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Form CPF M 102: Campaign Finance Report <br /> Municipal Form <br /> Office of Campaign and Political Finance 77 <br /> Y !"- <br /> Commonwealth <br /> of Massachusetts <br /> CLty'or Town 'Er. <br /> File with 6crk8i Commission <br /> Fill in Reporting Period dates: Beginning Date: 1/1/2021 Ending Date: <br /> I K <br /> L la c <br /> Type of Report: (Check one) <br /> Q 8th day preceding prelitninary 8th day preceding election 30 day after election 0 year-end.report E] dissolution <br /> SARA CUTHERBERTSON COMMITTEE TO ELECT SARA CUTHBERSON <br /> Candidate Full Name(if applicable) Committee Name <br /> SCHOOL COMMITTEE -TOWN OF LEXINGTON LARRY FREEMAN <br /> Office Sought and District Name of Committee Treasurer <br /> 218 LOWEL ST, LEXINGTON MA 02420 <br /> Residential Address Committee Mailing Address <br /> E-mail; SARACUTHBEPTSON14@GMAIL.COM E-mail: LDFR.EE@YAH00.00M <br /> Phone#(optional); 843 513-7467 Phone#(optional): 404 783-7563 <br /> SUMMARY BALANCE INFORMATION: <br /> Line 1: Ending Balance from previous report <br /> Line 2: Total receipts this period(page 3,line 11) <br /> Line 3: Subtotal(line 1 plus line 2) F $1507.191 <br /> Line 4: Total expenditures this period(page 5,line 14) $126.001 <br /> Line 5: Ending Balance(line 3 minus line 4) $13=81.19 <br /> Line 6: Total in-kind contributions this period(page 6) $.00 <br /> Line 7: Total(all)outstanding liabilities(page 7) <br /> Line S. Name of bank(s)used:ITD 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 all 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 XG1.c.55. <br /> Signed under the penalties of perjury; (Treasurer's signature) Date., <br /> FOR CANDIDATE FILINGS ONLY: Affidavit of Candidate:(check 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 /> FX-1 activity,of all persons acting under the authority or on behalf ofthis committee in accordance with the requirements of M-G-L.c.55. 1 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 belief;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: (Candidate's signature) <br />