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Commonwealth <br />of Hassaohusetts <br />Form CPF M 102: Campaign Finance Report <br />Office of Campaign and Political Finance <br />Pile with, Director <br />Office of Campaign and Political Finance <br />One Ashburton Place R,. 411 <br />Boston, PA 02100 <br />(617) 979 -8300 <br />CPP ID# 16332 <br />Reporting Period: Beginning: 2/13/2016 Ending: 3/29/2016 <br />Type of Report: 2016 Other Report (MUN) <br />Sheth, Claire <br />Full Name of Candidate <br />Municipal, Lexington <br />Office Sought/ District <br />22 Vine Brook Road <br />Lexington, MA 02420 <br />Residential Address <br />Sheth Committee <br />Coxvnittee Name <br />Gretchen Reisig <br />Name of Committee Treasurer <br />9 Victory Garden Way <br />Lexington, MA 02420 <br />Ca' ittee Address <br />SUMMARY BALANCE INFORMATION <br />Ending balance from previous report: <br />Total receipts this period: <br />Subtotal: <br />Total expenditures this period: <br />Ending Balance: <br />Total Out -Of- Pocket Expenditures: <br />$2,328.49 <br />$1,925.00 <br />$4,253.49 <br />$3,721.96 <br />$531.53 <br />$915.09 <br />Total inkind contributions this period: <br />Total outstanding liabilities: <br />Name of Bank Used: <br />$153.27 <br />$2,083.88 <br />Affidavit of Conaittee Treasurer: <br />I certify that L have examined this report, including attached schedules and it is, to the beat of my knowledge and <br />belief, a true and complete statement of all campaign finance activity including all contributions, loans, receipts, <br />ex .: ditures, disbursements, inkind contributions and liabilities for this reporting period and represents the campaign <br />e activity of all persons acting under the authority or on behalf of this committee in accordance with the <br />r.. is of M.C.L. G. 55. <br />Sign =• n, r the penalties of perjury: <br />Tree = rer's signature (in ink) <br />Af idavlt of Candidate (check 1 box only) : <br />Candidate with Co:mattee and no activity independent of the coaaittee <br />I certify that I have examined this report, and attached schedules and it is, to the beat of my knowledge and belief, a <br />true and complete statement of all campaign finance activity, of all persona acting under the authority or on behalf of <br />this committee in accordance with the requirements of M.G.L. c. 55. I have not received any contributions, incurred <br />any liabilities nor made any expenditures on my behalf during this reporting period. <br />❑Candidate without Committee OR candidate with independent activity filing separate report. <br />I certify that I have examined this report and attached schedules and it is, to the best of my knowledge and belief, <br />a true and complete statement of all campaign finance activity including contributions, loans, receipts, expenditures, <br />disbursements, inkind 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 <br />requirements of H.G.L. c. 55. <br />Signed updtt the penalties!ofperjuryi <br />Candidate's signa <br />e (in inks <br />Date <br />