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Form CP'F M 102: Campaign Finance Report <br />Municipal Form l <br />Unice of CampaJgn and Political Flnpnce � r1 1 }, -' f °° ! t� P 2 : I i <br />dMa.n u 1 0 a 9 E J 9 I ; i, <br />File with. <br />City or Town Clerk or Election Corrtndssion <br />Please print or typo a ll I e xcep t sign <br />Fill dates D Y= ° "' h ' <br />ltopor F ruary 1 2 ting Peri Beginnin Ending ' pr ( w � 013 <br />Type of report: (Check one) <br />08th day preceding preliininaRy C38th day preceding election M30 day after election - ©year -ond report Odissolution <br />,Joe Pato <br />Full Name of Candidate (if applicable) <br />Selectman <br />Office Sought and District <br />900 Mass. Ave., Lexington, MA 02420 <br />Residential Address <br />Committee to Elect Joe Pato Selectman <br />Committee Name <br />Kerry Brandin <br />Name of Committee Treasurer <br />16 Franklin Rd, Lexington, MA 02420 <br />Committee Mailing Address <br />Tot. No. (optional) <br />Tel. No. (optional) <br />SUMMARY BALANCE INFORMATION: <br />Line 1: Ending balance from previous report $ 464.00 <br />Line 2: Total receipts this period (page 2 line 11) $ 0.00 <br />Line 3 : Subtotal (line 1 plus line 2) $ 4 64.00 <br />Line 4: Total expenditures this period (page 3, line 14) $ 364.00 <br />Line 5: Ending balance (line 3 minus linc 4) $ 1 0024 . <br />Line 6: Total in -kind contributions this period (page 4) $ 246.69 <br />Line 7: Total (all) outstanding liabilities (page 4) $ 1 no on <br />Line 8: Name of bank(s) used Cambridge Savings Bank <br />Alridavit of Comutittee Treasurers <br />I oectify that 1 have examined this report including attaced schedules and it is, to the best of my knowledge and belief, a true and complete statement of all campaign <br />fin activity, including all contributions, loam, roeeipts, expenditures, marts, ii-kind contributions and liabilities for this reporting period and ropresenis the <br />campaign finance activity of all persons acting under the authority or on bohaif of this committee in accordance with the requirements of M.O,L, a 33. <br />Signed under the penaltta of perjuryt <br />A /4 <br />FOR CANDIDATE FILINGS ONLY (CANDIDATE MUST SIGN BELOW) <br />Afndavit of Candidate: (cheek 1 box only) <br />O Candidate with Committee and no activity Independent of the eom Wttee <br />I oatify that I have examined this report Including attached schedules and h it, to the bat of my knowledge and belle& a true and complete statement of all campaign <br />Rnaneo activity, of all per*" acting under the authority or on behalf of this committee in accordance with the "iron" of M.O,L c. 33. 1 have not received any <br />oontributkxu, Incurred my liabilities nor made any expen lU res on my bohatf during this reporting period <br />O Candidate `without Committee OR Candidate with independent activity filing separate report <br />I oertit}r that I have examinod this report including attached schedules and it is, to the best of my knowledge and belle& a true and complete statement of all campaign <br />finance activity, including oontributioa% loam, rcceip% expandiwres, disbursements, in -kind contributions and liabilities for this reporting period and represents the <br />campaign finance aetivity I persona acting under the authority or on bchaif of this oommittee in accordanw with the requirements of M.O.L c, 33. <br />4. —yz-yh <br />Signed under the penalties of perjury; <br />