2017-12-31-Andersen-Dissolution - Laserfiche WebLink

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Form CPF M 102: Campaign Finance Report Municipal Form 'Trice of Campaign and Political Finance Commonwealth t:fty 77 of Massachusetts lul ? t 7 tw?• 3a, File with: City or Town Clerk or Election Commission Fill in Reporting Period dates: i ' Beginning Date: v )an 1, 2017 Ending Date: Dec 31, 2017 LEfI,'t Type of Report: (Check one) ❑ 8th day preceding preliminary ❑ 8th day preceding election ❑ 30 day after electionX❑ year-end report X❑ dissolution Andersen Candidate Full Name (if applicable) Office Sought and District 2 Thoreau Rd, Lexington, MA 02420 Residential Address Campaign to Elect Mark Andersen P. Blake Committee Name None of Committee Treasurer 12 Thoreau Rd, Lexington, MA 02420 Committee Mailing Address SUMMARY BALANCE INFORMATION: Line 1: Ending Balance from previous report Line 2: Total receipts this period (page 3, line 11) Line 3: Subtotal (line I plus line 2) Line 4: Total expenditures this period (page 5, line 14) Line 5: Ending Balance (line 3 minus line 4) 0 0 0 0 Line 6: Total in-kind contributions this period (page 6) I 01 Line 7: Total (all) outstanding liabilities (page 7) 0 Line 8: Name of bank(s) used: none Affidavit of Committee Treasurer: I certify that I have examined this report inclu ing ttached schedules and it is, to the best of my knowledge and belief, a toe and complete statement of all campaign finance activity, including all contributions, loans, rece� s, a enditures, disburseme m-ki contributions and liabilities for this reporting period and represents the campaign finance activity ofall persons acting under the ant or on belikMo this mutt e' accordance with the requirements of M.G.L. c. 55. Signed under the penalties of perjury: (Treasurers signature) Date: FOR CANDIDATE FILINGS ONLY: Affidavit of Candidate: (check I box only) Candidate with Committee and no activity independent of the committee I certify that 1 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 Oactivity, of all persons acting under the authority or on behalf of this committee in accordance with the requirements of M.G.L. c. 55. 1 have not received any contributions, incurred any liabilities nor made any expenditures on my behalfduring this reporting period. Candidate without Committee OR Candidate with independent activity filing separate report 1 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, disbursements, in-kind contributions and liabilities for this reporting period and represents the campaign finance activity of all persgn"cling 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: I I ( (a ' / d