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Form CPF M 102: Campaign Finance Report <br />Municipal Form <br />ZQ1� AN 2 1 AM 11:00 Office of Campaign and Political Finance <br />Commonwealth <br />of Massachusetts T C; 1. E R K <br />Pile with: City or Town Clerk or Election Commission <br />Fill in Reporting Period dates: Beginning Date: 1z/o9/zo13 Ending Date: 12/31/2013 <br />Type of Report: (Check one) <br />❑ 8th day preceding preliminary ❑ 8th day preceding election ❑ 30 day after election ❑X year -end report ❑ dissolution <br />Crocker <br />Candidate Full Name (if applicable) <br />(School Committee, Lexington, Massachusetts <br />Office Sought and District <br />15 Currier Court, Lexington, MA 02420 <br />Residential Address <br />Telephone Number (optional): 1 7818639622 <br />l)udy Crocker for School Committee <br />Committee Name <br />anya Morrisett <br />Name of Committee Treasurer <br />121 Valleyfield Street, Lexington, MA 02421 <br />Committee Mailing Address <br />Telephone Number (optional): 1 7818621907 <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: Eliding Balance (line 3 minus line 4) <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 />0.00 <br />546.50 <br />546.50 <br />22.95 <br />0.001 <br />affidavit 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 one and complete statement of all campaign finance <br />activity, including all contributions, loans, receipts, expenditures, disbursements, in -kind contributions and liabilities for this reporting period and represents the campaign <br />finance activity of all persons acting under the a ority or on behalf this committee in accordance with the requirements of M.G.L. c. 55. <br />Jr <br />under the penalties of perjury: <br />(check I box only) <br />Signature) Date: 1/17/2013 <br />Candidate with Committee and no activity independent of the committee <br />t9`l 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. e. 55. I 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 "tat independent activity filing separate report <br />E] 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 ofall campaign <br />finance activity, including contributions, loans, receipts, expenditures, disbursements, in -kind contributions and liabilities for this reporting period and represents the <br />campaign finance 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. <br />under the penalties of perjury: <br />Date: <br />