Commonwealth of Massachusetts Fill in Reporting Period dates: Type of Report: (Check one) committee Name Candidate Full Name (if applicable) Name of committee treasurer North Adams, MA 01247 Residential Address Telephone Number (optional) Affidavit of Committee Treasurer: LIA_d_a_m_s_c_o_o_p_er_a_ti_ve_B_an_k.
Commonwealth of Massachusetts Fill in Reporting Period dates: Type of Report: (Check one) committee Name Candidate Full Name (if applicable) Name of committee treasurer North Adams, MA 01247 Residential Address Telephone Number (optional) Affidavit of Committee Treasurer: LIA_d_a_m_s_c_o_o_p_er_a_ti_ve_B_an_k.
Commonwealth of Massachusetts Fill in Reporting Period dates: Type of Report: (Check one) committee Name Candidate Full Name (if applicable) Name of committee treasurer North Adams, MA 01247 Residential Address Telephone Number (optional) Affidavit of Committee Treasurer: LIA_d_a_m_s_c_o_o_p_er_a_ti_ve_B_an_k.