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Form CPF M 102: Campaign Finance Report <br />Municipal Form <br />Omce of Campaign and FoaUat Finance <br />City or Town Clerk a Eleetlot Commission <br />Please print or type all Information, except signatures. <br />Fill in dates: ti nvb <br />Reporting period Beginning A"'i'il 4 b e 201 e Ending recember au 31 x`613 <br />Type of report: (Check one) <br />08th day preceding preliminary 08th day preceding election X130 day after election Oyeao-end report Odissolution <br />,Joe Pato <br />Full Name of Candidate (If applicable) <br />Selectman <br />To Sought and District <br />900 Mass. Ave., Lexington, MA 02420 <br />Residential Address <br />Tel. No. (optional) <br />Committee to Elect Joe Pato Selectman <br />Commit(" Name <br />Kerry Brandin <br />Name of Committee Treasurer <br />16 Franklin Rd, Lexington, MA 02420 <br />Committee Mailing Address <br />Tel. No. (optional) <br />SUMMARY BALANCE INFORMATION: <br />Line 1: Ending balance from previous report $ 100.00 <br />Line 2: Total receipts this period (page 2, line 11) $ 0.00 r— _ <br />Line 3: Subtotal pine I plus line 2) $100.00 <br />Line 4: Total expenditures this period (page 3, line 14) $ 0.00 o, r <br />Line 5: Ending balance (lino 3 minus tine 4) $ 100.00 Y <br />----------------- ----------- - - - - -- 7 y r,.. <br />Line 6: Total in -kind contributions this period (page 4) $ 0.00 o <br />Line 7: Total (all) outstanding liabilities (page 4) $ non Cn <br />rp <br />Line 8: Name of bank(s) used Cambridge Savings Bank <br />Amdavit of Comrditee Tnamrert <br />I oen* dot I have exmined this repot including WA dad schedules lid it I% to the test of my klwwledge and better, a true And axnplete statertkm of ail eampeign <br />fbtuee activity, including all oaadbutions, lour, roods expenditures, di0mrsoments, bt•kird contribution and Whittles for this reporting period end represerds the <br />ampAi®t Mane activity of dl pesos aping underthe Authority" on b&Affof M eonunitles in ecoosdance with the requirements of M,G,L o. 33. <br />Signed under the pemdtia orperiuryi <br />FOR CANDIDATE FILINGS ONLY: (CANDIDATE MUST SIGN BELOW) <br />AA((ppdadt of Candlelates (check 1 box only) <br />CdCandldaw with Committee and to activity Independent orthe Committee <br />I oernty that I have exmdned this report Including attleW sdedoies Ard it is, to de hest of my knowledge and balls& a true and wmplere sfinmwd ofall amgign <br />Bnmce activity, of all pwwro actingundxihe authority a on behAlt'of this ocmmiUee in acowdane with the rcqulremena of M.O.L a 33. I have no ra ivod Any <br />000ttibudom, bmrrcd eery Ilabilhia nor made any expwAhwa on my bdulf dudngthis repatingpetiod. <br />0 Candidate without Committee O$ Candidate with independent *c"ty dbg upatxte report <br />I oenity dui I have examined tide report including uucled schedules lid S ls, to the bat of my knowledge and belle& Awe and conplea Atnenent *tall Campaign <br />frolics activity, including owWWdo A, loam, receipts, expenditures, dhb wrienu, In kind oomributlom and liabilities for this reporting period lid represents the <br />cunpalgn Ihwea activity of All per au acting under the authority or as behallof this cowmittes in aocordAne with the requirements of M.O.L o. 33. <br />Signed under the penalties of perjury; <br />ki <br />