Laserfiche WebLink
Form CPF M 102: Campaign Finance Report <br />Municipal Form <br />Office of Campaign and Political Finance <br />Commonwealth <br />of Massachusetts <br />File with: City or Town Clerk -"of Election Commission <br />Fill in Reporting Period dates: Beginning Date: 3/28/17 Ending Date: I al..' Qj `�' <br />X <br />Type of Report: (Check one) <br />® 8th day preceding preliminary ® 8th day preceding election ® 30 day after election ®X year-end`feport dissolution <br />A Crocker <br />Committee <br />Candidate Full Name (if applicable) <br />Office Sought and District <br />15 Currier Court, Lexington, MA 02420 <br />Telephone Number (optional): <br />Residential Address <br />SUMMARY <br />I Uudv Crocker for School Committee - I I <br />Committee Name <br />Mary McDonald <br />Name of Committee Treasurer <br />15 Nickerson Rd, Lexington, MA 02421 <br />Committee Mailing Address <br />Telephone Number (optional): <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 />189.25 <br />o.00 <br />Line 5: Ending Balance (line 3 minus line 4) I p pp <br />Line 6: Total in-kind contributions this period (page 6)� soo.00 <br />Line 7: Total (all) outstanding liabilities (page 7) 0.00 <br />Line 8: Name of bank(s) used: 0 Bank <br />lftidavit of Committee Treasurer: <br />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 />ctivity, 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 committee in accordapce with the requirements of M.G.L. c. 55, <br />under the penalties of perjury: <br />Affidavit of Candidate: (check 1 box only) <br />signature) Date: <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. 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 Q)3 Candidate with independent activity filing separate report <br />MI 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 flus 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 />under the penalties of perjury: <br />signature) Date: 1 d I `6 <br />