HomeMy WebLinkAbout2012 Gately Herrick - Statement of Organization . . . _ ..__. . i
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Form CPF M101 : STATEMENT OF ORGATTIZATION
CANDIDATE'SCOMMIITEE I�E��IVED
MUNICIPALFORM TOWNCLERK
� � Oflice of CampaiEn and Polihcal Fin�nce R E A D I N G, M;�S S.
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N0710E IS T�ItEBY GIVEN in wit6 the prwiaons of General Laws,Chapttt SS,as amended,of t6e orppniration�'a
am;mm�s wmminee as fouows: � ) �� �f �`
1. CommittceName: �1�9fL�P� l-f('l(�L��� �`� I�7��L/l��l� l �(�12�1�
(ILe�.orm.�v« �ocwa. �f�vmme)
2. Committa Address: �I �I U I _(V5/U C cf' �u 1 � 4���-�* �)/✓� d� � ,Z
2a. MailinB Address: � �e . /� �
3. Purpose: ���C�Os� � � .�C�G.v� GI-� �P C�V4�_
4. �CCIS: . Nuee RmhtliJ M1a/1� ' Zip Td Nn
Ch21IR18i1: 'IDIv�OL-4fL Q -� 7" �
Treasurer: S (�}� ri �W i� ,� n i�. �r
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Ot6er officer:
Other o�cer:
na,�n,am�w r�c�r�r.�m��..ea�o.�.v.,y
s. c�aate: �.a�, ��U, I-IevnZJC �1 �� �,cte�ee ��, , ��a���-
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Nms yp� Zip TdNn
6. O�ce Sought: �.�v�{tit�n v� ILP rxr�l �v�a �i��6 Q n�✓i.�i�"
rm. o�+ r.nr+di�.'�
[Lereby consm[w the 51ing of Nis wmmitta. I understand Wat a candidue slull nce give conxnt a the �
organiratlon of�'e than one wmmittx on Itis/her hehalf. I am aware Wt mnndiidava are'equi�ed W
ktep ddailed x000nlg aod raords of all ampaign Enance aetivitY fw a paiod of ax ytars 5om the date
of tlie ielevanl elaYioa
SI UNDFRTf�P ALT�.SOFPERNRY:
�,��� �' � �; �/�� � �-a�=a����
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I neRby aca�tee o�oe ot arazura ot Ne above•�mea comminee. I uneemana wal[am sabjea a
antin duua md liabilitla under MG.L.c.55,iocluding ihe timely filing of campti�Snana apons
and keeping daailed accwnts aad records of all ampaign 6nance activiry tor a paiod of six yeazs from
the date of the ielevant dxUoa.
SIGNED UNDER Tf�PENAL'f�S OF PERIURY:
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r�r:m�e� narc
I heRby attept t6e offia of CLaitman of We abovrnamed wmmittee.
SIGNED UNDER TF�PIIJALT�.S OF PERI[JRY:
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