HomeMy WebLinkAbout2016-12-31-Walker-OCPFForm CPF M 102 -0: Campaign Finance Report
Municipal Form
Office of Campaign and Political Finance
City or Town of:
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Reporting Period: Beginning:
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IMM/DD/YYYY)
Please print or type all Information, except signatures.
Ending:
Type of Report: (Check One)
❑ 8th day preceding preliminary /primary ❑ 8th day preceding election ❑ 30th day following election (town or special) 20th day of January (Year -End report)
Pursuant to M.G.L. Chapter 55:
•/ 1. I certify that I am a candidate for or currently hold Municipal Office.
2. I 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. I certify that I do not have a political committee.
SIGNATURE RESIDENTIAL ADDRESS
DATE PRINT NAME Signed under the penalties of perjury (Street and Number) OFFICE SOUGHT
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