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File with: <br />City or Town Clerk or Election Commission <br />Reporting Period - Beginning 1/1/2013 Ending 12/31/2013 <br />Type of report Year -end <br />1/3/2014 <br />Michelle Ciccolo Committee to Elect Michelle Ciccolo <br />Full Name of Candidate Committee Name <br />Selectman Margaret Counts -Klebe <br />Office Sought/ District Name of Committee Treasurer <br />50 Shade Street 8 Hancock Avenue <br />Lexington, MA, MA 02421 Lexington, MA 02420 <br />Residential Address Committee Address <br />Ending Balance from previous report: $295.38 <br />Total receipts this period: $1,213.02 <br />Subtotal: $1,508.40 <br />Total expenditures this period: $31.25 <br />Ending Balance: $1,477.15 <br />Total inkind contributions this period: $0.00 <br />Total outstanding liabilities: $0.00 <br />Name of bank(s) used: TD Bank <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 />surer's signature (in ink) <br />. i <br />Date <br />PAf 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 <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 />Signed under the penalties of perjury: / <br />�N, CCU// <br />