HomeMy WebLinkAbout2022 McCarthy - Statement of Organization `� Form CPF M101: STATEMENT OF ORGANI7ATIR�'�
�
T� CANDIDATE'SCOMMITTEE �O ,�J�I�CLERK
"��.' MUMCIPAI, FORM � ' = ' ^: ��A
c,,,,,;,;;,,,,�,i,i, Office ofCampaign and Political Fioance j[11T FEB -� An
ormn�„�i,��,.��, 9� 2�
Pilcwi�h: (irvilounOednrl�lectiunCmninisnion � " ��
NOTICE IS H FRIIBY GI VEN in eccoedance with thc provfsions of General Luws,Chapter 5i,as amended,of the organization of o
candldatds committec as' follows:
CANDIDA'fE: rwi!vam� �,.�..��t;,,z �-^�-< �cLa.�«.,,
RcsiAenJal Addross: 2(,�' Pj�n��f, Jt�e,�.E
�,ty,sw����,� R��.�. r1a 0 ��� 7
e-M�anaa�ess: �t, e e ✓v,o<<-. �t� ,, C qw,.,al. ce,M eno�eu: ('l03) $5�-6 '19'1
PunyAmliation: �A (Ifapplicablc)
OFFICE SOUCHT/PURPOSE:
rW��: �eae.�- ��U.rd U"ien.h�r
oi��dcc N/P.
COMMITTEE: Na�+��,trnininlu�: Cow�w,' 1�e-e- � Clet.t Sr�1.;z, ��Cos<1.,,
�rno�ame or m��,�����nee�,�ao momde me u�o+aa�e�x io+��am��
c��,�����«mea��snaarc,s_ 2G �e.�� jtr�e,c
cp�;s����iztr� (2.e�:..,a, �1A �1K6% rno��a�. �61h� �n20- �`J`77
OFFICERS: n
fhair: /•�IC�+�E� L/��� Tre:nurer*: M�k I.Y�la,ney
RexidcnilolAd�rds: G ��QeC� �-� RoiAcntiolAdArcsr. �� �CO�n �tJ'PRk
{
�a,�,s�a��;z,P: Read �,.� t� � �ay,s�o��,z���. ��e Mn ois67
vno����. (���-RYS-ll 0 p ae„�,�a�.�6�'7��20-1519 e��c �r.�,�d.es42Z�"��nz�,ao.co
/k �4C �l� M4�-C� �n mbrcem io ee nocs«vexsvcam�c.ot'a� or�iee�m mivoe m
OihcrORccdfi�l¢ O�hcr OmcedTii��ma
rzedn��roinaam:y, k�.+m��rai nna�e.._
Cf�y/S�a�e/Lip: Ciip/Sm�/Zip_
Phoue p'. Phnne G_
(Cmnplete end nhach u Fonn CPF M A I Oi,ifneezasory,wi�h orherofficers nnd�nance eommirzee,if any.)
I hercby consem to Ihe Gling of�hls cummlucc. I undenWnd�lia�e candidum shall mt grvc mnscm to Ihc orgunimtion ufmure�han ono commlucc on his/her
bchulf I am awnre Ihel enndldutes ure rcyuired«�keep dewlled n¢ounu'end recu�ds u�ull exmpuig�fina�ce acGviry for a perlod oi'six ycars Gom Ihe dule uC
�he mlevant election.
SIGNGDUNDIiRTH1iP[iNACTIL'SOFPER1lRV_ ��q � A � ��/(� ��'�l/^ � ny' ) i qa
1`�--`��,t-'�^"" Y '.).-�.�, V LLf//l,✓4—, - " LL
Dnie-
C didetis �ignnmm 1
I hereby accept lhe ofticc olTrca�umr nfthe ahov�nnmcd commivee. I affmn Ihnt I mm�ot n public employee as defne.�}�by M.G.L.c 55,s'. I7.1 undcnWvd
[hnt I)I am svbjectto cercnin du�ies and Iiabllitics�der M.Gi.e 55. inciudiv6 the timely filfng of campulg�hn�vec repunx and keeping demiled nceouna
anA mcnnle nfall mmpaign fmnnec achvlty foru period of sIx ycurs ftom the da[e of Hm rclevvn�election;2)ifnfrer my necep�nneeof this oHiec I bemme un
appuimed publle cinploycc. 1 must reslgn thfs posltton ond no�ify OCPF of my reefgwtion;and 3)a ca�dldam may not scrvc us treasurer ofthe polincal
commiimc nr2;anized o�his/hcr bchalf. (/��
9GNEDUNUF.RTIIHPFNAITIISOFPFItJU1tY: � �� / � De�e' � ,j� 2/�
�L
l�u[e['s signnmrc
1 hemby vccept the oRee ofChai�man of the ubovonamed eommiacc
SIGNED UNDER THE PENALTIES OF PERICRY:
� Chal�'s sign m � Date: � j '�' �