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Form CPF M 102: Campaign Finance Report <br />Municipal Form: <br />Mee of Campa)gn and Political Mnaneo <br />d ara.mk <br />File with; <br />City or Town Clerk or Election Commission <br />Piease print or type a l l inf e sign <br />Fill in dates Ja I 2 Necember t i , M12 <br />Reporting Period Beginnin End in g <br />Type of report: (Check one) <br />08th day prece ding prelimina 08th day preceding election CI30 day after election ❑l ear -end report Qdissolution l <br />Joe Pato Committee to Elect Joe Pato Selectman <br />Full Name of Candidate (if applicable) Committee Name <br />Selectman Kerry Brandin <br />Office Sought and District Name of Committee Treasurer <br />900 Mass. Ave., Lexington, MA 02420 16 Franklin Rd, Lexington, MA 02420 <br />Residential Address Committee Mailing Address <br />Tel. No. (optional) 11 Tel. No. (optional) <br />SUMMARY BALANCE INFORMATION: <br />Line 1: Ending balance from previous report $ 0.00 <br />Line 2: Total receipts this period (page 2, line 11) $ 500.00 <br />Line 3: Subtotal nine t plus line 2) $ 5Q0.o0 ' <br />Line 4: Total expenditures this period (page 3 line 14) $ 0.00 <br />Line S: Ending balance (line 3 minus line 4) $ 500. <br />Line 6: Total in - kind contributions this period (page 4) $ 0.00 <br />Line 7: Total (ail) outstanding liabilities (page 4) $ 4471 <br />Line 8: Name of bank(s) used Cambridge Savings Bank <br />e <br />gar <br />`o <br />d <br />An (davit of Committee Treaxurert <br />1 oerttfy that I have examined this report including attached sdkdults and it is, too" best of my knowledge and belief, a true and complete atslerhietn of all pmpaign <br />finance activity, including all corMbutloroy loam, receipts, expo"Wrea, d4bunanatts, it kind contributions and liabilities for this reporting period and rgxvwn a the <br />campaign finan o activity of all persons acting under the authority or on behalfof (his committee in accordam with the requirements of M,O,L a, SS. <br />Signed under the pendtks of perjury: <br />FOR CANDIDATE FILINGS ONLY (CANDIDATE MUST SIGN BELOW) <br />AA(�Qjdavit of Candldatet (cheek t box only) <br />t� Candidate with Committee and no activity independent of the committee <br />1 certify that I have examined this report including attscW sdredula and it is, to Ow bat of my knowledge std ballot; a true and complete statement of all campaign <br />fins wo activity, of all pasons acting under the authority or on behalf of this mnrrdttee in accordance with dw requirements of M.O.L o. 53. 1 have not received any <br />oontribudtxu, bwunvd any liabilities nor made any expendittures on my behalf during this reporting period. <br />a Candidate Without Committee Qji Candidate with independent aetivlty Mg separate report <br />I Certify that I have examined this report including attadwd schedules and it is, to fire best of my knowledge acct ballet; a true and complete statanettt of all campaign <br />finance activity, imiuding oatuributiotA loans, rearipts, expendituivs, disbur"mainta, in -kind contributions snd liabilities for this reporting period and MMvWda the <br />campaign fhsance activity of all persons acting under t1w authority or on behalf of this owndttoo in accordance with the rcquiremtnu of M.O.L Q. 35. <br />. Signed under the penalties of perjury: f j <br />dtlfaf2,r d <br />Dato <br />: <br />