HomeMy WebLinkAbout2012 Goldy - Year End �
� FormCPFM102-0: CampaignFinanceReport n(_�tIVED
MunicipalForm TOWN CLERff
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Pleaze prinl orrype all information,except signaNres.
Fill in dates: Month Day Year Month Day Year
ReportingPeriodBeginning / i 7D� Ending_ �.9 3/ ao/�
Type ofReport: (Check One)
� 8th day preceding � 8[h day preceding election � 30th day following election � 20th day oflanuary
preliminary/primary (Town or Special) (Year-End Report)'
Pursuant ro M.G.L.,Chapcer 55:
I. 1 certify that I am a candidate for or hold Municipal O�ce.
2. 1 urtify that I have mt received any conhi6utions,made any expenditures,or incurted any obligations during this
repotting period,end do not have a campaign Pond in existence. �
3: I certify tha[1 do not have a political committee.
DATE I. SIGNATURE II. RESIDENTIAL ADDRE55 III. OFFICE SOUGHT
Signed under the penalties ofperjury (Stre<t and Number)
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II/97
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