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CiaoKoweal'i <br />d MuaMroaa <br />Form CPF M 102: Campaign Finance Report <br />Municipal Form <br />Office orCampsdp and Political Finame <br />File with: <br />City or Town Clerk or Election Commission <br />Please print or type all information, except signatures. <br />Fill In dates: Ftttruary o''22 <br />Reporting Period Beginning <br />x'2016 Ending Mil <br />I'D 2eri 6 <br />Type of report: (Check one) <br />08th day preceding preliminary 08th day preceding election E130 day after election Oyearond report Odissolution <br />,Joe Pato <br />Full Name of Candidate (if applicable) <br />Selectman <br />Office Sought and District <br />900 Mass. Ave., Lexington, MA 02420 <br />. Residential Address <br />Tel. Na (optional) <br />Committee to Elect Joe Pato Selectman <br />Committee Name <br />Kerry Brandin <br />Name of Committee Treasurer <br />16 Franklin Rd, Lexington, MA 02420 • <br />Committee Mailing Address <br />TeL No. (optional) <br />SUMMARY BALANCE INFORMATION: <br />Line 1: Ending balance from previous report <br />Line 2: Total receipts this period (page 2, line 11) <br />Line 3: Subtotal (line 1 plus line 2) <br />Line 4: Total expenditures this period (page 3, line 14) <br />Line 5: Ending balance (lino 3 minus lima) <br />$ 500.00 <br />$0.90 <br />$ 500.00 <br />$ 300.00 <br />$ 200.00 <br />Line 6: Total in -kind contributions this period (page 4) $ 0.00 <br />Line 7: Total (all) outstanding liabilities (page 4) $ 0 00 <br />Line 8: Name of bank(s) used Cambridge Savings Bank <br />Affidavit of Committee Treaunrl <br />I ovally that I have examkud this report including attached schedules and it is, to the bat of my knowledge and belief, a true aM complete statement of all cempaign <br />finance activity, including all contributions, loans, receipts, expenditure., dhhunanaiu, in-kind contributions and liabilities for this reporting period and represents the <br />campaign finance activity of all penoa acting under the authority or on behalf of this committee in accordance with the requirements of MAIL a 0. <br />Signed under the penait a of perjury' <br />Treasurer's signature (In Ink) <br />S /74, <br />iEOR CANDIDATE FILINGS ONLY: (CANDIDATE MUST SIGN BEIOW) <br />Affidavit of Candidatea (theek 1 box only) <br />0 Candidate with Committee and no activity independent of the corn: Otte <br />I oatl& that 1 have examined this report Wilding attached adwdul s and it hoe the best of my knowledge and ballet a tau and conwkte statement ofali ampdgn <br />finance activity, of all persons Wingurder the authority or on beiWfof this committee in amordance with the requirements of M.O.L o. 0. I have not received any <br />oomauUom, incurred any liabilities not nude any expenditures on my behalf during this reporting period <br />0 Candidate without Committee QRCandld■te with Independent activity fling separate report <br />I as t/ that 1 have examined this repot including snadwd schedules tM it is, to the best of my knowledge and ballet a We and complete sLtanem of all ampaign <br />(Lane activity, Including contributions, loans, receipts, expenditures, disbursements, (*kind cat ibutiom lid liabilities for this reporting period and represents to <br />vempalgn finance activity of e11 persons acting under the authority QC on behaltof this committee in accordance with the requirements of M.O.L o. SS. <br />Signed under the penalties of perjury: <br />rYL, <br />Candlde dgnshrre Wc) te <br />