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-C�N Form CPF M 102: Campaign Finance Report NJ Municipal Form Office of Campaign and Political Finance Commonwealth of Massachusetts Pile with: City or Town Clerk or Election Commission Fill in Reporting Period dates: Beginning Date: 1 ) G Ending Date: ) 1 G / $ Type of Report: (Check one) EJ 8th day preceding preliminary 0 8th day preceding election © 30 day after election year-end report QX dissolution ith A Crocker Candidate Pull Name (if applicable) School Committee Office Sought and District 5 Currier Court, Lexington, MA 02420 Residential Address udy Crocker for School Committee Committee Name Mary McDonald Nance of Conunittee Treasurer 5 Nickerson Rd, Lexington, MA 02421 Committee Mailing Address -' Telephone Number (optional): - _ -� -- am Line 1: Ending Balance from previous report Line 2: Total receipts this period (page 3, line 11) Line 3: Subtotal (line 1 plus line 2) Line 4: Total expenditures this period (page 5, line 14) Line 5: Ending Balance (line 3 minus line 4) �_.-..... _ 0.00 0.00 0.00 0.00 Line 6: Total in-kind contributions this period (page 6) 1 0.001 Line 7: Total (all) outstanding liabilities (page 7) 0.00 Line 8: Name of bank(s) used: Fsank certify that I have examined this report including attached schedules and it is, to the best of my knowledge mid belief, a true and complete statement of all campaign finance etivity, including all contributions, loans, receipts, expenditures, disbursements, in-kind contributions mrd liabilities for this reporting period and represents the campaign inance activity of all persons acting under the authority or on behalf of this romtnittepin aecordafn�}' with he requirements of M.G.L. n 55. signed under the penalties of perjury: it ! signature) Date: g p p I ry: 1-' / ("freaswers si alure TOR CANDIDATE FILINGS ONLY: Affidavit of Candidate: (check 1 box only) Candidate with Committee and no activity independent of the committee I certify that I have examined this report including attached schedules and it is, to die best of my knowledge and belief, a true and complete statement of all campaign fuiance activity, of all persons acting ander 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, incurred any liabilities nor made my expenditures on my behalf during this reporting period. Candidate without Committee OR Candidate with independent activity filing separate report X7 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 activity, including contributions, loans, receipts, expenditures, disbumoments, in-kind contributions and liabilities for this reporting period and represents fire 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, under the penalties of perjury: signature) Date: 1 ) ) G )