HomeMy WebLinkAbout2017-04-06-Taraz-OCPFCommonwealth
of Massachusetts
Form CPF M 102-0: Campaign Finance Report
Municipal Fonul
Office of Campaign and Political Finance
City or Town of:
Lex iAg+a-ry
Please print or type all information, except signatures.
Reporting Period: Beginning:
(IOLA 1St aD�
(MM/DD )
Ending:
APr;1 C 01-011
( DD/YYYY)
Type of Report: (Check One)
❑ 8th day preceding preliminary/primary E 8th day preceding election ❑ 30th day following election (town or special) E 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.
2.1 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.
DA1E
PRINT NAME
SIGNATURE
RESIDENTIAL ADDRESS
Signed under the penalties of perjury (Street and Number)
OFFICE SOUGHT
PtInc5a mein 'Total-
1 1 Laitmcx% c r-cLd Sc-tma 1 Comry it1tt.