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Form CPF M 102: Campaign Finance Report <br />W1614V, Municipal Form <br />F Office of Campaign and Political Finance <br />�� 24 � �1: S6 <br />of Massachusetts 1O <br />LFXlpj f; I. k ` K File with: City or "forum Clerk <br />Fill in Reporting Perio (AIA Beginning Date: Ol-01-2014 Ending Date: 02-22-2014 <br />Type of Report: (Check one) <br />❑ 8th day preceding preliminary ❑X 8th day preceding election ❑ 30 day after election ❑ year-end report ❑ dissolution <br />AHLUWALIA <br />Candidate Full Name (if applicable) <br />BOARD OF SELECTMAN, LEXINGTON, MA <br />Office Sought and District <br />18 PEACHTREE ROAD, LEXINGTON, MA 02420 <br />Telephone Number (optional): <br />Residential Address <br />1COMMITTEE TO ELECT SWAATVIK AHLUWALIA I <br />Committee Name <br />K. AHLUWALIA <br />Name of Committee Treasurer <br />8 PEACHTREE ROAD, LEXINGTON, MA 02420 <br />Conini ave Mailing Address <br />'Telephone Number (optional): <br />SUMMARY BALANCE INFORMATION: <br />Line I: Ending Balance from previous report <br />Line 2: Total receipts this period (page 3, line 11) <br />Line 3: Subtotal (line I plus line 2) <br />Line 4: Total expenditures this period (page 5, line 14) <br />I,000 <br />7,786 <br />8,786 <br />4,847 <br />Line 5: Ending Balance (line 3 minus line 4) 3,9391 <br />Line 6: Total in-kind contributions this period (page 6) 0 <br />Line 7: Total (all) outstanding liabilities (page 7) 668 <br />Utile 8: Name of bank(s) used: BANK OF AMERICA <br />Afftdavil of Conunitlee Treasurer: <br />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 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 ofall persons acting trader the authority or on behaft"th4 committee ili accordance with the requirements of M.G.L. c. 55. <br />yyS <br />Signed underthc pennithes of perjury: „ F u �- (Treasurers signature) Date: <br />FOR CANDIDATE FILINGS ONLY: Affidavit of Candidate: (check I box only) <br />Candidal¢ with Committee and no activity Independent ofthe committee <br />I 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 />❑X activity, ofall persons acting under the authority or on behnifofthis committee in accordance with the requirements of M.G.L. c. 55. I have not received any contributions, <br />incurred any liabilities nor made any expenditures on my behalfduring this reporting period. <br />Candidate without Committee OR Candidate with independent activity filing separate report <br />E]I certify that I have examined this report including attached schedules and it is, to the best ofnry knowledge and belief, a true and complete statement rural 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 ofall persons acting under the authority or on behalf of this committee in accordance with the requirements of M.O.L. c. 55. <br />Signed under the penalties of perjury: (Candidate's signature) Date: <br />