HomeMy WebLinkAbout2025-01-06-Kumar-OCPF � Farrn CPF M101: 5TATEMENT QF ORGANIZATZON
CANDIDATE'5 COMMYTTEE �
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MUNYC�PAL FORM
Commonwealth Office of Campaign and Political Finance ' �� �`;�
of Massachusetks
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File with: City I Town Clerk or Eleetipr�Co�n[nission � �"�•� ����:�� "�� �r� �; !�
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NOTICE IS HEREBY GTVEN in accordance with the provisions of General Laws, Chapter 55, as amendecl,nf the organ�rz�it�or�.a.g., ?
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candidate s committee as fallows: ����- �.� ,
CANDIDATE: Full Narrie: �i ��;�'r/� j� , � i„�'fl�j /� �. `�
Residential Address: � � �j�,L � ,2,�}� �� ;
City/State I Zip: ���/A��r-'��/l� � J� ]� (� ��}1 ] .
E-Mail Address: '�/ l Y1 �-� '�"�f�i.�.►'Vl�.i'' ......�.�(,L i � : L'C►� Phone#: ( ��(?�,��'1��~��� �
Party A�fiation: �G?/1��;. ��*� � (If applicable)
OFk'�CE S�UGHT/PURPOSE:
Title: ��'(,,� � j f� ,G}�J
]7istrict: ��J �
COMNIITTEE: I�ame of Committee: +�! ������ � �M � �L���f �� �`►�fo�•..���
(Ti�e name of ths committee must include the candidate's[ast name)
Committae Mailing Address: � � �� ,� �� � �� `
City/State/Zip: („�x/11�L'r'��/C� ��- (+y�,t��� Phone#: ��,� ^' 3��—��L
OFFICERS: .
Chairman: ���l� �'►�� �,,�� Treasurer*: ,�- � � ��'��/��`j"'�� ?il
Residential Address: � �;(�S�I�' ����� T Residential Address: 6 ��-���(o�9�.� ��
City/Sfate I Zip: LL% �i11�r�i Zi a� !4�!� C�� ��-1 e���scste�z�P: L����G'�'d 1�.� PYI�!�- ����-!
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Phone#1: '7 �'1 � ���� �' '��� Phone{�: L-f r'�? .. ��c.f r� Email: �) l�i�.t'J�Q,i?S"��+(rl � � !��
*A ublic em lo ee rna not serve as treasurer of an olitical commit�ee see reverse . €��
Ot13er OfficerlTitle: Other OfficerlTitle:
Residantia[Adclress: Residential Address:
City I State 1 Zip: City/State 1 Zip:
1'hone#; Phone#:
(Complete and attach a Fnrm CPF M A 101,if necessary,with other officers and finanee committee,if any.)
I hereby consent to the fi[ing of this contmit�ee. I Gnderstand that a candicfate shall not gi�e consent ta the organization af more than one committee on his/her
behaEf. I am aware that candidates are reqaired ta keep detailed accounts and records of aEl campaign�nance activity for a period of six years fi•om the date of
the relevant election.
SIGNED UNDER THE PENALTIES OF PEluU1�Y: ��, �t+"-�� �
� Date: d E �jr ��
Candidate's signature
I hereby accept the office of Treasurer of the ai�ove-named committee.I afFrm that I am not a pub[ic employee as de€'ined by M.G.L.c. 55,s. 13.I understand
thaE: 1)T am subject fo certain duties and l�abilities under M.G.L.c.55, including the timely filing of campaign�nance reports and keeping detailed accounts
and records of all campaign finance aotivity for a period of six years from the date of the relevant eiection;2)if after my acceptance of this office d become an
appointed pU61ic employee,I must resign this position and notify OCPF af my r�signation;and 3)a candidate may not serve as treasurer of the politica[
comznittee organized on his/her behalf.
SIGNED T.JNDER THE 1'ENALTIES�F PER.�URY: r���� ��.Q,��, - ��
Date: � �
Treasurer's signat�re
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I hereby accept the office of Chairman of the above-named committee.
SIGNED UNDER THE PEN�LLTTES OF PER.iURY:
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' Chairmart's signature^ Date: j �, ����