HomeMy WebLinkAboutSttement of Organization Form CPF M101: STATEMENT OF ORGANIZATION
r " CANDIDATE'S COMMITTEE
�_ _ 11_. MUNICIPAL FORM
Commonwealth Office of Campaign and Political Finance
of Massachusetts
File with: City/Town Clerk or Election Commission
NOTICE IS HEREBY GIVEN in accordance with the provisions of General Laws,Chapter 55,as amended,of the organization of a
candidate's committee as follows:
CANDIDATE: Full Name: Neil Paterson
Residential Address: 11 Burnt Swamp Lane
City/State/Zip: Nantucket MA 02554
E-Mail Address: nwpaterson@gmail.com Phone#: 508-325-1712
Party Affiliation: N/A (If applicable)
OFFICE SOUGHT/PURPOSE:
Title: Land Bank Commissioner
District: Nantucket
COMMITTEE: Name of Committee: Campaign to Re-Elect Neil Paterson
(The name of the committee must include the candidate's last name)
Committee Mailing Address: c/o Penny Dey, 17 Warren Street
City/State/Zip: Nantucket MA 02554 Phone#: 508-221-0801
OFFICERS:
Chair: Penny Dey Treasurer*: Penny Dey
Residential Address: 17 Warren Street Residential Address: 17 Warren Street
City/State/Zip: Nantucket MA 02554 City/State/Zip: Nantucket MA 02554
Phone#: 508-221-0801 Phone 4: 508-221-0801 Email: penny@nantucketrealestate.com
*A public employee may not serve as treasurer of any political committee(see reverse).
Other Officer/Title: Other Officer/Title:
Residential Address: Residential Address:
City/State/Zip: City/State/Zip:
Phone#: Phone#:
(Complete and attach a Form CPF M A 101,if necessary,with other officers and finance committee,if any.)
I hereby consent to the filing of this committee. I understand that a candidate shall not give consent to the organization of more than one committee on his/her
behalf. I am aware that candidates are required to keep detailed accounts and re ords of all campaign finance activity for a period of six years from the date of
the relevant election.
SIGNED UNDER THE PENALTIES OF PERJURY: /�
it! Date: 5/Z(5//z../
Candidate's signature
I hereby accept the office of Treasurer of the above-named committee.I affirm that I am not a public employee as defined by M.G.L.c.55,s. 13.I understand
that: 1)I am subject to certain duties and liabilities under M.G.L.c.55, including the timely filing of campaign finance reports and keeping detailed accounts
and records of all campaign finance activity for a period of six years from the date of the relevant election;2)if after my acceptance of this office I become an
appointed public employee,I must resign this position and notify/• PF of my resignation;and 3)a candidate may not serve as treasurer of the political
committee organized on his/her behalf.
SIGNED UNDER THE PENALTIES OF PERJURY: Date: $( `- Z4
at f/��
Tre..urer' st!nature
I hereby accept the office of Chairman of the above-named commi
SIGNED UNDER THE PENALTIES OF PERJURY:
Chair sig Date:✓ I t