HomeMy WebLinkAbout2010-12-31-Hornig-OCPFForm CPF M 102 -0: Campaign Finance Repo '`
r i
Municipal Form
Office of Campaign and Political Finance 201 I 0 PM 12' 53
Casawewal(b
of Msusachusetls
i (
City or Town of: Lp y l viql d t- t LEXINGTON VIA
Please print or type all information, except signatures.
�' Te,"
Fill in dates:
Month
Day
Year Month Day Year
Reporting Period Beginning
U- .4i y�
J
'�) o i c) Ending a i — ?) C)
Type of Report: (Check One)
n 8th day preceding 8th day preceding election n 30th day following election 20th day of January
preliminary/primary (Town or Special) (Year -End Report)'
Pursuant to M.G.L., Chapter 55:
1. I certify that I am a candidate for or hold Municipal Office.
2. I 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.
CJ