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9L, Form CPF M 102: Campaign Finance Report Municipal Form U9 Office of Campaign and Political Finance Commonwealth ofMossachwetts File with: City or Town Clerk or Election Commission Fill in Reporting Period dates: Beginning Date: 01/01/2017 Ending Date: 12/31/2017 Type of Report: (Check one) ❑ 8th day preceding preliminary ❑ 8th day preceding election ❑ 30 day after election QX year-end report ❑ dissolution Eileen Jay Candidate Full Name (if applicable) School Committee Office Sought and District 191 Waltham St., Lexington, MA 02421 Residential Address E-mail: Phone # (optional): Line 1: Ending Balance from previous report Eileen Jay for School Committee Campaign Committee Namc Becky Barrentine Name of Committee Treasurer 100 Bedford St., Lexington, MA 02420 Committee Mailing Address E-mail: Phone # (optional): INFORMATION: C�i Lo ;Dine Total receipts this period (page 3, line 11) Line 31f Subtotal (line 1 plus line 2) Ljne 4: Total mpenditures this period (page 5, line 14) Liner- Ending Balance (line 3 minus line 4) 1,31 01 1,319. ^1 Line 6: Total in-kind contributions this period (page 6) 1 Line 7: Total (all) outstanding liabilities (page 7) F-1 Line S: Name of bank(s) used: Kitizens Bank that I have examined this report including attached schedules and it is, to the best of my knowledge and belief, a tree and complete statement of all campaign finance including all contributions, loans, receipts, expenditures, disbursements, in-kind contributions and liabilities for this reporting partial and represents the cam atgn activity ofall persons acting under the ahthorityorr on behalf of this committee in accordance with the requirements of M.G.L. a 55. under the penalties of perjury: (Treasumes signature) Date: t, Z,. 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 the best of my knowledge and belief, a true and complete statement of all 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. I have not received any contributions, incurred any liabilities nor made any expenditures on my behalf during this reporting period, Candidate without Committee Q$ Candidate with independent activity filing separate report 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 6mnen activity, including contributions, loans, receipts, expenditures disbursements, in-kind contributions and liabilities for this reporting period and represents the campaign finance activity of all persons noting and utho`' o o behalf of this committee in accordance with the requirements of M.G.L. c. 55. Jft n Date: I I Z) under the penalties of perjury: