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1,804.681 <br />Commonwealth <br />of Massachusetts <br />Form CPF M 102: Campaign Finance Report <br />Municipal Form <br />Office of Campaign and Political Finance <br />c i <br />File with: Cityor ro %'n Clerk diEleetigriCommission <br />Fill in Reporting Period dates: <br />Beginning Date: <br />'July 22, 2014 <br />I Ending Date: <br />dctoi er'1 ,'2oi4 <br />" <br />E i�`E <br />Type of Report: (Check one) <br />❑ 8th day preceding preliminary © 8th day preceding election ❑ 30 day after election ❑ yearend report ❑ dissolution <br />ISuzie Barry <br />Candidate Full Name (if applicable) <br />'Selectman <br />Office Sought and District <br />1159 Burlington St, Lexington, MA 02420 <br />Telephone Number (optional): <br />Residential Address <br />F <br />(781) 862-5853 <br />!Committee to Elect Suzie Barry <br />Committee Name <br />Kira Coburn <br />Name of Committee Treasurer <br />66 Liberty Avenue, Lexington, MA 02420 <br />Committee Mailing Address <br />Telephone Number (optional): <br />(781) 863-6285 <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: Ending Balance (line 3 minus line 4) <br />0 <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 bauk(s) used: <br />4,118 <br />4,118 <br />2,313.32 <br />307.25 <br />1,367.19 <br />ITO Bank <br />Affidavit of Committee Treasurer: <br />I certify that 1 have examined this report including attached schedules and it is, to the best of my knowledge and belief, a Inie 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 author ti • or on be of this co mitt in accordance with the requirements of M.G.L. c 55. <br />Signed under the penalties of perjury: � (Tmasure�ssignatun} Date: 0/. � 1 /I/ <br />y- <br />FOR CANDIDATE FILINGS ONLY: Affidavr of Candidate: (cheek 1 box only) <br />Candidate 'with Committee and no activity independent of the committee <br />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_ c. 55.1 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 milk independent activity filing separate report <br />❑ <br />1 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 <br />finance activity, including contributions, loans, receipts nditun:s, disbursem in-kind contributions and liabilities for this reporting period and represents the <br />campaign finance activity of all persons acting under uthority or on behalf f ' committee in accordance with the requirements of M.G.L. c. 55. <br />Date: I /0/D1 �st <br />Signed under the penalties of perjury: <br />(Candidate's signature) <br />