HomeMy WebLinkAbout2023 Coulter - Statement of No Activity �
Form CPF M109: ,-;,,q ` ` �`' � ��
Statement of Municipal Candid�Ce �`�.K
; P H.
Not Raising or Expending Campaign Funds �
c��„oowea�m 20?3 d?R I H PN 6� I I
or�as��n�.�ns Omce of Campaign and Political Finance
File wi[h: Local Hlectiou Official(City or Towu Cte�kJ
Candidare's Name: �r Y�ll� �U�����`
Office Sought: \�'�L`J C b L� � l S i 0 N �2
Residential Address: 7 � �� �`��-� \ JJ� / 1 T�-e
City/ State/Zip: I C�J 1� � N�71 � �-/Y U l � / _
E-Mail Address: Phone Number:
I hereby certify that I have no[opened a campaign bank account for campaign Ponds because I do not intend[o accept
contribu[ions or in-kind conMbu[ions,makc cxpenditures, including expendi[ures ot my own funds,or incur liabilitics
for any campaign-related purposc, nor do I currenHy have any ou[staoding liabilities for prior campaign-rela[ed activity.
I submit[he following as my campaign rcport for all bank repor[ing periods in this calcndar year as providcd for in Chapter 55
of[he Massachusctts Gcncral Laws:
1. Ending balance from prcvious rcport ZERO
2. To[al receipts for reporting period ZERO
3. Subrotal ZERO
4. Total Expenditures for reporting period ZERO
5. Ending balancc ZERO
After filing[his sta[emen[,if I decide to raise,accept,or ezpend tunds,or incur liabilities, for a campaign-related
purpose,I will immediately notify my local election oRcial io wri[iog, a�d will filc poriodic campaig�fineoce reports
according[o[he stamtory filing schedule.
U¢til such noticc is on fiIc with Ihc bcal cicction official, I certify that the above Zero roport will be i�effect for each
reporting period,in [he calendar year in which it is filed,required by Chap[er 55 of[he Massachusetts General Laws.
This form is valid through December 31 of[he year in which it was signed.
SIGNED UNDER THE PENALTIES OF PERNRY:
��,� �' , , _
Candida[e's signa[ure: Date:
M109 12R1