HomeMy WebLinkAbout2021-04-06-CAAL-OCPF Form CPF M 1.02: Campaign Finance Report
Municipal Form
Office of Campaign and political Finance
Commonwealth
of Massachusetts
File with: Ci or Tocvn Clerk or Election Commission
Fill in Reporting Period dates: Beginning Date: ]an 1, 2021 Ending Date: Mar 31, 2021
Type of Report: (Check one)
❑ 8th day preceding preliminary ❑ 8th day preceding election ❑X 30 day after election ❑ year-end report ❑ dissolution
CAAL Political Action Committee
Candidate Full Name(if applicable) Committee Name
Melanie Lin
Office Sought and District Name of Committee Treasurer
430 Marret Road, Lexington, MA
Residential Address Committee Mailing Address
Telephone Number(optional): Telephone Number(optional): (781) 698-8335
SUMMARY BALANCE INFORMATION:
Line 1: Ending Balance from previous report 1,775.38
Line 2: Total receipts this period(page 3, line 11) 0
Line 3: Subtotal(line 1 plus line 2) 1,775.381
Line 4: Total expenditures this period (page 5, line 14) 283.02
Line 5: Ending Balance(line 3 minus line 4) 1,492.36
Line 6: Total in-kind contributions this period(page 6) 0
Line 7: Total (all) outstanding liabilities(page 7) 0
Line 8: Name of bank(s)used: Santander Dank
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 ofall c =aign finance
activity,including all contributions,loans,receipts,expenditures,disbursements,in-kind contributions and liabilities for this reporting period and epresents t�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.
.�-
Signed under the penalties of perjury: {Treasures signature)
FOR CANDIDATE FILINGS ONLY: Affidavit orCandidate:(check 1 box only) 4
Candidate with Committee and no activity independent of the committee 7
❑ 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 completa!- ent&ll ca ign 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. 1 have not received any tributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period. G3
Candidate without Committee OR Candidate with independent activity filing separate report
I certify that t 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 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.
Signed under the penalties of perjury: (Candidate's signature) Date:
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 and completa!' ment&ll cagign 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. 1 have not received anyk tributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
CO
Candidate without Committee OR Candidate with independent activity filing separate report
I certify that t 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 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.
Signed under the penalties of perjury: (Candidate's signature) Date:
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 and completa!' ment&ll caign 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. 1 have not received anyi tributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
Candidate without Committee OR Candidate with independent activity filing separate report
I certify that t 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 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.
Signed under the penalties of perjury: (Candidate's signature) Date:
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 and completa!' ment&ll caign 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. 1 have not received anyi tributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
Candidate without Committee OR Candidate with independent activity filing separate report
I certify that t 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 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.
Signed under the penalties of perjury: (Candidate's signature) Date:
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 and completa!' ment&ll caign 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. 1 have not received anyi tributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
Candidate without Committee OR Candidate with independent activity filing separate report
I certify that t 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 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.
Signed under the penalties of perjury: (Candidate's signature) Date:
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 and completa!' ment&ll caign 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. 1 have not received anyi tributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
Candidate without Committee OR Candidate with independent activity filing separate report
I certify that t 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 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.
Signed under the penalties of perjury: (Candidate's signature) Date:
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 and completa!' ment&ll cagign 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. 1 have not received anyk tributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
CO
Candidate without Committee OR Candidate with independent activity filing separate report
I certify that t 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 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.
Signed under the penalties of perjury: (Candidate's signature) Date:
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 and completa!' ment&ll caign 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. 1 have not received anyi tributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
Candidate without Committee OR Candidate with independent activity filing separate report
I certify that t 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 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.
Signed under the penalties of perjury: (Candidate's signature) Date:
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 and completa!' ment&ll caign 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. 1 have not received anyi tributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
Candidate without Committee OR Candidate with independent activity filing separate report
I certify that t 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 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.
Signed under the penalties of perjury: (Candidate's signature) Date:
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 and completa!' ment&ll caign 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. 1 have not received anyi tributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
Candidate without Committee OR Candidate with independent activity filing separate report
I certify that t 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 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.
Signed under the penalties of perjury: (Candidate's signature) Date:
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 and completa!' ment&ll caign 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. 1 have not received anyi tributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
Candidate without Committee OR Candidate with independent activity filing separate report
I certify that t 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 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.
Signed under the penalties of perjury: (Candidate's signature) Date:
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 and completa!' ment&ll cagign 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. 1 have not received anyk tributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
CO
Candidate without Committee OR Candidate with independent activity filing separate report
I certify that t 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 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.
Signed under the penalties of perjury: (Candidate's signature) Date:
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 and completa!' ment&ll caign 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. 1 have not received anyi tributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
Candidate without Committee OR Candidate with independent activity filing separate report
I certify that t 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 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.
Signed under the penalties of perjury: (Candidate's signature) Date:
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 and completa!' ment&ll caign 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. 1 have not received anyi tributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
Candidate without Committee OR Candidate with independent activity filing separate report
I certify that t 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 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.
Signed under the penalties of perjury: (Candidate's signature) Date:
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 and completa!' ment&ll caign 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. 1 have not received anyi tributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
Candidate without Committee OR Candidate with independent activity filing separate report
I certify that t 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 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.
Signed under the penalties of perjury: (Candidate's signature) Date:
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 and completa!' ment&ll caign 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. 1 have not received anyi tributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
Candidate without Committee OR Candidate with independent activity filing separate report
I certify that t 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 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.
Signed under the penalties of perjury: (Candidate's signature) Date:
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 and completa!' ment&ll cagign 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. 1 have not received anyk tributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
CO
Candidate without Committee OR Candidate with independent activity filing separate report
I certify that t 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 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.
Signed under the penalties of perjury: (Candidate's signature) Date:
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 and completa!' ment&ll caign 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. 1 have not received anyi tributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
Candidate without Committee OR Candidate with independent activity filing separate report
I certify that t 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 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.
Signed under the penalties of perjury: (Candidate's signature) Date:
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 and completa!' ment&ll caign 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. 1 have not received anyi tributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
Candidate without Committee OR Candidate with independent activity filing separate report
I certify that t 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 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.
Signed under the penalties of perjury: (Candidate's signature) Date:
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 and completa!' ment&ll caign 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. 1 have not received anyi tributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
Candidate without Committee OR Candidate with independent activity filing separate report
I certify that t 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 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.
Signed under the penalties of perjury: (Candidate's signature) Date:
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 and completa!' ment&ll caign 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. 1 have not received anyi tributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
Candidate without Committee OR Candidate with independent activity filing separate report
I certify that t 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 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.
Signed under the penalties of perjury: (Candidate's signature) Date:
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 and completa!' ment&ll cagign 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. 1 have not received anyk tributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
CO
Candidate without Committee OR Candidate with independent activity filing separate report
I certify that t 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 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.
Signed under the penalties of perjury: (Candidate's signature) Date:
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 and completa!' ment&ll caign 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. 1 have not received anyi tributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
Candidate without Committee OR Candidate with independent activity filing separate report
I certify that t 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 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.
Signed under the penalties of perjury: (Candidate's signature) Date:
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 and completa!' ment&ll caign 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. 1 have not received anyi tributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
Candidate without Committee OR Candidate with independent activity filing separate report
I certify that t 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 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.
Signed under the penalties of perjury: (Candidate's signature) Date:
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 and completa!' ment&ll caign 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. 1 have not received anyi tributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
Candidate without Committee OR Candidate with independent activity filing separate report
I certify that t 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 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.
Signed under the penalties of perjury: (Candidate's signature) Date:
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 and completa!' ment&ll caign 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. 1 have not received anyi tributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
Candidate without Committee OR Candidate with independent activity filing separate report
I certify that t 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 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.
Signed under the penalties of perjury: (Candidate's signature) Date:
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 and completa!' ment&ll cagign 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. 1 have not received anyk tributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
CO
Candidate without Committee OR Candidate with independent activity filing separate report
I certify that t 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 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.
Signed under the penalties of perjury: (Candidate's signature) Date:
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 and completa!' ment&ll caign 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. 1 have not received anyi tributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
Candidate without Committee OR Candidate with independent activity filing separate report
I certify that t 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 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.
Signed under the penalties of perjury: (Candidate's signature) Date:
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 and completa!' ment&ll caign 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. 1 have not received anyi tributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
Candidate without Committee OR Candidate with independent activity filing separate report
I certify that t 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 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.
Signed under the penalties of perjury: (Candidate's signature) Date:
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 and completa!' ment&ll caign 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. 1 have not received anyi tributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
Candidate without Committee OR Candidate with independent activity filing separate report
I certify that t 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 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.
Signed under the penalties of perjury: (Candidate's signature) Date:
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 and completa!' ment&ll caign 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. 1 have not received anyi tributions,
incurred any liabilities nor made any expenditures on my behalf during this reporting period.
Candidate without Committee OR Candidate with independent activity filing separate report
I certify that t 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 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.
Signed under the penalties of perjury: (Candidate's signature) Date: