HomeMy WebLinkAbout2015 Berman - Statement of Organization � '
Form CPF M101 : STATEMENT OF ORGA1vIZATION KECEJ yED
CANDIDATE'S COMMITTEE i CJ W;y ���RK
MUNICIPAL FORNi � '{��N�• M,�S S.
• - Ot1'ice ot Campalgn aud Political Finance .
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NOTTCE IS HEREBY GIVEN in accordance with the provisions of General Laws.Chapter 55,as amended,of the organiration of a
candidate's committce as follows:
1. CommitteeName: BQ.�MG�✓� (" SQ���.C;�'t�YlGt,n ��►'1M�
�'Phe mme of,he ooimminx muu ioc�ude we candiaace"s lau name)
2. Committee Address: �y��VICn,.� � !f /� (�i c�6�"
2a. Mailing Address:
,� � Rea d�T ��- , �l ���h��
3.Purpose: ,¢ p� �F Q ti��-,. �¢.rNvn�, �.
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4. ��CCfS: Naroe Raidmtial Mdtna ' Zip TeL No. ,
ct�a�rman: ��1e�. �ts'r�c,� �-Qast1,l��la S� �_ '�,I�'►� � ��b } ���-y��`�- ��9 Y
Treasurer: M 2.�I 11�1+1 �J✓»�l. �� ��- 0���,�,��,�1�'� �' �rY✓- �1y�/.���"1
Other officer:
Other officer:
,+���.�r�r...��n w�oe��a r��aa.�c,� �'-81—�?'1 L- }�o}
5. Candidate: � ��� �� �.Or��✓1?.�.1 �.c� ?�u- ��.—��"
� n qddr,m ;� Zip TeL Na
6. Office Sought: �t�0�'d1 D t� �� �e C.�r►�ai1 " 1CL a�1✓1S
r,k n�;a Psrry affiliation,if npplint+k
I hereby consent to the filing of this committa. I understand that a candidate shall not give consent w the
organization of mon than one committce oa his/her behalf. I am aware that candidates are required to
kxp dUailed accounts and rxords of all campaign finance activity for a period of six years from the dau
of th levant election.
SI UNDER P ALTIES OF PERJURfY: /
Z z` �S .
' �S • Date ,
I hereby accept the officx of vranuer of the above-named commitue. I understand that I azn subj�ct to
certain duties and liabilities under MG.L.c. S5,including the timely filing of campaign finance reports
and keeping detailed accounts and rxords of all campaign finana activity for a period of six years from
the date of the relevant election.
SIGNED UNDEEt TT�PENAL'TIES OF PERJi]RY:
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Treasure�'S signature �— s Date
I hereby aooept the office of Chairman of the above-named committee.
SIGNED tJNDER TFIE P T'�S OF PERNRY:
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Chairman' signature Date
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