C10k or Election Commission
N TI ISHEREBGIVEN in ac.cordancewith the pro isions of Geheral Laws.'Chapter 5 5, as amended,.of the.organi atian.of a
candidate's committe6 as follows:
CANDIDATE: '
���1 Name:
leidenti�l Address: .'VILA .,�
City[State Zip:
Ph
-Mail Address:. �.� � � � `�� ony#�: 24-
. �� � �
Party Alf kation: p�icablc
OFFICE S UGHT PURP S
... . . r �
Title: � kk�. Atub"
District:. vs I
o� TT :: arae of- o mitte : - �
0.0�(z-(A Then a o� committee must iDclude tliD eaodidate's last itarrxe).
orii.mittee Mailing Address:.
city./StAte/Zip:
OFFICERS:
Chairman. .'Treasurer*:
Residential ' :rens:��F �� . . Residential Address: .
�
city f tat } 4ii .'J rtiF1. city ate Zip: ew
l ho11 � '7 Y ;jflione Email:'
I; `A.public employee ine not Serve as treasurer6f X11 0liii orr�rn it a see reverse).
�` Other erfritle;.
' tlt�r ffierl�'"-itle: ��{-� � -r�� � � � .
jResidential Address: keside ntial Address:
city 1 Mate Zip: city I State 1 Zip:
Phone#: Phone
(Complete and attach a Form CPF M A t01,if necessary,vii.tli other officers and finance committee,if any.
I hereby consent to the filing of this-committee. I understand that a-candidate shale not give.consent t6 the organization of more than one committee on his/leer
behalf. I am a ware that candidate's are required.to keep detailed accounts and records of al l carnpaign finance activity for a period of sic years fir o the date of
the r le9ant election,
SIGNED BINDER.THE PENALTIES DP PERJURY: �
Candidate's signature
I hereby accept the office of Treasurer of the above-named committee.I affinn that I am not a pub.lic employee as defined by M.G.L.c.55,s. 1.3.1 understand
that: 1)I am subject to certain duties and H abi lilies under M. c, , including the timely filing of ca�rnpaign finance reports and keeping detailed accounts
and records of all car paign finance activity for a period of six years from the date of the relevant election; if after my acceptance o this office I became an
appointed public employee,f must resign this position 'and notify OCPF of my resignation;and a candidate may not serge as treasurer of the political
committee organized on hisser behalf:
SIGNED UNDER TBE PENALTIES OF PERJURY: �.�..
Date. ►~ �
Trasurer' .signature
I hereby accept the office.of Chairman of the above-named committee.
SIGNED LNDER THE PENALTIES OF PERJURY:
h irman's signature Date: