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1 <br />Commonwealth <br />of Massachusetts <br />Form CPF M 102: Campaign Finance Report <br />Municipal Form <br />Office of Campaign and Political Finance <br />(Fill in Reporting Period dates: Beginning Date: <br />111/16/16 <br />File with: City or Town Clerk or Election Commission <br />Ending Date: <br />112/31/16 <br />Type of Report: (Check one) <br />® 8th day preceding preliminary © 8th day preceding election <br />©30 day after election <br />17udith A Crocker <br />Candidate Full Name (if applicable) <br />'School Committee <br />Office Sought and District <br />15 Currier Court, Lexington, MA 02420 <br />Telephone Number (optional): <br />Residential Address <br />year -end report ® dissolution <br />[Judy Crocker for School Committee <br />1 <br />Committee Name <br />'Mary McDonald <br />Name of Conunittee Treasurer <br />15 Nickerson Rd, Lexington, MA 02421 r° <br />: <br />Committee Mailing Adding? <br />Telephone Number (optional): 1 r <br />'— <br />I <br />SUMMARY BALANCE INFORMATION: <br />Line 1: Ending Balance from previous report <br />Line 2: Total receipts this period (page 3, line 11) <br />Line 3: Subtotal (line 1 plus line 2) <br />Line 4: Total expenditures this period (page 5, line 14) <br />Line 5: Ending Balance (line 3 minus line 4) <br />Line 6: Total in -kind contributions this period (page 6) <br />Line 7: Total (all) outstanding liabilities (page 7) <br />Line 8: Name of bank(s) used: <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 belief, a true and complete statement of all campaign 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 under the authority or on behalf of this c mittee in accordance with the requirements of M.G.L. c. 55. <br />Signed under the penalties of perjury: GrGrl (Treasurer's signature) Date: <br />0.00 <br />705,00 <br />7 DS, 00 <br />0i0�+ <br />4-7 PS, D0 <br />III.00 <br />(r SO DO <br />[FD Bank <br />FOR CANDIDATE FILINGS ONLY: Affidav t of Candidate: (check t box only) <br />Candidate with Committee and no activity independent of the 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 all campaign finance <br />activity, of all persons acting under the authority or on behalf of this committee in accordance with the requirements of M.G.L. e. 55. I have not received any contributions, <br />incurred any liabilities nor made any expenditures on my behalf during this reporting period. <br />Candidate without Committee OE, Candidate with independent activity filing separate report <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 all campaign <br />finance activity, including contributions, loans, receipts, expenditures, disbursements, in -kind contributions and liabilities for this reporting period and represents the <br />campaign finance activity of all persons acting under the authority or on behalf of this committee in accordance with the requirements of M.G.L. c. 55. <br />.144,4 M- N o0/16 <br />112/31/16 <br />Signed under the penalties of perjury: <br />(Candidate's signature) Date: <br />112/31/16 <br />