HomeMy WebLinkAbout2023 Dockser - Statement of No Activity �
Form CPF M109: "" �' �` ' v� �
T04`d!1 CLERK
Statemen[ of Muoicipal Candidatc; �-� !� � �: r_ �,e q
Not Raising or Expending Campaign Funds R/�-
c°mmOOWeN�� Office of Cam a� n and Political Finance23 FEB -Z PH 4� S I
ofMessacnusens P g
1'ile wilh: luwl lileaion OlYcial(Ciry or 7 o�m Clcrk)
Mark Dockser
Candidate's Name:
Select Board
Offce Sought:
110 Beaver Road
Resideniial Address:
Reading, MA 01867
City/ S[ate l7.ip:
mark dockser@verizon.net 617-671-5828
E-Mail Addres's': Phone Nnmber:
I hereby certify that I have not opened a campaign bank awount Yor campaign funds because I do not intend to accept
contributions or in-kind contributions, make expenditures,inclading expenditures of my owu t5�uds, or incur liabili[ies
for any campaign-related purpose, nor do I carrenUy heve any ou[standing liubilitiea for prior campaign-rela[ed ac[ivily.
I submit the Collowing as my campaign rcport for all bank reporting periods in this calendar year as provided for in Chapter 55
of the Massachusetts General Laws:
I. P.nding balance Crom previou5 roport 7,ER0
2. Total receipts for reporting period 7,FR0
3. Subrotal ZERO
4. To[al Expenditures for reporting period `LGRO
5. GnAing balance ZF.RO
After f ling this statemenL if I decide to raise,accept,or expeod funds,or incur liabilities,Por a campaign-related
purpoae, I will immwliately notify my local elec[ion o�cial in writing, aiid will file periodic campaign finance reports
according to the staNtory filing sehedule.
Until such notice is on file with [he local election offieial, 1 eertify that the above Zero report will be in effect Cor each
reporting period, in the calendar year in which it is �91ed, required by Chapter 55 of Ihe Massac6uselts General Laws.
This form is valid throagh December 31 0[the year in which it was signed.
SIGNED UNDF,R THE PENALTIES OF PERJURY:
,_ 4 —�
i /
Candidate's signemre: Date: /��/�
se�ov iz�i
INSTRUCTIONS FOR COMPLETING FORM CPF M109
This form is tiled by a cendidate who o�ly f les with their Iocal election official, if:
L The ca�didate has mt received any rontributions;
2. ihe candidate has m[made any ezpenditures; including wi(h�heir own (unds or personal credi[cards;
3. The candidate has not incurted any obligations Qiabilities);
4. The enndidare does not have a campaign fund in existence;and
5. The candidate does mt have n politicnl committee.
Municipal candida[es who file with OCPF, including mayoral candidates,and ciTy muncil candidares in cities wilh populalions of more ihan
65,OOQ ere no[eligible ro submi[this form to their local election official.
For assistance,please contac�the Offce ofCampaign and Political Pinance at(617)979-8300 oc by�meil a�oepf(�jnasa.gov