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Form CPF M 102: Campaign Finance Report <br />Municipal Form <br />UIV Office of Campaign and Political Finance <br />Commonwealth <br />of Massachusetts <br />File with: City or Town Clerk or Election Commission <br />Fill in Reporting Period dates: Beginning Date: oct 17, 2017 Ending Date: Nov 27, 2017 <br />Type of Report: (Check one) <br />❑ 8th day preceding preliminary Q 8th day preceding election ❑ 30 day after election ❑ year-end report ❑ dissolution <br />Candidate Full Name (if applicable) <br />Office Sought and District <br />Residential Address <br />Telephone Number (optional): <br />Committee for financial responsibility in Lexington <br />Committee Name <br />7ohanna Ellen Gunther <br />Name of Committee Treasurer <br />35 Woodcliffe Rd, Lexington MA 02421 <br />Committee Mailing Address <br />Telephone Number (optional): <br />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 l 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 S: Name of bank(s) used: not applicable <br />certify that 1 have examined this report including attached schedules and it is, to the <br />ctivity, including all contributions, loans, receipts, expenditures, disbursements, m4 <br />inance activity of all persons acting undeyllwantl!ori)y-oydn behalf oja"aipith <br />trader the penalties of perjury: <br />D <br />y <br />eJ <br />ry <br />'o <br />c d <br />5' <br />D <br />knowledge and belief, a true and complete statement of all campaign finance <br />Bions and liabilities for this reporting period and represents the campaign <br />with the requirements of M.G.L. c. 55. <br />Affidavit of Candidate: (ch4k 1 �A only) <br />signature) Date: Nov 27, 2017 <br />Candidate with Committee and no activity independent of the committee <br />I certify that I have examibus,ed this report including attached schedules and it is, to the best of my knowledge and belief, a tmand complete statement of all campaign finance <br />E] activity, of all persons acting under (lie authority or on behalf of this committee in accordance with the requirements of M.G.L. c. 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 Olt 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 ofmy knowledge and belief, a We and comha <br />plete sement ofall 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 ofall persons acting under the authority or on behalfof this committee in accordance with the requirements of M.G.L. c. 55. <br />under the penalties of perjury: <br />signature) Date: <br />