HomeMy WebLinkAbout2017-04-06-Bajaj-OCPFz
Camino wealth
of Massachusctts
Form CPF M 102-0: Campaign Finance Report
Municipal Form
Office of Campaign and Political Finance
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781-16.i -227S1
Please print or type all information, except signatures.
City or Town of: Lex l n 1-1D rl
Reporting Period: Beginning:
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Ending:
02 0 -;;ti_iha.C3
Type of Report: (Check One)
8th day preceding preliminary/primary Q 8th day preceding election LIZicath day following ele
coon (town or special) D 20th day of Jannary (Year -End report)
Pursuant toM.G.L. Chapter 55:
I. I certify that I am a candidate for or currently hold Municipal Office.
2. I certify thatI have not received any contributions, made any expenditures, or incurred any obligations
3. I certify that I do not have a political committee.
during this reporting period, and do not have a campaign fund in existence,
DATE
PRINT NAME
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Nte-y a. -T.
SIGNATURE
Signed under the penalties ofperjwy
a_
RESIDENTIAL ADDRESS
(Street and Number)
3o A rnes Ave_, Loc(
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OFFICE SOUGHT
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