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Form CPF M 102: Campaign Finance Repart. <br /> Municipal Forma: <br /> Office-of Campaign and Political Financep' STM ' <br /> .: <br /> Commonwealth 7013 ,d <br /> of Massachusetts �i�: <br /> 17 r �_ <br /> File with. Ch 'or Totivn lcrk or -lcctio mission <br /> Fill in Reporting Period dates: Beginning Date: March..28,2022 Ending Date: liw <br /> ME <br /> Type of Report: (Check one) <br /> ❑'8th day preceding plrelitnii ary ❑ Sth day.preceding election ❑30 day after electionX❑year end report ❑ <br /> dissolution <br /> Suzie Barry Committee to.Elect Suzle Barry <br /> Candidate Full Name(if applicable) Committee Name <br /> Select Board Member Kim Coburn <br /> OfFiice Souglit and District Name of Committee Treasurer <br /> 159 Burlington St:, Lexington, MA 02420 66 Liberty Ave.; Lexington; MA 02420 <br /> Residential Address Committee.Mailing Address <br /> E-mail: suziebarrylex@gmail:com E-mail: thecoburns@aol.com <br /> Phone#(optional):. (781:) 862-5853 Phone'0(optional): (781) 063-6285. <br /> SUMMARY BALANCE INFORMATION: <br /> Line l.: Ending Balance from previous report 2006.91 <br /> Eine 2: Total receipts this period(page 3,line 1 I) 0 <br /> Line 3: Subtotal(line:l plus line 2) 2006.91 <br /> Line 4: Total:expenditures this period(page.5;line 1 ) 0 <br /> Line S: Ending Balance(line 3.minus line 4) 2006:91 <br /> Litre 6: Total in-kind contributions this period(page 6) 0 <br /> Line 7: Total(all)outstanding liabilities(page 7) 0 <br /> Line$: Name of banks)used:VD Bank <br /> Affidavit orCommittee Treasurer: <br /> I certif i'ltat 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 cwnpaign 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 funder tile.authority.orr�On,Jb inllf of this committee in accordance with therequirements of M.01.e.$5. <br /> A$igned.under the penalties of perjury: L 7. .G►!! rte[ (Treasurer's signature) D1tC: o iw <br /> OR CAMMAU FILINGS ONLY: Affidavit of Candidate:(check t.box only). <br /> Candidatcsvilh 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 ail campaib.finance <br /> activity,of all persons acting under the authority or on behalf or this committee in accordance with die requirements of M.G.L.o.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 /> Candidnte without Committee <br /> 1 certify that I have examined this report inciuding,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,recelpts,.expeaditures,disbu ements,in-kind contributions and liabilities for this reporting period and represents the <br /> campaign finance activity of all.persons acting u e authority or on be atf o is. tdpate in accordance with the.requirements of M:G.L.o.S5. <br /> Signed under the penalties f perjury. �f ` Date: I � � <br /> g p es u p J ry. -(Candidate's signature) <br />