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Form CP'F M 102: Campaign Finance Report Municipal Form Office of Campaign and Political Fin'4 Commonwealth rn rj� 't�`i t �: of Massachusetts Fite with: Ci a vvn Clerk or Election Commission Fill in Reporting Period dates: Beginning Date: 1/1/2022 Ending I l� Type of Report: (Check one) ❑ 8th day preceding preliminary ® 8th day preceding election ❑ 30 day after election ❑ year-end report ❑ dissolution Eileen Jay EIleen Jay for School Committee Candidate Full Name(if applicable) Committee Name School Committee Member Becky Barrentine Office Sought and District Name of Committee Treasurer 191 Waltham Street, Lexington, MA 02421 100 Bedford Street, Lexington, MA 02420 Residential Address Committee Mailing Address E-mail: E-mail: treasurer@jayforschoolcommittee.com Phone#(optional). Phone#(optional): SUMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous report 1,115 Line 2: Total receipts this period(page 3, line 11) 4,818 Line 3: Subtotal (line 1 plus line 2) 5x933 Line d: Total expenditures this period(page 5, line 14) -15 Line 5: Ending Balance(line 3 spinus line 4) 5,948 Line 6: Total in-kind contributions this period(page 6) Line 7: Total(all)outstanding liabilities(page 7) Litre 8: Name of bank(s)used:lCitizens, PayPal 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 contrihWons,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 au�ronbcchaffs committee in accordance with the requirements of M.G.L.c.55.Signed under the penalties of perjury: (Treasurees signature) Date: �(� Z Z_ FOR CANDIDATE FILINGS ONLY: Aftidayit of Candidate:(check t box only) Candidate with 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 tinder the authority or on behalf of this committee in accordance with the requirements of M.G.L.e.5$. [have not received any contributions, incurred any liabilities nor made any expenditures on my behalf during this reporting period that are not otherwise disclosed in this report. Candidate without Committee 1 certify that l 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 El 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 iA cm half of this candidate in accordance with the requirements of M.G.L.c.55. Signed ander the penalties of perjury, rli#�( signature) pate. 4� � p j r�: (candidates