HomeMy WebLinkAbout2016 Brzezenski - Year End �
Form CPF M 102-0: Campaign Finance Report
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Comm wealth Office of Campaign;a O 1� �inance
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City or Town of: C�C{�n i rJ (r-- �p�� �pN ( g P �I ($ �
Reporting Period: Beginning: � I �, � ' � �, Ending: t z � '�, j l ( �
MM/DD/Y YY MM/DD/YYYY
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 or currently 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.
SIGNATURE RESIDENTIAL ADDRESS
DATE PRINT NAME Signed under the penalties of perjury (Street and Number) OFFICE SOUGHT
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