HomeMy WebLinkAbout2012 Pacino - Year End �
� Form CPF M 102-0: Campaign Finance Report �
Municipal Form �
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Ciry or Town oC 1����/�
Pleaze print or rype all information,except signaNrts.
Fill in dates: Monih Day Year Month Day Year
ReportingPeriodBeginning i / lniy Ending iz 3/ 3rii1
Type of Report: (Check One)
� Sth day preceding � Sth day prereding election � 30th day following election � 20th day oflanuary
pr<liminary/primary (TownorSpecial) . (Year-EndReport)'
Pursuant to M.G.L.,Chapter 55:
I. I cehi(y that 1 am a candidate for or hold Municipal Ofii<e.
2. i ccrtify thet 1 have no[reccived any conhibutions,made any ezpenditures,or incurted any obligations during this
reporting period,and do nat have a campaign Pond in existenca �
3: I certify that 1 do not have e political commic[ee.
DATE SIGNATURE II. RESIDENTIAL ADORESS III. OFFICE SOUGHT
gne nd e penalties ofperjury (Siree[end Number)
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