HomeMy WebLinkAbout2014 Brzeznski - 30 Day � �
Form CPF M 102-0: Campaign Finance ���}'�+ED
_ Municipal Form i 0 W N C L E R�(
OtTice ot Campaign aod Politieal Fioance _N D I N G. M a S�.
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of MapatYoetu �
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City or Town of: � �D���
Please print or type al!information,except signatures.
Fill in dates: Month Day Year Month Day Year
Reporting Period Beginning 3 f 5 �p�'-� Ending_ � ,�� ap��
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:
1. I certify that I am a candidate for or hold Municipal Office.
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.
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DATE l. SIGNATURE II. RESIDENTIAL ADDRESS III. OFFICE SOUGHT
Signed under the penalties of perjury (Street and Number)
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