HomeMy WebLinkAbout2012 Arena - Statement of Organization �
� Form CPF M101 : STATEMENT OF ORGANIZATION
CANDIDATE'SCOMMITTEE i�E�EIVED
MLTNICIPAL FORM iOWN CLERH
� � OfficeofCampai�andPoliticalFioanm REAUING. MnSS.
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N077CE IS F�StEBY GIVEN in azco+dance wiN Ne provisions of General Laxs,CLapter S5,az amended,of Ne orgaztiution of a
caodidatds mmmitta as follows: n /� I/
l. Committee Name: fT«0. l,0.'M P°i1�`^ � w�t wt r�T2�
(@e ouoe otihe w�in:mun iodude Ne aWia.at de nune)
2. Committee Address: �6 {�r�,n,c�5 ��'�v2 �
2a. Mailing Address: Z� ��a,�ntiS `l7hve-
3. Purpose: �I o nnavV..� �.a�,o.pgt�� �t'C�v,�rs � Eriv-.�a�s/Ret�cvFJ
4. Officers: w� rs��aw�v nm�. ,,�v " T�i Ne.
Ct,a��mar,: J��� ���^-0. 26 �m-kc;s��_ Ke�,l� o�86a- �Sr ��!'/366�J
Treasuror: [ ywn A"re+�q 26 Fia,wcrSY�r. �ea�Lvl� , Di46 �- �-BI-RYy366�{
Other officec ��
Other officer:
AYachaddi4m�IW85J^�'�!Y�.withaM1c�Wfiwremimiioee.d�nY
S. Candidate: J'�� S rlfP�nc 26 �ran^u3 �'�ve- ��� `�}81 -44�P366y
6. Of5ceSought: N Uoa.�- �e�u7Ms-�(¢c�N'^�5 � �''li�eQ�Se�c Ln ra�/A
Tiile Diwin P+M1Y���W^4 ifapplioble
I hercby coaun[to Ihe filing of ihis committtt. I understand that a candidace slWl not�ve consen[to the
organ'vatlon of more Nan one committa on his/her behalf. I am aware itu[candidams a,e required ro
keep detailed armunts and raordt of all campaign Snance activity for a period of six years from the date
of the�elevanl election.
SIGNED ER •PE 'T1ES OF PERJURY:
� Z � (O'�20�Z.
Can da ds si�a c Da[c ,
I he accep[ihe offia of ireasurer of Ne above-named cammittee. I undecstand Wat[am subject W
certain dWia and liabititia under M.G.L.c. 55,including Ne timely filing of campai�finance rcportc
and keeping detailed accounis and records af all campaign finantt activity for a period of six yeazs from
We da[e of ILe televant election.
SIGNED UNDEFt 7'F�PENAL'I'fES OF PIIt7URY: q�
Gi �inn� ��Ao,n - �i7O- !�V] �
Treasurer's si nue Date
I hercby accept We office of Chai`man of ihe above-named committm. .
SIGNm IDER PENAL7'tE5 OF PERIURY:
`y-lO-�CDI"L
C6ai 's ' Date
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