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Form CPF M 102: Campaign Finance Report <br />Municipal Form <br />Office of Campaign and Political Finance <br />Commonwealth <br />o, wscUs <br />File with; Cite or'1'oo•n Clerk or Flection Commission <br />FiU in Reporting Period dates: Beginning Date: oct r2, 20ll Ending Date: Dec 31, 2012 <br />Type of Report: (Check one) <br />❑ 8th day preceding preliminary ❑ 8th day preceding election ❑ 30 day after election ❑X year-end report ❑ dissolution <br />Candidate Full Name (if applicable) <br />Orrice Sought and District <br />Residential Address <br />'relephune Number (optional): <br />SUMMARY BALANCI <br />Line 1: 'Ending Balance from previous report <br />'Cine 2: -,.Total receipts this period (page 3, line 11) <br />cline 3li<Subtotal (line I plus line 2) <br />Line A: Total expenditures this period (page 5, line <br />Line 5: Ending Balance (line 3 minus line 4) <br />[Committee_ for Financial Responsibility in Lexington 11 <br />Committee Name <br />oanna Ellen Gunther <br />Name of C'ontmittec?reas firer <br />135 Wooddiffe Rd, Lexington MA 02421 <br />Committee Mailing Address <br />Telephone Number (optional): <br />INFORMATION: <br />F <br />o <br />14) o <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: <br />kmdavit or Committee Treasurer: <br />certify that I have examined thisreport including attached schedules' and it is, to the best army knowledge and belief, a toe and complete statement of all campaign finance <br />IdWity, including all contributions, loans, receipts, expenditures, disbursements, ink Oirnbutmns and liabilities for this reporting period and represents the campaign <br />'malice activity of all persons acting under thcmau l oi(y7or or hchalfph[ISisTom unlace ht ace rda e with the requirements ol'M,Ci.h. c. S5. <br />under fire pennites of perjury: <br />Affidavit of Candidate: (dick-I-bdx oil[),) <br />signature) Date: <br />Candidate with Committee and no activity independent (if [lie committee <br />1 certify that I have examined this report including attached schedules mid it is, to die best of my knowledge and belief, a true and complete statement of all campaign finance <br />activity, atoll persons acting under the authority or on behalf of (tis committee in accordance with the requirements of MI.G.L. e. 55. I have not received any contributions, <br />incurred any liabilities no made any expenditures on my behalf during this reporting period. <br />Candidate without Committee OR Candidate with independent activity filingsepurate report <br />oI certify that I have examined (his report including attached schedules cold it is. to the best army knowledge and belief, a true and complete statement ofall campaign <br />finance activity, including contributions, loans, receipts, expenditures, disbursements, in-kind contributions and liabilities for this reporting period mid 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 ivi-G L, c. 55. <br />under the penalties of perjury: <br />Date: �� <br />