HomeMy WebLinkAbout2015 Collins - 8 Day �
Form CPF M 102-0: Campaign Finance Report
Munici al Form f`����`���
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� O(Tice of Campaign and Politieal Fiaaact �,e ��N�
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Ciry or Town of: � ��� �N � A � ��
Please print or type all information,except signatures.
Fil!in dates: Month Day Year Mon� Da0 Ye' S
Reporting Period Beginning � 1 2 O 15 Ending_
Type of Report: (Check One)
� 8th day preceding �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:
I. I certify that I am a candidate for or hold Municipal O�ce.
2. I certify that!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 1 do not have a political committee.
DATE 1. SIGNATURE li. RESIDENTIAL ADDRESS III. OFFICE SOUGHT
Signed under the penalties of perjury (Street and Number)
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