HomeMy WebLinkAbout2014 Halsey - Year End �
Form CPF M 102-0: Campaign Finance Ri� �i��ED
. Municipal Form 1�0� CLERK
� O(fice of Campaign aad Political Fioaaa ' ��1 D I N G, M r,S J.
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City or Town of: ���iN G
Please print or type all information,except signatures.
Fill in dates: Month Day Year Month Day ye�
Reporting Period Beginning �{ ZZ �o / � Ending__ ) �-- � ���r�e
t
Type of Report: (Check One)
� 8th day preceding � 8th day preceding election � 30th day following election � 20th day of lanuary
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 O�ce.
2. 1 certify that l 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 II. RESIDENTIAL ADDRESS III. OFFICE SOUGHT
Sig ed under the penalties of perjury (Street and Number)
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