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Form CPF M 102: Campaign Finance Report <br />Commonwealth Municipal Form to <br />of Massachusetts <br />Office of Campaign and Political Finan fig! <br />H III QCJ <br />File with: <br />` � ')A 1/4/2013 <br />City or Town Clerk or Election Commission <br />Reporting Period - Beginning: 4/27/2012 Ending: 1/4/2013 <br />Type of report: Year -end <br />Jessie Steigerwald <br />Full Name of Candidate <br />School Commitee <br />Office Sought/ District <br />143 Cedar Street <br />Lexington, ma 02421 <br />Residential Address <br />Jessie Steigerwald for School Committee <br />Committee Name <br />Sandra Kahn <br />Name of Committee Treasurer <br />81 Wood Street <br />Lexington, MA 02421 <br />Committee Address <br />SUMMARY BALANCE INFORMATION <br />Ending Balance from previous report: $845.74 <br />Total receipts this period: $0.00 <br />Subtotal: $845.74 <br />Total expenditures this period: $289.62 <br />Ending Balance: $556.12 <br />Total in -kind contributions this period: $0.00 <br />Total outstanding liabilities: $0.00 <br />Name of bank(s) used: Eastern <br />Affidavit of Committee Treasurer: <br />I certify that I have examined this report, including attached schedules and it is, to the best of my knowledge and <br />belief, a true and complete statement of all campaign finance activity including all contributions, loans, receipts, <br />expenditures, disbursements, in -kind contributions and liabilities for this reporting period and represents the campaign <br />finance activity of all persons acting under the authority or on behalf of this committee in accordance with the <br />requirements of M.G.L. c. 55. <br />Signed under the penalties of perjury: / <br />Treasurer's signature (in ink) Date <br />Affidavit of Candidate (check 1 box only) : <br />U a Candidate with Committee and no activity independent of the committee <br />I certify that I have examined this report, and attached schedules and it is, to the best of my knowledge and belief, a <br />true and complete statement of all campaign finance activity, of all persons acting under the authority or on behalf of <br />this committee in accordance with the requirements of M.G.L. c. 55. I have not received any contributions, incurred <br />any liabilities nor made any expenditures on my behalf during this reporting period. <br />1 Candidate without Committee OR candidate with independent activity filing separate report. <br />I certify that I have examined this report and attached schedules and it is, to the best of my knowledge and belief, <br />a true and complete statement of all campaign finance activity including contributions, loans, receipts, expenditures, <br />disbursements, in -kind contributions and liabilities for this reporting period and represents the campaign <br />finance activity of all persons acting under the authority or on behalf of this committee in accordance with the <br />requirements of M.G.L. c. 55. <br />Signed under the penalties of perjury: <br />