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Co_onaealth <br />of Massachusetts <br />Form CPF M 102: Campaign Finance Report <br />Office of Campaign and Political Finance <br />File with: Director <br />Office of carpaien and Political Finance <br />One Ashburton Place R. 411 <br />Boston, MA 02108 <br />(617) 979 -8300 <br />CPF =1D4 16361 <br />Reporting Period: Beginning: 4/16/2016 Ending: 6/3/2016 <br />Type of Report: 2016 Other Report (MON) <br />Full Name of Candidate <br />N /A, No office <br />Office Sought/ District <br />Residential Address <br />Yes for Lexington <br />Committee Name <br />Lisa Farrell <br />Name of Committee Treasurer <br />12 Shirley Street <br />Lexington, MA 02420 <br />Cortnittee 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 />$5,321.80 <br />$5,999.00 <br />$11,320.80 <br />$9,833.37 <br />$1,487.43 <br />Total inkind contributions this period: <br />Total outstanding liabilities: <br />Name of Bank Used: <br />$0.00 <br />$0.00 <br />Affidavit of Committee Treasurer: <br />I certify that 1 have examined this report, including attached schedules and it i , 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 M.G.L. c. 55. <br />Signed under the penalties of perjury: <br />PJ <br />Treasurer's signature (in ink) <br />Date <br />Affidavit of Candidate (check 1 box only) : <br />Candidate with Committee and no activity independent of the committee <br />❑ I certify that I have examined this report, and attached schedules and it is, to the best of my knowledge and belief, a <br />true and complete statement of all campaign finance activity, of all persons acting under the authority or on behalf of <br />this committee in accordance with the requirements of M.G.L. c. 55. 1 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 />01 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 M.G.L. c. 55. <br />Signed under the penalties of perjury: <br />Candidate's signature (in ink) Date <br />