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Commonwealth of Massachusetts Form CPF M 102: Campaign Finance Report Municipal Form db 1 :- iJ Fri Office of Campaign and Political Finance File with: City or Town Clerk or Election Commission Fill in Reporting Period date• fiegmr ing Date: 'January 1, 2015 ' Ending Date: 'December 31, 2015 Type of Report: (Check one) ❑ 8th day preceding preliminary ❑ 8th day preceding election ❑ 30 day after election © year -end report ❑ dissolution ' Suzie Barry Candidate Full Name (if applicable) Selectman Office Sought and District 1159 Burlington Street, Lexington, MA 02420 Telephone Number (optional): Residential Address (781) 862 -5853 Committee to Elect Suzie Barry Committee Name Kim Coburn Name of Committee Treasurer 166 Liberty Avenue, Lexington, MA 02420 Committee Mailing Address Telephone Number (optional): (781) 863-6285 SUMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous report Line 2: Total receipts this period (page 3, line 11) Line 3: Subtotal (line 1 plus line 2) Line 4: Total expenditures this period (page 5, line 14) Line 5: Ending Balance (line 3 minus line 4) Line 6: Total in -kind contributions this period (page 6) Line 7: Total (all) outstanding liabilities (page 7) Line 8: Name of bank(s) used: 213.58 450 663.58 14.56 649.02 0 74.72 TD Bank Affidavit of Committee Treasurer. 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 activity, including all contributions, loans, receipts, expenditures, disbursements, in -kind contributions and liabilities for this reporting period and represents the campaign finance activity of all persons acting under the authori o on r- of this committee in accordance with the requirements of M.G.L. c. 55. Signed under the penalties of perjury: —!_/ (Treasurer's signature) Date: 7 /fi�p�07,b FOR CANDIDATE FILINGS ONLY: Affidavit of Candidate: (check 1 box only) Candidate with Committee and no activity independent of the committee ❑ I certify that 1 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 activity, of all persons acting under the authority or on behalf of this committee in accordance with the mquirements of M.G.L. c. 55. I have not received any contributions, incurred any liabilities nor made any expenditures on my behalf during this reporting period. Candidate without Committee OR Candidate with independent activity filing separate report ❑ 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 activity, including contributions, loans, is, expenditures, disbursements, in-kind contributions and liabilities for this reporting period and represents the campaign finance activity of all persons acting f the authority or on behalf ofthif.fom eo in accordance with the requirements of M.G.L. c 55. Date:' Vi Signed under the penalties of perjury: / ' /UW -J� (Candidate's signature)