HomeMy WebLinkAbout2014 Face - Year End �
Form CPF M 102-0: Campaign Finance..��r��
_ Municipal Form �ar�N C�ERK
� OtTice of Campaign aod Politicai Fiaanct r-!{p!N G. M a S 5.
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�f MawciyctU . �
City or Town of: ��"D�N G 10`S JA
Please print or type all information,except signatures.
Fill in dates: Month Day Year Month Day Year
Reporting Period Beginning �{ ZZ 2 a ! � Ending__ ) �— � ( ����¢
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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) (Yeaz-End Report)'
Punuant to M.G.L.,Chapter 55:
I. I certify that I am a candidate for or hold Municipal O�ce.
2. [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. [certify that I do not have a political committee.
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DATE 1. SIGNATURE II. RESIDENTIAL ADDRESS III. OFFICE SOUGHT
Signed under the penalties of perjury (Street and Number)
� �l� (� �ay��� ���D G--�i'V�{-Y22 C�rc-1 ��c�U t �Q�i^'t!
11/97
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