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Commonwealth <br />of Massachusetts <br />Form CPF M 102: Campaign Finance Report <br />Office of Campaign and Political Finance <br />Pilo with, Director <br />Office of Campaign and Political Finance <br />One Ashburton Plato an. 411 <br />Boston. xA 02100 <br />X011) 910 -0100 <br />CPF ID# 16435 <br />Reporting Period: Beginning: 4/1/2016 Ending: 5/5/2016 <br />Type of Report: 2016 Dissolution Report (MUN) <br />Full Name of Candidate <br />municipal, Lexington <br />Office Sought/ District <br />Residential Address <br />Committee for Financial Responsibility in <br />Lexington <br />CoOaictee Nome .. <br />Johanna b11e11 Uunter <br />Nord Of Committee Treasurer <br />35 Woodcliffe Rd <br />Lexington, NA U2441 <br />Committee Address <br />SUMMARY BALANCE INFORMATION <br />Ending balance from previous report: <br />Total receipts this period: <br />Subtotal: <br />Total expenditures this periods <br />Ending Balance: <br />Total 0114- lF Partin.- Pwpnnailurna• <br />Total inkind contributions this period: <br />Total outstanding liabilities: <br />Name of Bank Used: <br />$0.o0 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$18 34 <br />$0.00 <br />$0.00 <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 <br />belief, a true and complete statement of all campaign finance activity including all contributions, loans, receipts, <br />expenditures, 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 under the penalties of perjury, <br />-= - * - t /�re a1 <br />or 0 0igna uCO in 1n <br />idavit of Candidate (chock 1 box only) s <br />audidato with Committee and no activity independent of the committee <br />I certify that I have oxenined 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 H.G.L. c. 55. I have not received any contributions, incurred <br />any liabilities nor made any expenditures on ay 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 beet of ay knowledge and belief, <br />a true • ^•late statement of all campaign finance activity including contributions, loans, receipts, expenditures, <br />diabur ements, 'nd contributions and liabilities for this reporting period and represents the campaign <br />(inane activity •f all er;ons acting under the authority or an behalf of this committee in accordance with the <br />SS- <br />requir <br />Signed m•} tn. yf , t s f�porjun' <br />