HomeMy WebLinkAbout2018-12-13-Mashkovich-OCPF Form CPF M 102: Campaign Finance Report
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b Municipal Form
Office of Campaign and Political Finance
Commonwealth
of Massachusetts
File with: City or Town Clerk or Flection Commission
Fill in Reporting Period dates: Beginning Date: / Ending Date: Z 3 f
Type of Report: (Check one)
8th day preceding preliminary ❑ 8th day preceding election ❑ 30 day after election ❑ year-end report PTdissolution
PJ e
Candidate Full Nante(if applicable) Committee Name
office Sought and District Name of Committee Treasurer
Residential Address Committee Mailing Address
Telephone Number(optional): Telephone Number(optional):
SUMMARY BALANCE INFORMATION:
Line 1: Ending Balance from previous report
Line 2: Total receipts this period(page 3, line 11)
Line 3: Subtotal(line 1 plus line 2) r
Line 4: Total expenditures this period(page 5, line 14)
:.
Line 5: Ending Balance(line 3 minus line 4) €
Line 6: Total in-kind contributions this period(page 6)
Line 7: Total(all) outstanding liabilities (page 7) N'
Line 8: Name of bank(s)used:
Affidavit of Committee Treasurer:
I certify that I have examined this report including attached schedules and it is,to the best of my knowledge and belief,a true and complete statement of all campaign finance
activity,including all contributions,loans,receipts,expenditures,disbursements,unkind contributions and liabilities for this reporting period and represents the Campaign
finance activity of all persons acting tinder the authority or on behalf of this contntiuee in accordance with the requirements ofM.G.L.c.55.
Signed under the penalties of perjury:
(Treasurers signature) Date:
hOR[ANDIDATI;PILI ONLY: Affidavit of Candidate:(check!box only)
Candidate with Committee and no activity independent of the committee
I certify that I have examined this report including attached schedules and it is,to the best of my knowledge and belief,a true azul complete statement of all campaign finance
activity,of all persons acting under the authority or on behalf of this committee in accordance with the requirements of M.G.L.c.55. I have not received any contributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
Candidate without Committee IOR Candidate with independent activity filing separate report
I certify that I have examined this report including attached schedules and it is,to the best of illy knowledge and belief,a trueand complete statement of all campaign
LVJ finance activity,including contributions,loans,receipts,expenditures,disbursements,in-kind contributions and liabilities for this reporting period and represents the
campaign finance activity of all persons acting under the authority or on behalf of this committee in accordance with the requirements of M.G.L.c.55.
llate: Z
Signed under the penalties of perjury: (Candidate's signature)