HomeMy WebLinkAbout2016 Dubois - Year End �
Form CPF M 102-0: Campaign Finance Report
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Comm wcalth ce o� `'��r���Pol� cal Finance
of Massachusetts � �I `
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,.��„� ' Pleuse print or type ull informalion,except signutures.
City or Town of: �{� d,�
Reporting Period: Beginning: '� I Z � I �� �0�� �A Ending: Z 3 1 � �,
MM/DD/YYYY MM/DD YY
Type of Report: (Check One)
❑ 8th day preceding preliminary/primary � 8th day preceding election ❑ 30th day following election(town or special) �20th day of January(Year-End report)
Pursuant to M.G.L.Chapter 55:
1.I certify that I am a candidate for¢r currently hold Municipal Office.,
�Q,� 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.
SIGNATURE RESIDENTIAL ADDRESS
DATE PRINT NAME Signed under the penalties of perjury (Street and Number) OFFICE SOUGHT
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