HomeMy WebLinkAbout2015 Nihan - 30 day � .
Form CPF M 102-0: Campaign Finance Repor,t�`�NE��ED
_ Municipal Form L E R K
Office of Campai�u aod Politieal Fioana ` '+C�N�' M r�S�•
G��waN�
K�,.�. � 1uiS h�AY -S P 3� ��
Ciry or Town of: }�E�{�'/N�s
' Please print or type all informadon,except signatures.
Fill in dates: Month Day Year Month Day Year
Reporting Period Beginning_ �j �� � EndinB �-{ �� I �=
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 Office.
2. I 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. I certify that I do not have a political committee.
DATE 1. SIGNATURE II. RESIDENTIAL ADDRESS III. OFFICE SOUGHT
Signed under the penalties of perjury (Street and Number)
� "`� � �� ��.
����
�