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d Mundaai4 <br />Form CPF M 102: Campaign Finance Report <br />Municipal Form <br />Office or Campaign and Political Finance <br />Pile with: <br />City or Town Cletk or Election Conwdnion <br />Please print or type all information, except signatures. <br />Fill in dates: J ° tai ar r <br />Reporting Period Beginning Y <br />2115 Ending ItecemberDn. 31 X615 <br />Type of report: (Check one) <br />08th day preceding preliminary 08th day preceding election ECJ30 day after election Oyear -end report Odissolution <br />,Joe Pato <br />Full Name of Candidate (If applicable) <br />Selectman <br />Office Sought and District <br />900 Mass. Ave., Lexington, MA 02420 <br />. Residentlal Address <br />TeL No. (optional) <br />Committee to Elect Joe Pato Selectman <br />Committee 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 <br />Line 3: Subtotal one 1 plus line 2) $ 100.00 <br />Line 4: Total expenditures this period (page 3, tine 14) $ 0.00 <br />Line 5: Ending balance pine 3 minus lino 4) $ 100.00 <br />Line 6: Total in -kind contributions this period (page 4) $ 0.00 <br />Line 7: Total (all) outstanding liabilities (page 4) $ n nn <br />Line 8: Name of bank(s) used Cambridge Savings Bank <br />Affidavit of Comities Treasurers <br />I °emit/ that 1 have examined this report including attacfied schedules and it is, to the bat of my knowledge and belief, a true and complete slalrnuN of all ampaign <br />finance activity, including all contributions, loans. receipts, expenditures, dlsWamtema, hi•kl d contributions and liabilities for this reporting pealed and represents the <br />campaign finance activity of all penan acting under the authority or on behalf of this committee in aaorduKe with the requirements of M.O.L. c. 55. <br />Signed under the penalties of perjury* <br />Treasurer's signature (in ink) <br />Dat <br />FOR CANDIDATE FILINGS ONLY: (CANDIDATE MUST SIGN BELOW) <br />Affidavit of Candidate; (check 1 box only) <br />O Candidate with Committee and no activity independent of the commnta <br />I certify that I have examined this report including attached scheduka and it is, to the bat of my knowledge and belief, a true and complete statement of campaign <br />anence actMty, of an person acting under the autltortty or on behalf of this committee in accordance with the requirements of M.O.L o. 55. I have not received any <br />contributions, insured any liabilities nor nude any expeadiava on my behalf dwingUda repadngperiod, <br />0 Candidate Without Committee O$ eandldats with independent activity filing mantle report <br />I alt' that I have examined this repot tnctuding attached schedules and it is, to the best of my knowledge and bellet; a true and complete statement of all campaign <br />finance activity, including contributions, loam, receipts, expenditum, Imkind aotribudom and liabilities for this reporting period and mounts the <br />campaign fiance activity of all persons acing under the authority or on behalf of this committee in aaoeden ce with the requlrcmenu of M.G.L Q. 55. <br />--, Signed under the penalties of perjury: <br />Candidate sig ature (In ink) <br />Date <br />