HomeMy WebLinkAbout2016-12-31-Alessandrini-OCPFComm wealth
of Massachusetts
Form CPF M 102 -0: Campaign Finance Report
Municipal Form
Office of Campaign and Political Finance
City or Town of LCX /NI c-r-01\/
(-1 s S c l-{-v SE -WS
Please print or type all information, except signatures.
Reporting Period: Beginning:
Ending:
a. /2Z / 2 0)
(MM/DD/YYYY)
Type of Report: (Check One)
❑ 8th day preceding preliminary/primary ❑ 8th day preceding election ❑ 30th day following election (town or special) X.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
IMMEM�E SSA-D2a frcEss 1- ^lb'arr
2 Mare
SirOCot'( 2_04 b
Sc$ooi Conn 17Er .
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