HomeMy WebLinkAbout2012-04-12 Statement of Organization - Republican Town CommitteeCPF ID W:
Ube (COMMOnbuealtb of Aa!"arbU9Vt19E0(Fo office U. Only)
ELECTED CITY, WARD AND TOWN POLITICAL COMMITIVR&NUIS
RU PING, r)ass.
NAME OF CITYgOWN: ,CC,4 .1A4— WARD (if applicable):
PARTY: 72�- P6le"Cli-� DATE OF REPORT:
INDICATE THE PURPOSE OF THIS REPORT BY CHECKING THE APPROPRIATE BOX BELOW:
.,M STATEMENT OF ORGANIZATION ❑ CHANGE OF OFFICER(S) ❑ MEMBERSHIP UPDATE
1. Office of Campaign and Political Finance
2. Secretary ofthe Commonwealth, William Francis Galvin
One Ashburton Place, Room 411
Elections Division
Boston, MA 02108
One Ashburton Piece, Room 1705
(617) 979-8300 / (800) 462-OCPF (toll free in MA)
Boston, MA 02108
ocpf@cpfsmte.ms.us / bttp://www.mm.gov/ocpf
(617) 727-2828 / (800) 462 -VOTE (toll free in MA)
C'bWShtelzip
elections@sec.state.ma.us / http://www.sec.sMw.ma.us/ale/cloidx.btm
3. State Party Committee Headquarters 4. City / Town Clerk or Election Commission
a list ofof(cers and members with the chat. cfthe city cammium ofthepolificel parry which rveprerents (Ch. 52, Sec 5).
I hereby submit this list of officers and members (including associate members) ofthe above-mentioned committee to the Secretary ofthe Commonwealth in
accordance with Ch. 52, Sec. 5 of the Massachusetts General Laws.
i,/ii r Date:
%cretary's signature
I hereby accept the office of Treasurer of this committee. 1 understand that I am subject to certain duties and liabilities under M.G.L. c. 55, including the
timely filing of campaign finance reports. turn also aware that an appointed public employee may not serve as treasurer of a political committee. his
acceptance is required m be filed with the Office of Campaign and Political Finance as provided in M.G.L. c. 55, s. 5.
f,��, & �k� Date: y -a -/z
Treasurees s�
LIST OTHER OFFICER'S NAMES, TITLES, RESIDENTIAL ADDRESSES AND ZIP CODES BELOW:
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Elected Ward and Town Political Committee Report Page 1
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I hereby submit this list of officers and members (including associate members) ofthe above-mentioned committee to the Secretary ofthe Commonwealth in
accordance with Ch. 52, Sec. 5 of the Massachusetts General Laws.
i,/ii r Date:
%cretary's signature
I hereby accept the office of Treasurer of this committee. 1 understand that I am subject to certain duties and liabilities under M.G.L. c. 55, including the
timely filing of campaign finance reports. turn also aware that an appointed public employee may not serve as treasurer of a political committee. his
acceptance is required m be filed with the Office of Campaign and Political Finance as provided in M.G.L. c. 55, s. 5.
f,��, & �k� Date: y -a -/z
Treasurees s�
LIST OTHER OFFICER'S NAMES, TITLES, RESIDENTIAL ADDRESSES AND ZIP CODES BELOW:
lal,v cDT 0'rec7t7CrtJ¢ VICE rHnle N4 &*C9e b6W RDI 2eAbJr* wv4 0160
Elected Ward and Town Political Committee Report Page 1
NAME OF CITY/ TOWN /WARD: f}fj1N(s
PLEASE PRINT OR TYPE OTHER OFFICER'S NAMES, TITLES, RESIDENTIAL ADDRESSES AND ZIP CODES BELOW:
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ASSOCIATE MEMBERS:
I01W 9110 Elected Ward and Town Political Cononiflee Report Paget