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N <br />Perm CPF M 102: Campaign Finance Report <br />of nmssa ,mmetts Office of Campaign and Political Finance <br />File «tth: ni—tor CP£ 1D, 15332 <br />office of Cme,mign +nd Political- ei'aa— <br />One Aohb.yton place N— 411 <br />aoakoo, HA 02198 <br />(639) 979-s-ro <br />Reporting Period: Beginning: 1/1/2017 Ending: 12/31/2017 <br />s— rum <br />Type of Report: 2017 Year-end report (MUNj ro <br />i�.., <br />Shoth,. Claire <br />Full Name of Candidate <br />Municipal-, Local Filer <br />Office Sought/ District <br />22 Vine Brook Road. <br />Lexington, MA 02420 <br />Residential Address <br />Sheth Coaraittee i-'--_ <br />Committee Name C�7 <br />Gretchen R isig 0.1 <br />Fame of committee Treasurer <br />9Victory Garden Way <br />Lexington, MA 02420 <br />committee Address <br />SUMMARY,BALANCE INFORMATION <br />Ending balance from previous reports <br />Total receipts this period: <br />Subtotal: <br />Total expenditures this period.- <br />Ending <br />eriod:Ending Balance: <br />Total inkind contributions this period; <br />Totaloutstanding liabilities. <br />Name of Bank Used: <br />$201.53 <br />$0.00 <br />$201.53 <br />$100.00 <br />$101.53 <br />$0.00 <br />$2,083.98.. <br />Affidavit of Conexitten, Treasurer: <br />I certify that i have examined this report, including attached schedules and it is, to the best of my knowledge and <br />belief, a true sad complete statement of all campaign finance activity including all contributions, loans, receipts, <br />expenditures, disbursements„ inkind contributions and liabilities for this reporting period and represents the campaign <br />finance activity at all persons acting under the authority ar on behalf of this coovaittee in accordance with the <br />requirements of A.G.L. c. 55. <br />Signed Odpe theJ IN £ I X- A A j h 11- x' I I'?) <br />Affidavit of Candidate (check 1 box only) : <br />Candidate with committee and no activity independent of the canvolttee <br />I certify that I have examined this report, and attached schedules and it is, to the hest of my knowledge and belief, a <br />rue and complete statement at all campaignfinance activity., of all lessons acting under the authority or am behalf of <br />this nominating in accordance with the regnirements of N.G.L. c. ». 1 have at received any contributions, incurred <br />any liabilities or made any expenditures on my behalf during this reporting period. <br />candidate without Committee OR candidate with independent activity filing separate report. <br />1:11 certify that I have examined this report and attached schedules and it is, to the best of m, kuo:aledge and belief, <br />a true and complete statement of all rempafgn finance activity including contributions, loans, receipts, expenditures, <br />disbursements, inkind contributions andliabilities for this reporting period and rapreseuts the campaign <br />finance eactivity of all persons act' yj unter the authority or on behalf of this committee in accordance with the <br />�( <br />reg}%; a ate of n.G,L 55. <br />.Sig A�d (r�he p7qalt' s pf perJu[g1 �i <br />i <br />sn r e s srgna Ora i net. <br />