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Commonwealth <br />of Massachusetts <br />Form CPF M 102: Campaign Finance Report <br />Municipal Form '71U5 <br />Office of Campaign and Political Finance <br />rl <br />File will: City or TOW m Clerk or Election Commission <br />Fill in Reporting Period dates: Beginning Date: <br />Nov 25, 2014 <br />Ending Date: <br />'Dec 31, 2014 <br />Type of Report: (Check one) <br />9 8th day preceding preliminary ❑ 8th day preceding election El 30 day after election © year -end report ❑ dissolution <br />Suzie Barry <br />Committee to Elect Suzie Barry <br />Candidate Full Name (if applicable) <br />Committee Name <br />Selectman <br />IKim Coburn <br />Name of Committee Treasurer <br />Office Sought and District <br />159 Burlington Street, Lexington, MA 02420 <br />166 Liberty Avenue, Lexington, MA 02420 <br />Committee Mailing Add, m <br />Residential Address <br />Telephone Number (optional/ I (781) 862-5853 <br />Telephone Number (optional): I (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 />1,515.4 <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: <br />25 <br />1,540.4 <br />1,326.82 <br />213.58 <br />1,099.48 <br />0 <br />ITD Bank <br />Affidavit of Committee Treasurer: <br />I certify that 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 of all persons acting under the author; or on be of this commit in accordance with the requirements ofMO.L. e 55. <br />Signed under the penalties of perjury: ;K"- '"'"'-" "1 ""�° (Treasureta signature) Date: <br />FOR CANDIDATE FILINGS ONLY: Amdavit of Candidate: (check t box only) <br />Candidate with Committee and no acthity 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. 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 pith independent activity filing separate report <br />❑ <br />I certify that l 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, Irons, -pts, expenditures, disbursepdnts,in -kind contributions and liabilities for this reporting period and represents the <br />campaign finance activity of all persons acting er the authority or on beh bfthis committee in accordance with the requirements of M.G.L_ c 55. <br />Signed under the penalties of perjury: <br />G1.0 Date:) 1/8i��/5 <br />/ __ (Cardidales signature) <br />