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Form CPF M 102: Campaign Finance Report <br /> Municipal Form <br /> Office of Campaign and Political Finance <br /> Commonwealth <br /> of Massachusetts <br /> File with: City or Town Clerk or Election Commission <br /> Fill in Reporting Period dates: Beginning Date: 1/2/2022 Ending Date: I- 6 -2,7— <br /> Type <br /> 2,7—Type of Report: (Check one) <br /> ❑ 8th day preceding preliminary ❑ 8th day preceding election 0 30 day after election ❑ year-end report ❑ dissolution <br /> Joe Pato Committee to Elect Joe Pato <br /> Candidate Fult Name(if applicable) Committee Name <br /> Select Board Member Mollie Garberg <br /> Office Sought and District Name of Committee Treasurer <br /> 900 Massachusetts Avenue, Lexington, MA 02420 16 Cary Avenue, Lexington, MA 02421 <br /> Residential Address Committee Mailing Address <br /> E-mail: E-mail: molliegarberg@gmail.com <br /> Phone#(optional): Phone#(optional): <br /> SUMMARY BALANCE INFORMATION: <br /> Line I- Ending Balance from previous report 594.56 <br /> Line 2: Total receipts this period(page 3,line 11) 0 <br /> Line 3: Subtotal(line 1 plus line 2) X 0 59§6 <br /> Line 4: Total expenditures this period(page 5, line 14) �a 0 <br /> Line 5: Ending Balance(line 3 minus line 4) 59 t <br /> Line 6: Total in-kind contributions this period(page 6) <br /> Line 7: Total(all)outstanding liabilities(page 7) o <br /> Line 8: Name ofbank(s)used: Cambridge Savings Bank <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 belief,a true and complete statement of ail campaign finance <br /> activity,including all contributions,loans,receipts,expenditures,disbursements,in-kind 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 requirements of M.G.L.c.55. <br /> Signed under the penalties of perjury: (Treasurer's signature) Date: .tt/ <br /> FOR CANDIDATE FILINGS ONLY: Affidavit of Candidate:(cheek 1 box only) <br /> Candidate with Committee <br /> 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 <br /> 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, <br /> incurred any liabilities nor made any expenditures on my behalf during this reporting period that are not otherwise disclosed in this report. <br /> Candidate without Committee <br /> I certify that I have examined this report including attached schedules and it is,to the best of my knowledge and belieL a true and complete statement of all campaign <br /> finance activity,including contributions,loans,receipts,expenditures,disbursements,in-kind contributions and liabilities for this reporting period and represents the <br /> campaign finance activity of all persons acting under the authority or on behalf of this candidate in accordance with the requirements of M.G.L.c.55. <br /> �..: .... Date: ' <br /> Signed under the penalties of perjury: \z �- (Candidate's signature) ;' <br />