HomeMy WebLinkAbout2014 Borawski - Statement of Organization �
Form CPF M101 : STATEMENT OF ORGA1vIZATION
CANDIDATE'S COMMITTEE
MIJNICIPAL FORM
- - Otnce of Campaign and Political Finance .
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(�af T0�11IY�1�Of�OCt10o CCQa1W100
Please print or type all informatioq exxpt sigaat�u�es
NpTICE IS I�REBY GIVEN in accordancx with the provisions of General Laws,Chapter SS,as amended,of the organization o�a
candidate's oommiuee as foUows:
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1. Committee Name: �, M�(Yl 1 �� '� �-��C �` ��i(l Yle �C��C'l i.��k i
���ma��� �m�«oma.����
2. Committee Address: '� ��P+� 1�C.lt�l1 ��_ � �C�t101 {� � �j f�Cp �
�. �g aaa��: .� �e� Pc�.� (..�� I��;�d�+�� , ,(Yl 1'-� U I 4(��
3.Purpose: 1= �Qc � ���1� l�v-r�rrlu��iC'i �z7 �'.I�c� 1 CU'Y�rr]�Fl�
a. o�cers: . r� ��.. � z� T�.r�. . ���-�a 3-
c�: «c��. � ��yY
Treasurer: 1�' �Gi(1c�C,r1 C VL^�D i(Y1Gt.(1 j�-�, /�carc',l� S� . )fi i,�' f 1�u�.(lU (}1�1 O��(Qa
Other officer: --� -- 7 d 1-
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Other officer: �' ��'�3
au���„�r�..�y,����a s���,�r
5. Candidate: �Pc-�tl� �CQVI)5�...i �l r QC.II`�1 � }�2Ct�i1G 1� � C� ��'�J�
Name Addren Zip Td C.Q 1�—��3 �
6. o��sou�nt: ��nov� r�c�m�n;t��P — `J� �y
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I t�ereby consent to the filing of this committee. I understand that a candidau shall not give consent w the
organivation of more than one committoe on his/her behalf. I am aware that candidates are required w
koep daailed axonnts aad records of all c�mpaign financx activity for a period of six years from the dat�e
of the relevant electioa
SIGNED UNDER THE PENALTIES OF IItJURY:
, .
, _ � 1 .
� 's signature .
I hereby scc�ept the a�a of treasurer of t2re abo�ve-namod committoe. I understand that I am s�jxi W
certain duties and liabilities under MG.L.c. SS,including the timely filing of campaign 5nance reports
and k,oeping dctailed a000unts and rxords of all c�mpaign 5nancx activity for a period of six yeazs from
the date of tl�e relevaat elaxion
SIG�UNDER TF�PENAL� F PERJURY:
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Treasuret's signamre �
I hereby acctpt the o�x a�'Chairman of the above-namcd committa.
SIGNED UNDER TI�PENALTIES OF Y:
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