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Form CPF M 102: Campaign Finance Report <br />u Municipal Form <br />Office of Campaign and Political Finance i} F <br />Commonwealth 7011 J 3,H 10 PM 3,0 <br />of Massachusetts <br />File with: Ci o� : 1 k f ction Commission <br />Fill in Reporting Period dates: Beginning Date: 4/5/2012 Ending Date: 1E/Atl + 3 A <br />Type of Report: (Check one) <br />❑ 8th day preceding preliminary ❑ 8th day preceding election ❑ 30 day after election FX� year -end report ❑ dissolution <br />I Mary Ann Stewart <br />Candidate Full Name (if applicable) <br />24 Rawson Ave, Lexington, MA 02420 <br />Residential Address <br />Mary Ann Stewart for School Committee <br />Committee Name <br />31 Woodland Road, Lexington, MA 02420 <br />Committee Mailing Address <br />SUMMARY BALANCE INFORMATION: <br />Line 1: Ending Balance from previous report <br />Line 2: Total receipts this period (page 3, line 11) <br />Line 3: Subtotal (line 1 plus line 2) <br />Line 4: Total expenditures this period (page 5, line 14) <br />Line 5: Ending Balance (line 3 minus line 4) <br />963.67 <br />g��16, <br />963.67 <br />Line 6: Total in -kind contributions this period (page 6) <br />Line 7: Total (all) outstanding liabilities (page 7) <br />Line 8: Name of bank(s) used: Brookline Bank <br />kffidavit of Committee Treasurer: <br />certify that I have examined this report including attached schedules and it is, to the best of my knowledge and belief, a true and complete statement of all campaign finance <br />ictivity, including all contributions, loans, receipts, expend' es, disbursements, in -kind contributions and liabilities for this reporting period and represents the campaign <br />finance activity of all persons acting under the author' or behalf of this committee in accordance with the requirements of M.G.L. c. 55. <br />under the penalties of perjury: <br />Affidavit of Candidate: (check 1 box only) <br />(Treasurer's signature) Date: <br />Candidate with Committee and no activity independent of the committee <br />R X 1 certify that I have examined this report including attached schedules and it is, to the best of my knowledge and belief, a true and complete statement of all campaign finance <br />activity, of all persons acting under the authority or on behalf of this committee in accordance with the requirements of M.G.L. c. 55. 1 have not received any contributions, <br />incurred any liabilities nor made any expenditures on my behalf during this reporting period. <br />Candidate without Committee OR Candidate with independent activity filing separate report <br />© i certify that I have examined this report including attached schedules and it is, to the best of my knowledge and belief, a true and complete statement of all campaign <br />finance activity, including contributions, loans, receipts, exnditures, disbursements, in -kind contributions and liabilities for this reporting period and represents the <br />campaign finance activity of all persons acting un4ellbeaAlhority or on behalf $ this committee in accordance with the requirements of M.G.L. c. 55. <br />Signed under the penalties of perjury: <br />signature) Date: I i ° <br />