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Commonwealth <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 Campaign and Political Finance <br />One Ashburton Place Rm. 411 <br />Boston, MA 02108 <br />(617) 979 -8300 <br />CPF ID# 16332 <br />Reporting Period: Beginning: 3/30/2016 Ending: 12/31/2016 <br />Type of Report: 2016 Year -end 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 />Committee Name <br />Gretchen Reisig <br />Name of Committee Treasurer <br />9 Victory Garden Way <br />Lexington, MA 02420 <br />Committee 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 />$531.53 <br />$600.00 <br />$1,131.53 <br />$930.00 <br />$201.53 <br />Total inkind contributions this period: <br />Total outstanding liabilities: <br />Name of Bank Used: <br />$0.00 <br />$2,083.88 <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 />ce activity of all persons acting under the authority or on behalf of this committee in accordance with the <br />ents of M.G.L. 0. 55. <br />er the penalties of per 7: <br />Hate <br />Treasurer's signature (in ink) <br />Affidavit of Candidate (check 1 box only) : <br />andidate with Committee and no activity independent of the committee <br />certify that I have examined this report, and attached schedules and it is, to the best of my knowledge and belief, a <br />tr e 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 Iequirements 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 M.G.L. c. 55. <br />Signed under the penalties of perjury: <br />\AddiF <br />I - 'l b- 11 <br />