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c•w.,eea: <br />Form CPF M 102: Campaign Finance Report <br />Municipal Form <br />Omee ofCampaignand Political PMnce <br />Homily <br />City w Town Clerk or Election Commission <br />Please print or type all information, except signatures. <br />C? <br />Fill in dates: J dbary r <br />Reporting Period Beginning <br />2"0'16 Ending �e"%ruary 20t <br />Type of report: (Check onej <br />08th day preceding preliminary 08th day preceding election 030 day after election .Oyear -end report Odlasolution <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 />Residential 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, no 11) $ 5Q0.00 <br />Line 3: Subtotal pine l plus line 2) $ 600.00 <br />Line 4: Total expenditures this period (page 3, line 14) $100.00 <br />Line 5: Ending balance (line 3 minus line 4) $ 500.00 <br />Line 6: Total in -kind contributions this period (page 4) $ 0.00 <br />Line 7: Total (all) outstanding liabilities (page 4) $ ere 9r r/ <br />Line 8: Name of bank(s) used Cambridge Savings Bank <br />Affidavit orcomnddse Tweunn <br />I ea* tbat 1 Mw ewnened this report Including attached schedules and it k, to the bat of my knowledge and belief, a we lid complete statement of all campaign <br />&woo activity, Including all contribution; loam, receipts, expeditura, d'uWnmwnu, kddtd contribution and liabilities for this repaing poled and moments the <br />campaign finance activity of ill pawn Wingurdathe Sut orftyoonbehalfof this catndue. In academe vdth the requirements of M.O.L a 55. <br />Signed under the penalties of per)uryt <br />ah77�4 <br />Tonne$ 'Ignaten (In Ink) eau <br />FOR CANDIDATE FILINGS ONLY: (CANDIDATE MUST SIGN BELOW) <br />Affidavit orC.Mldatet (dock 1 boa only) <br />O Candidatetdth Conunlfn end no ectivtly independent of the tomato <br />1 certifythet 1 Mve exuninod this report including sttadwd schedules and it he m the bat ermy know*dge and 6414 *Me aM oonpkte "anent ofall nmgign <br />finance activity, of all penes acting undo* the authority or on bebaifof this oanmieW in accordance withthe requirements ofM.O.L a 55. 1 have not received any <br />ooMiWtioas, incurred any liabilities nor nude any aperdilma on my behalf during this rooming period <br />O C.ndldeleMNootCommidt*QaCa dldete with Independent activity Ming report <br />1 entity that 1 have examined ids repot bxluding tauhed Wtedules aM h b, to the bat otmy Mewled*, and belle( we and complete nuemeea oral canpaign <br />finance activity, holuding cadributione, loam, receipts, expa4iuva, dichotomous bald d consdbutione end !abilities for tide reporting period eM repreaente the <br />aampalgn finance activity ofell pawn Wing undaew authority or en behalrof Ns committee in accordom with the requiremmu ofM.O.L a55. <br />Signed under the penalties ofperJwryt <br />z <br />