2015-12-31-Rotberg-OCPF - Laserfiche WebLink

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Commonwealth of Massachusetts Form CPF M 102: Campaign Finance Report Municipal Form Office of Campaign and Political Finance File with: City or Town Clerk or Election Commission Fill in Reporting Period dates: Beginning Date: 1/1/2015 Ending Date: 12/31/2015 Type of Report: (Check one) ❑ 8th day preceding preliminary ❑ 8th day preceding election ❑ 30 day after election ® year -end report ❑ dissolution (Robert Rotberg Candidate Full Name (if applicable) (Selectman, Town of Lexington Office Sought and District 14 Barberry Rd, Lexington MA 02421 Telephone Number (optional): Residential Address (Committee to Elect Robert Rotberg Committee Name Irene M. Dondley Nance of Committee Treasurer 122 Leonard Rd., Lexington MA 02420 Committee Mailing Address Telephone Number (optional): 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) " . 0 0 0 0 o Line 6: Total in -kind contributions this period (page 6) Line 7: Total (all) outstanding liabilities (page 7) o Line 8: Name of bank(s) used: Citizens Bank (closed) 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 authority or on behalf of this committee in accordance with the requirements of M.G.L. c. 55. Signed under the penalties of perjury: t c\ 42.,14,&_1{&.t.k • t A.&, (Treasurer's signature) Date: 1/20/2016 FOR CANDIDATE FILINGS ONLY: Affidavit of Candidate: (check 1 box onl)) Candidate with Committee and no activity independent of the committee 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 finance 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, incurred any liabilities nor made any expenditures on my behalf during this reporting period. Candidate without Committee 3 Candidate with independent activity filing s partite report ❑1 certify that I have examined this report including attached schedules and it is, to th best of my knowledge and belief, a true and complete statement of all campaign finance activity, including 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 authority or on bel._ r th- committee in accordance with the requirements of M.G.L. c 55. Signed under the penalties of perjury: --(Candidates signature) Date: ( //a0/ (‘