HomeMy WebLinkAbout2014 Snow Dockser - Statement of Organization � '
Form CPF M101 : STATEMENT OF ORGA1vIZA1'ION
CANDIDATE'S COMMITTEE r�E�t I V E D
MUI�TICIPAL FORIVI '� �'ti�N C�E R K
'�_�',�iWG. Mf�SS.
• • OtYtce of Campai�n and Political Finance ,
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a�y�r�c�a�c�op
Please print or type all informatioq except sigaatnres
NOTICE IS I��REBY GIVEN in aa�o�danoe with the provisions of General Laws,Chapter SS,as a�ded,of the organization af a
candidate's oo�tmittoe as follows:
1. CommitteeName: ���c� .Si�d`J /����.- -� ,Q�,c�� �r�m. �
�.�.�m.��c �m.����
2. Committee Address: !1 O �er�.1/�j^ � � �. , � D/�''� �7
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2a.Mailing Address:
3.PtupOSC: Tr7 ,�/�c c� �� JhGl�J kJ c�l�,r" 7� J��� ��v,-�rn�LT� T'7-�l"� �
4. �CCt3: . Name RMidmtid Mdrw� ' tip TeL Na , CLY Y'�/J�9��
cn�: �� a,���Ll� �� �10 � � ��1 o �� •� �-/ �}�a—�s`��
Treasutec: ��ri�tt �S�n > �o �� � 1!D ��c.v� I�C�I ��l k`-/>� ��"/ �4�a-75��
Other officer: -
Other officer:
Am�h,a6tiooa wa.��r.�n aha o�o�s ma sreo.0o�1,.R it.ay
5. Candidate: !.a�Q SH� 1�c.�.�e� 1�� ��v'er n� �S �r�1�7 ��-�g�a-�s�
x.�. �.. re�rro,
6. Office Sought: �c�� ��,-s�n��ee i�L����-- �eac�C�x: �C�/,� ��-�S
TiW Dirria p�Y+�1�0.�{���
I hereby conaent to the Bling of this oommittee. I nadetstand that a caadidate shall not glve oonseat w the
or�aaization of more than one commiaa on hisTher bebalf. I am aware Wat candidata aie required to
kap ddailed a000nnt;and reccrda of all campaiga Snana activiry for a paiod o�aix years f:om tLe date
� of the relevaat electioa
� .S �� SIGNED UNDIIt TF�PE1�IALT'�S OF PERJUR'Y:
`�
�� �� .
c�aiaer��:��
I hetCby acapt the a�ioe of treasuta of the abo�e-named comtnittee. I unde�and that I am snbjax W
artaia dutia and liabilitks uader MO.L.c.33,including the dmely filing of campaiSn Snaaoe reporta
and loetping detailed a000unu�nd racordt of all c�npaiga fittaitce activiry for a period of aix y�ears from
tbe dau a�ihe relevant election.
SIaNED UNDFR TF�PENAL'I'�S OF pERJ[JRY:
c �7 ��
Traaae�'s a Date
I hereby acaept the a�oe of Chairmaa of the abo�v�e-named oommittet.
SIGNED UNDER T�PENAL'P�S OF PERJURY:
(� � , _ ___ /��C�� -�i� /? ��
Ct�rmsa:d�aa/ure Date
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Form CPF M101 : STATEMENT OF ORGANIZATION
CANDIDATE'S COMMITTEE ;��i-C�I V E D
MUNICIPAL FORM i 0 W N C L E R K
� - Ot'fice of Campaign and Political Finance ' r,U�h G' M a S S.
c�...rr �
'`~"�'""' TO{4 FEB 18 A � #'� �
Fib wit6:
City ar Town Cleric or Elxtion Ca�mniuion
Ptease print or type all information,except signatures
NOT'ICE IS FIEREBY GIVEN in aocordance with the provisions of General Laws,Cbapter SS,as amended,of the organiration of a
candiaate�s oommiuee as fouows:
1. Committee Name: ;�I�?CY a S�1 cr r,�; .�o c,�S��'' �r Sch vo I C�rn m � �e�
('1Le mma of the oo�itta mwt mclude she aodidate's lau mme)
2. Committee Address: I I � g��-V�Y' �, . �e�-�r�G -, i l,tl �1��'7
2a. Mailing Address: ►l O Re_c�v� �. �P����Y�X� � 6 I�G�
3.Purpose: �� -��ec�' �.,��� Sho� hnrl<_�y' ``� Sc�oo� �n,n�,� �I-�,�m�,���, c�i�p�,i�h
4. Officers: x� xn;a��+aa�� � z;p TeL Na . �
Chairman: � � D � 2r' c� f� %�l 1�
�S�G•
Treasurer: �.0.. O C` �` �C r � Ve. p'� -�����
Other afficer:
Other officer:
A�a�,dan;aml p.ge,if e�nsny,witn atha o�i�s aoa ru�no�oaominee,if.Qy
5. Candidate: ��v�c!� S.�� �� pa c�s e-�'� I 1C� �5�.Gid e.r �. geac-�,v�a fi I�� �7 7�� `1� -7.S�C
pame qd�m � TeL No.
6. O�ce Sougltt: Sc�.00� �n-�m��L�en��rir�� �f �;na�u��r�_Sr�rm/s
rrtle nfm;cx Party affiliuio0.if appliable
I hereby coasent to the filing of this committce. I nnderstand that a candidate shall not give consent W the
organization of mon than one committce on his/her behalf. I am aware that candidates are roquircd to
kap detailed accounts and rocords of all c�mpaign fiaance activity for a period of six years from the datc
of the rekvant elxtion.
SIGNED UNDER THE PENAL'I'IES OF PERJURl':
. ��=-�.�-��.�n.�;���� ���z1� �
Candidau's signature Date
I hereby aocept the a�cx of ueasurer of the above-namod committee. I understand that I am subject to
certain duties and liabilities unc�er MG.L.c. 55,inctuding the timely 51ing of c�mpaign finatue reports
a�keeping d�uled acoouats aod records of all campaign finance activity for a period of six years from
the date of the relevant ciccbion.
SIGNED UNDER'IT�PENAI.TIES OF PIItJURY:
F�t�,til� � � c� �t�`— v� �� �D��
Treasure�'s signawre ate
I hereby acoept the office of Chairman of t�abovo-named committee.
SIGNED UNDER T�PENALTIES OF PER3LTRY:
; .- �J /J - II
�
- , �J�-i� OU/� "L// � �
Chairman's signature Da
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