HomeMy WebLinkAbout2011-12-31-Walker-OCPFa
Form CPF M 102 -0: Campaign Finance Report'
Municipal Form 12 A } T + U
Office of Campaign and Political Finance
Commonwealth f
or Manacdutetts g
City or .Town of:
Please print or type all information, except signatures.
Fill in dates: Month
Day Year Month
Day
Year
Reporting Period Beginning
r € Ending 12
d 1 4- L Ot `,C —R At � � A AL-
Type of Report: (Check One)
8th day preceding C 8th day preceding election ❑ 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.
DATE
I. SIGNATURE
under the penalties of perjury
1I. RESIDENTIAL ADDRESS
(Street and Number)
III. OFFICE SOUGHT
Eft- I t ,
S igned
l i a � t
d 1 4- L Ot `,C —R At � � A AL-
11/7/
CJ