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x <br />Form CPF M 102: Campaign Finance Report <br />5 . <br />Commonwealth Municipal Form <br />of Massachusetts <br />Office of Campaign and Political Finance <br />File with: <br />r ,1 /4/2013 <br />City or Town Clerk or Election Commission <br />Reporting Period - Beginning: 1/1/2012 <br />Ending: 12/31/2012x: <br />( °z <br />Type of report: Year-end° <br />Deb Mauger <br />Deb Mauger for Selectman <br />cn <br />ON <br />Full Name of Candidate <br />Committee Name <br />Office Sought/ District <br />Sandra Kahn <br />Name of Committee Treasurer <br />38 Liberty Avenue 81 Wood Street <br />Lexington, MA 02420 Lexington, MA 02421 <br />Residential Address Committee Address <br />SUMMARY BALANCE INFORMATION <br />Ending Balance from previous report: $239.40 <br />Total receipts this period: $200.00 <br />Subtotal: $439.40 <br />Total expenditures this period: $0.00 <br />Ending Balance: $439.40 <br />Total inkind contributions this period: $0.00 <br />Total outstanding liabilities: $0.00 <br />Name of bank(s) used: Sovereign <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, inkind 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 />/ k <br />r <br />Treasurer's signature (in ink) Date <br />A i.davit of Candidate (check 1 box only) <br />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 j <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 />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, inkind 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 />Signe4 under the penalties of perjury: <br />, 44v­�4 7 1 , nzpl- wj <br />