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Cc.conealth <br />of Massachusetts <br />Form CPF M 102: Campaign Finance Report <br />Office of Campaign and Political Finance <br />File with, Director <br />Office of Cacpalgn and Political Finance <br />One Ashburton Place ma. 411 <br />Boston, HA 02108 <br />(617) 979 -8300 <br />CPF ID# 16332 <br />Reporting Period: Beginning: 1/1/2016 Ending: 2/12/2016 <br />Type of Report: 2016 Pre - election Report (NUN) <br />Sheth, Claire <br />Full Name of Candidate <br />Municipal, Lexington <br />Office Sought/ District <br />22 Vine Brook Road <br />Lexington, MA 02420 <br />Residential Address <br />Sheth Committee <br />Committee Name <br />Gretchen Reisig <br />Name of Committee Treasurer <br />9 Victory Garden Way <br />Lexington, MA 02420 <br />Committee Address <br />SUMMARY BALANCE INFORMATION <br />Ending balance from previous report: <br />Total receipts this period: <br />Subtotal: <br />Total expenditures this period: <br />Ending Balance: <br />$0.00 <br />$4,690.00 <br />$4,690.00 <br />$2,288.95 <br />$2,401.05 <br />Total inkind contributions this period: <br />Total outstanding liabilities: <br />Name of Bank Used: <br />$0.00 <br />$3,155.08 <br />Affidavit of Committee Treasurer: <br />I certify that I have examined this report, including attached schedules and it is, to the best of my knowledge and <br />belief, a true and complete statement of all campaign finance activity including all contributions, loans, receipts, <br />expenditures, disbursements, inkind contributions and liabilities for this reporting period and represents the campaign <br />finance activity of all persons acting under the authority or on behalf of this committee in accordance with the <br />equirements of H.G.L. c. 55. <br />S ne)1 under the penalties of perjur • <br />Treasurer's suture (in ink) <br />Date <br />Affidavit of Candidate (check 1 box only) <br />1�pp((Candidate with Committee and no activity independent of the committee <br />AI certify that I have examined this report, and attached schedules and it is, to the best of ny knowledge and belief, a <br />true and complete statement of all campaign finance activity, of all persons acting under the authority or on behalf of <br />this committee in accordance with the requirements of H.G.L. c. 55. I have not received any contributions, incurred <br />any liabilities nor made any expenditures on my behalf during this reporting period. <br />Candidate without Committee OR candidate with independent activity filing separate report. <br />❑ I certify that I have examined this report and attached schedules and it is, to the best of ny knowledge and belief, <br />a true and complete statement of all campaign finance activity including contributions, loans, receipts, expenditures, <br />disbursements, inkind contributions and liabilities for this reporting period and represents the campaign <br />finance activity of all persons acting under the authority or on behalf of this committee in accordance with the <br />r ui ements of H.G.L. c. 55. <br />Sighed r the penal s perjur <br />Candikate's signature (in ink) — Date <br />